{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T12:57:19Z","timestamp":1791809839220,"version":"4.3.4"},"reference-count":21,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2020,9,17]],"date-time":"2020-09-17T00:00:00Z","timestamp":1600300800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Otolaryngology"],"published-print":{"date-parts":[[2020,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Traditionally, patients are seen by an ear, nose and throat (ENT) surgeon prior to allied health referral for treatment of swallowing, voice, hearing and dizziness. Wait\u2010times for ENT consultations often exceed those clinically recommended. We evaluated the service impact of five allied health primary contact clinics (AHPC\u2010ENT) on wait\u2010times and access to treatment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>A metropolitan Australian University Hospital Outpatient ENT Department.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>We created five AHPC\u2010ENT pathways (dysphonia, dysphagia, vestibular, adult and paediatric audiology) for low\u2010acuity patients referred to ENT with symptoms of dysphonia, dysphagia, dizziness and hearing loss.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main outcome measures<\/jats:title>\n                    <jats:p>Using multiple regression analysis, we compared waiting times in the 24\u2010month pre\u2010 and 12\u2010month post\u2010implementation of the AHPC\u2010ENT service. In addition, we measured the number of patients requiring specialist ENT intervention after assessment in the AHPC\u2010ENT, adverse events and evaluation of service delivery costs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Seven hundred and thirty\u2010eight patients were seen in the AHPC\u2010ENT over the first 12\u00a0months of implementation (dysphagia, 66; dysphonia, 153; vestibular, 151; retro\u2010cochlear, 60; and paediatric glue ear, 308). All pathways significantly reduced the waiting times for patients by an average of 277\u00a0days, compared with usual care. The majority of patients were able to be discharged without ongoing ENT intervention (72% dysphagia; 81% dysphonia; 74% vestibular; 53% retro\u2010cochlear; and 32% paediatric glue ear). No adverse events were recorded.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The AHPC\u2010ENT improved waiting times for assessment and access to treatment. Future research on cost\u2010effectiveness and diagnostic agreement between AHPs and ENT clinicians would provide further confidence in the model.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/coa.13631","type":"journal-article","created":{"date-parts":[[2020,8,11]],"date-time":"2020-08-11T23:39:37Z","timestamp":1597189177000},"page":"904-913","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":37,"title":["Outcomes of a multidisciplinary Ear, Nose and Throat Allied Health Primary Contact outpatient assessment service"],"prefix":"10.1111","volume":"45","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4633-6074","authenticated-orcid":false,"given":"Christopher L.","family":"Payten","sequence":"first","affiliation":[{"name":"The University of Sydney Sydney NSW Australia"},{"name":"Department of Speech Pathology and Audiology Gold Coast Hospital and Health Service Gold Coast Qld Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7446-5383","authenticated-orcid":false,"given":"Jennifer","family":"Eakin","sequence":"additional","affiliation":[{"name":"Department of Speech Pathology and Audiology Gold Coast Hospital and Health Service Gold Coast Qld Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4552-7343","authenticated-orcid":false,"given":"Tamsin","family":"Smith","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy Gold Coast Hospital and Health Service Gold Coast Qld Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9762-5749","authenticated-orcid":false,"given":"Vicky","family":"Stewart","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy Gold Coast Hospital and Health Service Gold Coast Qld Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8114-1427","authenticated-orcid":false,"given":"Catherine J.","family":"Madill","sequence":"additional","affiliation":[{"name":"Dr Liang Voice Program Faculty of Health Sciences University of Sydney Sydney NSW Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5042-1925","authenticated-orcid":false,"given":"Kelly A.","family":"Weir","sequence":"additional","affiliation":[{"name":"Menzies Health Institute Queensland &amp; Allied Health Sciences Griffith University Gold Coast Qld Australia"},{"name":"Department of Clinical Governance, Education and Research Gold Coast Hospital and Health Service Gold Coast Qld Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,9,17]]},"reference":[{"key":"e_1_2_10_2_1","unstructured":"Queensland Health Wait Times Strategy Statewide Consultation Handbook. September 2015.https:\/\/www.health.qld.gov.au"},{"key":"e_1_2_10_3_1","unstructured":"Queensland Health.Optimising the allied health workforce for best care and best value: A 10\u2010year Strategy 2019\u20132029. February 2019.https:\/\/www.health.qld.gov.au\/ahwac\/"},{"key":"e_1_2_10_4_1","unstructured":"Allied Health Professions\u2019 Office of Queensland.Queensland Health: The last 10\u2010years \u2013 achievements and ongoing challenges. March 2019.https:\/\/qheps.health.qld.gov.au\/alliedhealth"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.2147\/JMDH.S66746"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjmed.2014.10.040"},{"key":"e_1_2_10_7_1","unstructured":"Queensland Government Q.H. Clinical prioritisation Criteria 2019.https:\/\/cpc.health.qld.gov.au\/. Accessed November 18 2019."},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1044\/leader.WB1.11072006.6"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599816689660"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599815624407"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.3109\/09593985.2014.932035"},{"issue":"2","key":"e_1_2_10_12_1","first-page":"126","article-title":"Orthopaedic triage: cost effectiveness, diagnostic\/surgical and management rates","volume":"19","author":"Burn D","year":"2014","journal-title":"Clin Gov Int J"},{"issue":"2","key":"e_1_2_10_13_1","first-page":"43","article-title":"Outcomes of a physiotherapy\u2010led pelvic health clinic","volume":"24","author":"Howard Z","year":"2018","journal-title":"Aust N Z Contin J"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2273.2003.00777.x"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1080\/17549507.2017.1380702"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jphys.2016.08.005"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-016-1845-0"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215112000680"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1080\/2050571X.2018.1447750"},{"key":"e_1_2_10_20_1","unstructured":"Speech Pathology Australia.Flexible Endoscopic Evaluation of Swallowing (FEES): Clinical Guideline.www.speechpathologyaustralia.org.au"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1044\/1058-0360(2012\/12-0014)"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1177\/1355819614533675"}],"updated-by":[{"DOI":"10.1111\/coa.13926","type":"correction","label":"Correction","source":"publisher","updated":{"date-parts":[[2022,3,17]],"date-time":"2022-03-17T00:00:00Z","timestamp":1647475200000}}],"container-title":["Clinical Otolaryngology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fcoa.13631","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/coa.13631","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/coa.13631","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/coa.13631","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,3]],"date-time":"2023-09-03T15:31:05Z","timestamp":1693755065000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/coa.13631"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,9,17]]},"references-count":21,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2020,11]]}},"alternative-id":["10.1111\/coa.13631"],"URL":"https:\/\/doi.org\/10.1111\/coa.13631","archive":["Portico"],"relation":{},"ISSN":["1749-4478","1749-4486"],"issn-type":[{"value":"1749-4478","type":"print"},{"value":"1749-4486","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,9,17]]},"assertion":[{"value":"2019-12-12","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-08-02","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-09-17","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}