NDLI: Changes in paediatric hospital ENT service utilisation following the implementation of a mobile, indigenous health screening service.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Smith, Anthony C. Armfield, Nigel R. Wu, Wei-I Brown, Cecil A. Mickan, Brooke Perry, Chris
Spatial Coverage	Australia
Description	Country affiliation: Australia Author Affiliation: Smith AC ( Centre for Online Health, University of Queensland, Australia.)
Abstract	In 2009, we established a mobile ear-screening service for children in a remote community approximately 350 km north-west of Brisbane. We compared pre-implementation health service utilisation data (2006-2008) with data for the following three years. The study included only children in schools that had participated in screening since the start of the screening programme and for which data for the 6-year study period were available. In the baseline period there were 329 ear, nose and throat (ENT) outpatient appointments at the Royal Children's Hospital (RCH) in Brisbane for children from the selected catchment area. Of these, 166 (51%) were failure-to-attends (FTAs). In the following three years, there were 105 appointments, of which 40 (38%) were FTAs. In the baseline period, 100 children received surgical procedures at the RCH; in the following three years there were 43. In the three years following implementation, 136 children were booked to receive surgical procedures locally at the Cherbourg hospital, and 117 (86%) were completed. Since no other major health service changes occurred in the region during the study period, we conclude that the telemedicine-enabled screening service improved access to specialist care in the community and resulted in fewer outpatient and surgical appointments at the tertiary centre in Brisbane.
File Format	HTM / HTML
ISSN	1357633X
Issue Number	7
Volume Number	19
e-ISSN	17581109
Journal	Journal of Telemedicine and Telecare
Language	English
Publisher	Sage Publication
Publisher Date	2013-10-01
Publisher Place	Great Britain (UK)
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Health Services Research Child Health Services Utilization Mass Screening Organization & Administration Mobile Health Units Otorhinolaryngologic Diseases Diagnosis Remote Consultation Australia Child Child, Preschool Humans Referral And Consultation Trends Rural Health Services Schools Journal Article Research Support, Non-u.s. Gov't
Content Type	Text
Resource Type	Article
Subject	Health Informatics

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1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
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