Morley, C and Stankovich, J and Peterson, G and Kinsman, L, Planning for the future: emergency department presentation patterns in Tasmania, Australia, International Emergency Nursing, 38 pp. 34-40. ISSN 1755-599X (2018) [Refereed Article]
Copyright 2017 The Authors. Licensed under Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) https://creativecommons.org/licenses/by-nc-nd/4.0/
Background: Emergency department crowding and associated adverse outcomes are major issues in health care systems worldwide. The Australian government has highlighted the need to analyse emergency presentations to inform system redesign.
Objective: To describe the profile of emergency department presentations by Tasmanian residents to emergency departments over four years, and examine regional variations.
Method: A retrospective analysis of emergency department data for Tasmania’s public hospitals over four financial years, 2010-11 to 2013-14, was undertaken. Descriptive statistics were used to identify patterns in Tasmanian state-wide emergency presentations, as well as disparities between Tasmania’s three regions (South, North and North-West). Regression analysis was undertaken to test if changes were significant.
Results: State-wide presentations increased by 3.4% (139,352 to 144,130) over the four years. Regional variations included an increase in presentations of 16% in the South, 5.1% in the North and a decrease of 3.9% in the North-West. Per capita presentations were consistently lowest in the South and highest in the North-West. The South recorded a significant increase in per capita presentations of those aged 75 and over (p = 0.001), increasing at a rate of 12.5 per 1,000 residents per annum (95% CI 5.8 – 19.2).
Conclusion: There is regional variation in emergency demand and utilisation in Tasmania. The results indicate that recent increases are predominantly occurring in the South, including in the elderly, and the reasons for this warrant further investigation.
|Item Type:||Refereed Article|
|Keywords:||Emergency services, hospital; Demand; Health-seeking behaviour; Decision making; Crowding|
|Research Division:||Health Sciences|
|Research Group:||Health services and systems|
|Research Field:||Health services and systems not elsewhere classified|
|Objective Group:||Evaluation of health and support services|
|Objective Field:||Evaluation of health and support services not elsewhere classified|
|UTAS Author:||Morley, C (Mrs Claire Morley)|
|UTAS Author:||Stankovich, J (Dr Jim Stankovich)|
|UTAS Author:||Peterson, G (Professor Gregory Peterson)|
|UTAS Author:||Kinsman, L (Professor Leigh Kinsman)|
|Year Published:||2018 (online first 2017)|
|Web of Science® Times Cited:||9|
|Deposited By:||Health Sciences|
|Downloads:||129 View Download Statistics|
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