Tens of millions of occurrences of outpatient care take
place every year in Australia however outpatient services continue to be viewed
as the ‘poor cousin’ of their inpatient counterparts.
A number of factors in acute health care have been pushing
additional demand onto outpatient services, including the National Emergency
Access Target (NEAT), National Elective Surgery Target (NEST) and of course the
growing need to reduce health care expenditure. With the cost of a hospital
admission priced at well into the thousands, it is very clear why health
services are relying more and more on the relatively cost efficient
non-admitted care.
According to the Australian
Institute of Health and Welfare 42 per cent of outpatient services were for
“Allied health and/or clinical nurse specialist interventions” and only 34 per
cent were for Medical consultations, in 2013-2014.
Faced with long wait lists with poor transparency many
clinics are unaware of the size of the problem, this coupled with service users
who are failing to attend and constantly growing demand for outpatient services
in acute health outpatient services are under huge strain.
If hospitals cannot reduce wait lists and improve access and
flow through outpatient services the implications will be far spread.
The NSW Bureau of Health Service Information’s survey
of approximately 7 million outpatient services provided across NSW public
hospitals. The feedback was over all positive however key access areas where
highlighted as shortcomings.
Key issues to be addressed:
·
Appointments stating late
· Inconsistency in health professionals seen from visit to visit
· Rarely told how long wait would be for appointment to start
· Poor parking availability
· Cleanliness of clinic Increasing patient satisfaction
· Improving waiting list transparency
· Inconsistency in health professionals seen from visit to visit
· Rarely told how long wait would be for appointment to start
· Poor parking availability
· Cleanliness of clinic Increasing patient satisfaction
· Improving waiting list transparency
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