{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T19:14:33Z","timestamp":1792005273317,"version":"4.4.0"},"reference-count":39,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2023,7,24]],"date-time":"2023-07-24T00:00:00Z","timestamp":1690156800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/100015539","name":"Australian Government","doi-asserted-by":"publisher","award":["APP1168314"],"award-info":[{"award-number":["APP1168314"]}],"id":[{"id":"10.13039\/100015539","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100004752","name":"State Government of Victoria","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100004752","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Child"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Waiting lists for community\u2010based paediatric therapy services are common and lead to poorer health outcomes, anxiety and missed opportunities for treatment during crucial developmental stages. The Specific Timely Appointments for Triage (STAT) model has been shown to reduce waiting lists in a range of health settings.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>To determine whether providing training and support in the STAT model to champions within five community health centres using a remote \u2018hub and spoke\u2019 approach could reduce waiting time from referral to first appointment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Representatives from five community health centres providing paediatric therapy services (speech therapy, occupational therapy and other allied health services) participated in five online workshops over 6\u00a0months. They were guided sequentially through the steps of the STAT model: understanding supply and demand, reducing backlogs, preserving space for new patients based on demand and redesigning models of care to maintain flow. Waiting time was measured in three consecutive years (pre, during and post intervention) and compared using the Kruskal\u2013Wallis test. Employee satisfaction and perception of the model were explored using surveys.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Data from 2564 children (mean age 3.2\u00a0years, 66% male) showed a 33% reduction in waiting time from the pre\u2010intervention (median 57\u2009days) to the post\u2010intervention period (median 38\u2009days, <jats:italic>p<\/jats:italic>\u00a0&lt;\u20090.01). The total number of children waiting was observed to reduce from 335 immediately prior to the intervention (mean per centre 67, SD 25.1) to 112 (mean 22, SD 13.6) after implementation (t[8]\u2009=\u00a03.56, <jats:italic>p<\/jats:italic>\u00a0&lt;\u20090.01). There was no impact on employee satisfaction or other aspects of service delivery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Waiting lists are a major challenge across the health system. STAT provides a practical, low\u2010cost, data\u2010driven approach to tackling waiting times. This study demonstrates its effectiveness in paediatric therapy services and provides evidence for a \u2018hub and spoke\u2019 approach to facilitate implementation that could be provided at scale.<\/jats:p><\/jats:sec>","DOI":"10.1111\/cch.13154","type":"journal-article","created":{"date-parts":[[2023,7,25]],"date-time":"2023-07-25T00:26:26Z","timestamp":1690244786000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["An evidence\u2010based demand management strategy using a hub and spoke training model reduces waiting time for children's therapy services: An implementation trial"],"prefix":"10.1111","volume":"50","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0207-7071","authenticated-orcid":false,"given":"Katherine E.","family":"Harding","sequence":"first","affiliation":[{"name":"School of Allied Health, Human Services and Sport La Trobe University  Melbourne Australia"},{"name":"Eastern Health Allied Health Clinical Research Office  Box Hill Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Annie K.","family":"Lewis","sequence":"additional","affiliation":[{"name":"School of Allied Health, Human Services and Sport La Trobe University  Melbourne Australia"},{"name":"Eastern Health Allied Health Clinical Research Office  Box Hill Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amy","family":"Dennett","sequence":"additional","affiliation":[{"name":"School of Allied Health, Human Services and Sport La Trobe University  Melbourne Australia"},{"name":"Eastern Health Allied Health Clinical Research Office  Box Hill Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kylie","family":"Hughes","sequence":"additional","affiliation":[{"name":"Department of Families, Fairness and Housing Government of Victoria  Melbourne Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michelle","family":"Clarke","sequence":"additional","affiliation":[{"name":"Department of Health Government of Victoria  Melbourne Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicholas F.","family":"Taylor","sequence":"additional","affiliation":[{"name":"School of Allied Health, Human Services and Sport La Trobe University  Melbourne Australia"},{"name":"Eastern Health Allied Health Clinical Research Office  Box Hill Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,7,24]]},"reference":[{"key":"e_1_2_9_2_1","unstructured":"Australia Bureau of Statistics. (2021).Find Census Data. Retrieved fromhttps:\/\/www.abs.gov.au\/census\/find-census-data 6th February 2023"},{"key":"e_1_2_9_3_1","unstructured":"Australian Institute of Health and Welfare. (2022).People with disability in Australia 2022. Australian Government. Retrieved from.https:\/\/www.aihw.gov.au\/reports\/disability\/people-with-disability-in-australia\/"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005110-200002000-00005"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1108\/09564239810223510"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/intqhc\/mzx012"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/1460-6984.12165"},{"key":"e_1_2_9_8_1","unstructured":"Department of Health Victoria. (n.d.)Community Health. Retrieved fromhttps:\/\/www.health.vic.gov.au\/primary-and-community-health\/community-health"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/13558196211065707"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1080\/01942630802224868"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/jan.14839"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/jir.12469"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/moo.0000000000000057"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.physio.2015.10.011"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/hsc.13866"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2012.08.207"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12916-018-1170-z"},{"key":"e_1_2_9_18_1","volume-title":"Specific and timely appointments for triage (STAT) handbook","author":"Harding K. E.","year":"2018"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-019-4123-0"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1071\/AH10927"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-016-1611-3"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1440-1754.1998.00273.x"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaac.2017.03.013"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-8749.2008.03113.x"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamapediatrics.2021.0878"},{"key":"e_1_2_9_26_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11845-021-02509-2"},{"key":"e_1_2_9_27_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.289.8.1035"},{"key":"e_1_2_9_28_1","doi-asserted-by":"publisher","DOI":"10.1111\/cob.12474"},{"key":"e_1_2_9_29_1","doi-asserted-by":"publisher","DOI":"10.1177\/0883073814535503"},{"key":"e_1_2_9_30_1","doi-asserted-by":"publisher","DOI":"10.1111\/1440-1630.12573"},{"key":"e_1_2_9_31_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamapediatrics.2017.1689"},{"key":"e_1_2_9_32_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.288.11.1357"},{"key":"e_1_2_9_33_1","doi-asserted-by":"publisher","DOI":"10.3109\/17549507.2011.650213"},{"key":"e_1_2_9_34_1","doi-asserted-by":"publisher","DOI":"10.5811\/westjem.2020.7.48684"},{"key":"e_1_2_9_35_1","doi-asserted-by":"publisher","DOI":"10.1177\/1098214005283748"},{"key":"e_1_2_9_36_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41467-021-26558-4"},{"key":"e_1_2_9_37_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0253875"},{"key":"e_1_2_9_38_1","volume-title":"Seen, counted, included: Using data to shed light on the well\u2010being of children with disabilities","author":"UNICEF, D","year":"2021"},{"key":"e_1_2_9_39_1","doi-asserted-by":"publisher","DOI":"10.1071\/ah010202"},{"issue":"2","key":"e_1_2_9_40_1","first-page":"55","article-title":"Using different methods to analyze the pre\u2010post no\u2010matching survey data in medical practical research","volume":"4","author":"Wang H.","year":"2015","journal-title":"Journal of Applied Computational Mathematics"}],"container-title":["Child: Care, Health and Development"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/cch.13154","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,12]],"date-time":"2025-04-12T09:35:58Z","timestamp":1744450558000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/cch.13154"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,7,24]]},"references-count":39,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2024,1]]}},"alternative-id":["10.1111\/cch.13154"],"URL":"https:\/\/doi.org\/10.1111\/cch.13154","archive":["Portico"],"relation":{},"ISSN":["0305-1862","1365-2214"],"issn-type":[{"value":"0305-1862","type":"print"},{"value":"1365-2214","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,7,24]]},"assertion":[{"value":"2022-10-24","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-06-28","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-07-24","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e13154"}}