Selecting explicit prioritization criteria is a complex task because it is important to simultaneously consider the objectives of all stakeholders. To increase fairness and equity in access to rehabilitation services, a strategy emerging from the literature is patient prioritization. These findings highlight the need for more consistent and evidence-based prioritisation criteria for occupational therapy in home care in order to facilitate equitable access to these services. In general, problems related to safety and remaining at home are considered more urgent than problems related to independence, quality of life, and activities outside the home. Wait times vary greatly between priority levels, with a median of 2 days for urgent referrals and 20 months for low-priority referrals. This study identified 48 main categories of referral prioritisation criteria, but only nine of them were present in the majority of tools. A detailed quantitative content analysis compared the content of all referral prioritisation tools. Participants provided information about occupational therapy wait times, and referral prioritisation tools and practices. This study aimed to identify prioritisation criteria in home-based occupational therapy services in Quebec, Canada, and to describe how they are used in practice.Ī mail and telephone survey of 55 home care programmes across Quebec was conducted. However, little is known about the exact criteria that are used in home-based occupational therapy to determine the level of urgency.
Prioritising referrals on waiting lists is common practice in rehabilitation.
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