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Motivators and barriers for paediatricians discharging patients

Erin Turbitt1, Marina Kunin1, Sarah Gafforini1

  • 1Health Systems and Workforce Unit, The Centre for Health Policy, School of Population and Global Health, The University of Melbourne, Level 4, 207 Bouverie Street, Parkville, Vic. 3010, Australia.

Australian Journal of Primary Health
|December 1, 2016
PubMed

Insights

Paediatricians hesitate to discharge patients due to concerns about primary care quality and complex processes. Improving discharge procedures could reduce wait times in specialist clinics.

Area of Science:

  • Pediatrics
  • Healthcare Management
  • Health Services Research

Background:

  • Paediatricians in outpatient specialty care face challenges in discharging patients.
  • Effective patient discharge is crucial for optimizing healthcare resource allocation and reducing wait times.

Purpose of the Study:

  • To identify key motivators and barriers influencing paediatricians' decisions to discharge patients from outpatient specialty care.
  • To inform strategies for improving the discharge process and enhancing healthcare efficiency.

Main Methods:

  • A questionnaire-based survey was distributed to paediatricians in Victoria, Australia, working in public hospital specialty clinics.
  • Participants rated the importance of various factors affecting their discharge decisions.

Main Results:

  • The primary barrier identified was concern that patients might not receive adequate care from general practitioners (GPs).
  • A significant proportion of paediatricians (33%) found the discharge process overly complicated.
  • Nearly all invited paediatricians (91%) participated in the study.

Conclusions:

  • Addressing paediatricians' concerns regarding primary care quality is essential for facilitating patient discharge.
  • Simplifying discharge procedures may encourage more referrals back to general practice, thereby improving outpatient clinic efficiency and reducing wait times.

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