Evaluation of a new medical retrieval and primary health care advice model in Central Australia: Results of pre- and post-implementation surveys.

Autor: Green D; Northern Territory Health, Top End Health Service, Darwin, Northern Territory, Australia., Russell DJ; Menzies School of Health Research, Charles Darwin University, Alice Springs, Northern Territory, Australia., Zhao Y; Northern Territory Health, Top End Health Service, Darwin, Northern Territory, Australia., Mathew S; Menzies School of Health Research, Charles Darwin University, Alice Springs, Northern Territory, Australia., Fitts MS; Menzies School of Health Research, Charles Darwin University, Alice Springs, Northern Territory, Australia., Johnson R; Northern Territory Health, Central Australian Health Service, The Gap, Northern Territory, Australia., Reeve DM; Northern Territory Health, Central Australian Health Service, The Gap, Northern Territory, Australia., Honan B; Northern Territory Health, Central Australian Health Service, The Gap, Northern Territory, Australia., Niclasen P; Northern Territory Health, Central Australian Health Service, The Gap, Northern Territory, Australia., Liddle Z; Menzies School of Health Research, Charles Darwin University, Alice Springs, Northern Territory, Australia., Maguire G; Curtin Medical School, Curtin University, Bentley, Western Australia, Australia., Remond M; College of Health, Medicine and Wellbeing, University of Newcastle, Callaghan, New South Wales, Australia., Wakerman J; Menzies School of Health Research, Charles Darwin University, Alice Springs, Northern Territory, Australia.
Jazyk: angličtina
Zdroj: The Australian journal of rural health [Aust J Rural Health] 2023 Apr; Vol. 31 (2), pp. 322-335. Date of Electronic Publication: 2022 Dec 09.
DOI: 10.1111/ajr.12954
Abstrakt: Introduction: In February 2018 the Remote Medical Practitioner (RMP)-led telehealth model for providing both primary care advice and aeromedical retrievals in Central Australia was replaced by the Medical Retrieval and Consultation Centre (MRaCC) and Remote Outreach Consultation Centre (ROCC). In this new model, specialists with advanced critical care skills provide telehealth consultations for emergencies 24/7 and afterhours primary care advice (MRaCC) while RMPs (general practitioners) provide primary care telehealth advice in business hours via the separate ROCC.
Objective: To evaluate changes in clinicians' perceptions of efficiency and timeliness of the new (MRaCC) and (ROCC) model in Central Australia.
Design: There were 103 and 72 respondents, respectively, to pre- and post-implementation surveys of remote clinicians and specialist staff.
Findings: Both emergency and primary care aspects of telehealth support were perceived as being significantly more timely and efficient under the newly introduced MRaCC/ROCC model. Importantly, health professionals in remote community were more likely to feel that their access to clinical support during emergencies was consistent and immediately available.
Discussion: Respondents consistently perceived the new MRaCC/ROCC model more favourably than the previous RMP-led model, suggesting that there are benefits to having separate referral streams for telehealth advice for primary health care and emergencies, and staffing the emergency stream with specialists with advanced critical care skills.
Conclusion: Given the paucity of literature about optimal models for providing pre-hospital medical care to remote residents, the findings have substantial local, national and international relevance and implications, particularly in similar geographically large countries, with low population density.
(© 2022 The Authors. Australian Journal of Rural Health published by John Wiley & Sons Australia, Ltd on behalf of National Rural Health Alliance Ltd.)
Databáze: MEDLINE
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