The first eighteen months of a paediatric ambulatory and community service

Susan R Woolfenden1, Troy Dalkeith, Teresa Anderson

  • 1Liverpool Health Service, Sydney South West Area Health Service, B Wing, Liverpool Hospital, PO Box 3084, Liverpool BC, Sydney, NSW. Susan.Woolfenden@sswsahs.nsw.gov.au

Insights

A new pediatric ambulatory and community service in New South Wales improved patient care and saved hospital beds. The service saw increased referrals and high parental satisfaction, demonstrating a successful alternative healthcare model.

Area of Science:

  • Pediatric Healthcare
  • Community Health Services
  • Health Service Models

Background:

  • Hospitalization is traumatic for children, causing separation from family and home.
  • Alternative healthcare models are emerging globally and in Australia to better serve pediatric patients and their families.
  • The establishment of a new service aimed to address these challenges.

Purpose of the Study:

  • To describe the initial 18 months of a pediatric ambulatory and community service.
  • To evaluate key outcomes of the newly established service.
  • To identify lessons learned during the service's implementation.

Main Methods:

  • Establishment of a pediatric ambulatory and community service within a district health service in New South Wales.
  • Monitoring referral patterns from acute hospital and primary care.
  • Assessing parental satisfaction and hospital bed-day utilization.

Main Results:

  • Increased referrals to the new service from both acute hospital and primary care settings.
  • High levels of parental satisfaction reported.
  • Significant savings in hospital bed-days achieved.

Conclusions:

  • The pediatric ambulatory and community service has been successfully established and is effective.
  • Proactive engagement with consumers and stakeholders is crucial for service setup.
  • Clear roles, responsibilities, and measurable performance indicators are essential for sustained success.

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