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Domiciliary oxygen therapy services in Tasmania: prescription, usage and impact of a specialist clinic

Citation

Jones, A and Wood-Baker, R and Walters, EH, Domiciliary oxygen therapy services in Tasmania: prescription, usage and impact of a specialist clinic, Medical Journal of Australia, 186, (12) pp. 632-4. ISSN 0025-729X (2007) [Refereed Article]

Abstract

Objective: To assess the use of domiciliary oxygen therapy (DOT) in Tasmania and the impact of a specialist oxygen clinic on service provision. Design: Retrospective observational study. Participants and setting: Patients prescribed government-funded DOT in Tasmania between December 2002 and April 2004. Main outcome measures: Indications for DOT, usage, prescription, reassessment and costs of DOT, influence of a specialist-run oxygen clinic. Results: 490 patients were using DOT, an overall rate of 102 patients per 100 000 population (varying between regions from 95 to 116 per 100 000 population). Of 267 patients (54%) prescribed DOT during hospitalisation, only 72% met national guidelines for DOT at commencement. Chronic obstructive pulmonary disease (COPD) was the most common indication (48% of prescriptions). The median time to reassessment after prescription was 5.5 months. Median usage in patients with COPD was 18.3 hours per day. The average cost per patient was $1498 per year, but differed regionally in relation to costs of ambulatory supplies. The oxygen clinic in the north-west region substantially reduced oxygen prescriptions, improved compliance with guidelines, decreased time to first reassessment from 21 to 6.6 months, and produced major cost savings. Conclusions: Prescription of DOT was often not in keeping with national guidelines. Reassessment was poor, despite more than half the patients being prescribed DOT as an inpatient. A dedicated oxygen clinic resulted in more appropriate prescription, decreased time to reassessment and a reduction in costs.

Item Details

Item Type:Refereed Article
Research Division:Medical and Health Sciences
Research Group:Cardiorespiratory Medicine and Haematology
Research Field:Respiratory Diseases
Objective Division:Health
Objective Group:Clinical Health (Organs, Diseases and Abnormal Conditions)
Objective Field:Respiratory System and Diseases (incl. Asthma)
Author:Wood-Baker, R (Professor Richard Wood-Baker)
Author:Walters, EH (Professor Haydn Walters)
ID Code:50947
Year Published:2007
Web of Science® Times Cited:6
Deposited By:Menzies Institute for Medical Research
Deposited On:2007-08-01
Last Modified:2009-08-19
Downloads:0

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