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Evaluation of a new model of triage for community rehabilitation services

Does a new model of access and triage involving protected assessment slots and early face to face clinical assessment improve waiting times for patients referred to community rehabilitation services, compared with a traditional "waitlist and triage" model?

Status
Completed
Phases
Unknown
Study type
Interventional
Source
ANZCTR
Registry ID
ACTRN12611000943943
Enrollment
750
Registered
2011-09-01
Start date
2011-02-01
Completion date
Unknown
Last updated
2020-01-13

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

Patients referred to the community rehabilitation programs (CRPs) at the Peter James Centre (PJC) and Wantirna Health (WH) have traditionally been placed on a waiting list and given a triage category, which guides clinicians as to who should be seen first when demand exceeds supply. This study is trialling an alternative model of triage within the orthopaedic team at the PJC CRP in which all patients are seen for a face to face assessment soon after referral, with a subsequent decision on priority and patient management made by the treating clinician. The aim of the trial is to compare the outcomes with the traditional model at WH, and determine whether the new model improves waiting times without negatively impacting on the quality of service received, patient outcomes or staff and patient satisfaction

Interventions

Many community rehabilitation programs manage access by placing patients on waiting lists, with clinicians taking on new pateints as appointments become available. Triage categories are often assigned to guide clinicians as to who should be seen first. This trial aims to evaluate an alternative model, in which all patients receive a face to face assessment within a few days of referral, through the use of protected assessment appointments. Clinicians then take responsibility for triaging patie

Many community rehabilitation programs manage access by placing patients on waiting lists, with clinicians taking on new pateints as appointments become available. Triage categories are often assigned to guide clinicians as to who should be seen first. This trial aims to evaluate an alternative model, in which all patients receive a face to face assessment within a few days of referral, through the use of protected assessment appointments. Clinicians then take responsibility for triaging patient needs within their own clinical caseload. The new model will be trialled for all new referrals received over a 6 month period.

Sponsors

Eastern Health
Lead SponsorHospital

Study design

Allocation
Non-randomised trial
Intervention model
Parallel
Primary purpose
Prevention
Masking
Open (masking not used)

Eligibility

Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

Patients referred to community rehabilition program at either Peter James Centre (all patients) or Wantirna Health (orthopaedic patients) from 1st February to July 31st 2011.

Exclusion criteria

Nil for quantitative measures. Qualitative data - patients must be able to converse in English and provide informed consent.

Outcome results

None listed

Source: ANZCTR · Data processed: Feb 4, 2026