Princess Alexandra Hospital - Metro South HHS, Woolloongabba, Queensland, Australia.
Department of Dermatology, Royal Brisbane and Women's Hospital, Herston, Queensland, Australia.
Australas J Dermatol. 2023 Aug;64(3):339-345. doi: 10.1111/ajd.14123. Epub 2023 Jul 5.
BACKGROUND/OBJECTIVES: There is limited literature focussing on the demographics of patients presenting to public dermatology outpatient clinics, with an even smaller amount focussing on clinics in regional Australia. This study presents the first patient demographic analysis for the Cairns Hospital's Dermatology Outpatient Department and analyses the cohort of patients who did not attend their appointments. In doing so, it recommends potential strategies that should be considered to address the issues of patient absenteeism and wait times in a regional setting, while also suggesting future data points that should be collected for analysis.
A 4-year retrospective cohort study using demographic data from all referrals with medical officers (N = 10,333) from 1 January 2018 to 31 December 2021 at the Cairns Hospital Dermatology Outpatient Department. The hospital is the only facility with a dermatology service within the Cairns and Hinterland Hospital and Health Service. Data were extracted from the Cairns Hinterland Analytical Intelligence (CHAI) system.
Data pertaining to patient demographics, attendance of appointments, triage categories and wait times were collected and reviewed for patients referred during the study period.
The Dermatology Outpatient Department services an ever-growing and diverse patient cohort. Barriers to access and long wait times exist for patients referred to the Department. Strategies to combat these issues, such as an increase in funding and resourcing, should be considered to better optimise patient care and the utilisation of health resources.
背景/目的:专注于前往公立皮肤科门诊就诊的患者人口统计学特征的文献有限,而专门针对澳大利亚地区诊所的研究则更少。本研究首次对凯恩斯医院皮肤科门诊患者的人口统计学特征进行了分析,并分析了未就诊患者的队列。通过这样做,它为解决区域性患者缺勤和等待时间问题提出了一些潜在的策略,并建议收集未来应该用于分析的数据点。
这是一项为期 4 年的回顾性队列研究,使用了 2018 年 1 月 1 日至 2021 年 12 月 31 日期间所有转诊至凯恩斯医院皮肤科门诊的医务人员的人口统计学数据(N=10333)。该医院是凯恩斯和内陆医院及卫生服务处唯一拥有皮肤科服务的机构。数据是从凯恩斯内陆分析智能系统(CHAI)中提取出来的。
收集并审查了研究期间转诊患者的人口统计学数据、就诊预约情况、分诊类别和等待时间。
皮肤科门诊服务的是一个不断增长且多样化的患者群体。患者在接受该科室治疗时面临着就诊障碍和长时间的等待。应考虑采取一些策略来解决这些问题,例如增加资金和资源投入,以更好地优化患者护理和卫生资源的利用。