{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,26]],"date-time":"2026-01-26T01:44:52Z","timestamp":1769391892403,"version":"3.49.0"},"reference-count":16,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2020,10,11]],"date-time":"2020-10-11T00:00:00Z","timestamp":1602374400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Paediatrics Child Health"],"published-print":{"date-parts":[[2021,2]]},"abstract":"<jats:sec><jats:title>Aim<\/jats:title><jats:p>Children with middle ear disease often experience lengthy delays waiting for outpatient paediatric ear nose and throat (ENT) services. This study aimed to investigate whether an alternative service delivery model using audiologists working in an expanded scope of practice reduced waiting times for children to access such services.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A total of 131 children consecutively referred to a large ENT outpatient service in Queensland, Australia, for middle ear and hearing concerns were prospectively allocated to either a standard ENT service or an advanced audiology (AA)\u2010led service. Waiting times and attendance rates were collected and compared between the two patient groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The median waiting time from referral to first offered appointment was 96\u2009days for children in the AA\u2010led service versus 417.5\u2009days for children in the standard ENT service. Seventy\u2010nine percent of children in the AA\u2010led service attended their first offered appointment versus 61% in the standard ENT service. For children receiving grommets, the median waiting time from initial referral to grommet insertion was 226\u2009days for children in the AA\u2010led service versus 627\u2009days for children in the standard ENT service.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The AA\u2010led service was an effective alternative pathway to reduce waiting times for children referred to ENT services with middle ear and hearing concerns.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jpc.15218","type":"journal-article","created":{"date-parts":[[2020,10,12]],"date-time":"2020-10-12T03:30:15Z","timestamp":1602473415000},"page":"268-272","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["Can an advanced audiology\u2010led service reduce waiting times for paediatric ear nose and throat outpatient services?"],"prefix":"10.1111","volume":"57","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1780-2849","authenticated-orcid":false,"given":"Michelle A","family":"Pokorny","sequence":"first","affiliation":[{"name":"Discipline of Audiology, School of Health and Rehabilitation Sciences The University of Queensland  Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter R","family":"Thorne","sequence":"additional","affiliation":[{"name":"Section of Audiology, School of Population Health, Faculty of Medical and Health Science University of Auckland  Auckland New Zealand"},{"name":"Eisdell Moore Centre University of Auckland  Auckland New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bernard CS","family":"Whitfield","sequence":"additional","affiliation":[{"name":"Logan Hospital Integrated Specialist ENT Service, Metro South Health Service District Queensland Health  Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arier C","family":"Lee","sequence":"additional","affiliation":[{"name":"Section of Epidemiology and Biostatistics, School of Population Health, Faculty of Medical and Health Science University of Auckland  Auckland New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wayne J","family":"Wilson","sequence":"additional","affiliation":[{"name":"Discipline of Audiology, School of Health and Rehabilitation Sciences The University of Queensland  Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,10,11]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/jpc.14758"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1080\/2050571X.2018.1447750"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11845-020-02183-w"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1071\/AH090663"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/AUD.0000000000000855"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbi.2008.08.010"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.320.7249.1594"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1308\/003588408X318174"},{"key":"e_1_2_7_10_1","doi-asserted-by":"crossref","first-page":"699","DOI":"10.1093\/postgradmedj\/79.938.699","article-title":"A physiotherapy specialist clinic in paediatric orthopaedics: Is it effective?","volume":"79","author":"Belthur MV","year":"2003","journal-title":"Postgrad. 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