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Rural emergency care facilities may be adapting to their context: A population-level study of resources and workforce.


ABSTRACT:

Objective

To provide a structured understanding of rural hospital-based emergency care facility workforce and resources.

Design

The resources of regional training hubs were used to survey eligible emergency care facilities in their surrounding region.

Setting

Rural emergency care facilities manage more than one third of Australia's emergency presentations. These emergency care facilities include emergency departments and less-resourced facilities in smaller towns.

Participants

Hospital facilities located outside metropolitan areas that report emergency presentations to the Australian Institute of Health and Welfare.

Interventions

A survey tool was sent by email.

Main outcome measures

Presence of human, diagnostic and other resources as reported on a questionnaire.

Results

A completed questionnaire was received from 195 emergency care facilities. Over 60% of Small hospitals had on-call doctors only. General practitioners/generalists and nurses with extended emergency skills were found in all hospital types. Emergency physicians were present across all remoteness areas, but more commonly seen in larger facilities. All Major/Large facilities and most Medium facilities reported having onsite pathology and radiology. Point of care testing and clinician radiography were more commonly reported in smaller facilities. Among Small hospitals, Very Remote hospitals were more likely than Inner Regional hospitals to have an onsite doctor in the emergency care facility and/or a high dependency unit.

Conclusion

Smaller and more remote facilities appear to adapt by using different workforce structures and bedside investigations.

SUBMITTER: Baker T 

PROVIDER: S-EPMC9305935 | biostudies-literature | 2022 Jun

REPOSITORIES: biostudies-literature

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Publications

Rural emergency care facilities may be adapting to their context: A population-level study of resources and workforce.

Baker Tim T   Moore Katie K   Lim Jolene J   Papanastasiou Cerissa C   McCarthy Sally S   Schreve Franco F   Lawson Mary M   Versace Vincent V  

The Australian journal of rural health 20220216 3


<h4>Objective</h4>To provide a structured understanding of rural hospital-based emergency care facility workforce and resources.<h4>Design</h4>The resources of regional training hubs were used to survey eligible emergency care facilities in their surrounding region.<h4>Setting</h4>Rural emergency care facilities manage more than one third of Australia's emergency presentations. These emergency care facilities include emergency departments and less-resourced facilities in smaller towns.<h4>Partic  ...[more]

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