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Planning for the future: Emergency department presentation patterns in Tasmania, Australia
Claire Morley1, Jim Stankovich2, Gregory Peterson3
1Health Services Innovation Tasmania, Australia; School of Health Sciences, University of Tasmania, Australia.
International Emergency Nursing
|September 30, 2017
Summary
Emergency department (ED) visits in Tasmania increased overall, with significant regional variations. The South region saw the largest increase, particularly among elderly residents, warranting further investigation into demand drivers.
Area of Science:
- Public Health
- Health Services Research
- Epidemiology
Background:
- Emergency department (ED) crowding is a global healthcare challenge.
- Australian governments require analysis of ED presentations for system redesign.
- Understanding regional variations in ED demand is crucial for resource allocation.
Purpose of the Study:
- To profile emergency department presentations by Tasmanian residents over four years.
- To examine regional variations in emergency department utilization across Tasmania.
- To identify trends and disparities in emergency care demand.
Main Methods:
- Retrospective analysis of public hospital ED data in Tasmania (2010-11 to 2013-14).
- Descriptive statistics to identify state-wide and regional patterns.
- Regression analysis to assess the significance of observed changes.
Main Results:
- State-wide ED presentations rose by 3.4% over four years.
- Significant regional disparities observed: South (+16%), North (+5.1%), North-West (-3.9%).
- Per capita presentations were lowest in the South and highest in the North-West, with a notable increase in elderly presentations in the South.
Conclusions:
- Tasmanian emergency departments exhibit significant regional variations in demand and utilization.
- Recent increases in ED presentations are concentrated in the South, especially among the elderly.
- Further investigation is needed to understand the drivers of these regional trends.
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