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Intraoperative Video Consultation Following Bile Duct Transection Facilitates Direct OR Transfer for Robotic Hepaticojejunostomy at Tertiary Center
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Shared consultant physician posts.

J Cooke1, C Molefe, S Carew

  • 1Department of Medicine for the Elderly, Mid Western Regional Hospital, Dooradoyle, Limerick. johncooke_cork@yahoo.com

Irish Medical Journal
|September 24, 2009
PubMed
Summary
This summary is machine-generated.

Shared consultancy posts are a cost-efficient and acceptable solution in Ireland. This model improved patient care, reduced hospital stays, and saved money, with positive feedback from most healthcare professionals and patients.

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Area of Science:

  • Healthcare Management
  • Medical Staffing
  • Health Economics

Background:

  • Consultancy posts are crucial for specialized medical care.
  • Staffing challenges can impact healthcare delivery and costs.
  • Evaluating innovative staffing models is essential for efficiency.

Purpose of the Study:

  • To assess the acceptability of shared consultancy posts among healthcare professionals and patients.
  • To determine the cost-efficiency of implementing shared consultancy posts.
  • To evaluate the impact of shared consultancy posts on clinical outcomes and resource utilization.

Main Methods:

  • A 12-month study involving two consultant physicians sharing posts on alternate fortnights.
  • Distribution of questionnaires to general practitioners, nurses, consultants, and junior doctors.
  • Telephone interviews with patients or their next of kin to gather feedback.
  • Analysis of clinical data including patient numbers, length of stay, and cost savings.

Main Results:

  • High levels of satisfaction reported by general practitioners (17/17) and nurses (85/86).
  • Positive experiences reported by junior doctors (14/19), with perceived improvements in training.
  • Minimal negative feedback from consultants (1/17) and patients (1/48).
  • Significant improvements in efficiency: 2.2 additional patients seen per clinic, 2.49 days reduction in length of stay.
  • Cost savings of 69,212 due to reduced locum requirements.

Conclusions:

  • Structured shared consultancy posts are broadly acceptable to healthcare professionals and patients.
  • The shared consultancy model demonstrates significant cost-efficiency in healthcare settings.
  • Shared consultancy posts offer a viable solution to improve resource utilization and reduce healthcare expenditure.