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Evaluation of an ear health pathway in remote Communities: Improvements in ear health access

Reeve, Carol; Thomas, Amanda; Mossenson, Adam; Reeve, David; Davis, Stephanie

Description

Objective: Reduce long waiting lists for ear, nose and throat (ENT) specialist review and improve primary ear health care. Design: A retrospective evaluation of ear health care after the implementation of an ear health program (EHP). Setting and participants: School children in Aboriginal communities in the Fitzroy Valley of Western Australia. Key measures for improvement: Access number of children screened for ear disease, effectiveness-referral letter completeness (history, otoscopy,...[Show more]

dc.contributor.authorReeve, Carol
dc.contributor.authorThomas, Amanda
dc.contributor.authorMossenson, Adam
dc.contributor.authorReeve, David
dc.contributor.authorDavis, Stephanie
dc.date.accessioned2015-12-08T22:38:37Z
dc.identifier.issn1038-5282
dc.identifier.urihttp://hdl.handle.net/1885/35881
dc.description.abstractObjective: Reduce long waiting lists for ear, nose and throat (ENT) specialist review and improve primary ear health care. Design: A retrospective evaluation of ear health care after the implementation of an ear health program (EHP). Setting and participants: School children in Aboriginal communities in the Fitzroy Valley of Western Australia. Key measures for improvement: Access number of children screened for ear disease, effectiveness-referral letter completeness (history, otoscopy, tympanometry, audiometry), patient management and waiting time until first ENT contact. Interventions: EHP - an electronic referral template, ear health nurse, ear health educator and telehealth ENT specialist review. Main outcome measures: Screening rates, timely ENT review and improved primary care management. Results: Number of children screened increased from 148 per 18 months to 710. Nearly twofold increase in numbers of patients referred to ENT (32, 66). A reduction in median waiting time from 141 days to 22 days for ENT review using telehealth. Content of referral letters showed an increase in essential information - otoscopy, audiometry and tympanometry. Primary care management in accordance with guidelines improved. Conclusions: The addition of an ear health team increased access to appropriate primary care management and the time to contact with ENT was reduced by using an electronic template and telehealth sessions.
dc.publisherBlackwell Science Asia
dc.sourceAustralian Journal of Rural Health
dc.titleEvaluation of an ear health pathway in remote Communities: Improvements in ear health access
dc.typeJournal article
local.description.notesImported from ARIES
local.identifier.citationvolume22
dc.date.issued2014
local.identifier.absfor111706 - Epidemiology
local.identifier.ariespublicationu5427758xPUB129
local.type.statusPublished Version
local.contributor.affiliationReeve, Carol, Flinders University
local.contributor.affiliationThomas, Amanda, Western Australian Country Health Services
local.contributor.affiliationMossenson, Adam, Western Australian Country Health Services
local.contributor.affiliationReeve, David, Western Australian Country Health Services
local.contributor.affiliationDavis, Stephanie, College of Medicine, Biology and Environment, ANU
local.description.embargo2037-12-31
local.bibliographicCitation.issue3
local.bibliographicCitation.startpage127
local.bibliographicCitation.lastpage132
local.identifier.doi10.1111/ajr.12098
dc.date.updated2015-12-08T10:09:25Z
local.identifier.scopusID2-s2.0-84904037031
local.identifier.thomsonID000339552900008
CollectionsANU Research Publications

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