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Measuring the Functional Abilities of Children Aged 3-6 Years Old with Observational Methods and Computer Tools
Published on: June 20, 2020
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.
Abstract:
Hospital admission is distressing and traumatic for children as they are separated from their families and home. Internationally, and in Australia, alternative models of health care are being developed to meet the needs of children and their families. We describe the first eighteen months of the establishment of a paediatric ambulatory and community service in a district health service in New South Wales. Key outcomes include: increased referral to the service from acute hospital and primary care services; parental satisfaction and saved hospital bed-days. Lessons learnt in the setting up of this service include the need for proactive engagement of consumers and stakeholders; clear definition of roles and responsibilities; and measurable and reasonable performance indicators.
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