Policy Impact: Allied health practitioner role substitution models can improve patient flow, access to care and clinician time utilisation, in contexts such as geriatric outpatient services.Practice Impact: Role substitution using allied health practitioners can reduce patient waiting times for care. In a geriatric outpatient setting the waiting time was reduced from an average of 82 to as low as 35 days. The percentage of patients seen within their designated triage category increased from 47 to 86%.IntroductionHealth services have been reported as having ‘access‐block’, with patients experiencing increasingly long waiting times . This block has been attributed to a shortage of medical specialists . A number of specialities have been affected by current shortages and predicted shortages, including orthopaedics and geriatrics . Some of these shortages relate to an ageing workforce, difficulty with the way services are delivered, public versus private providers, location of the specialists’ practice – particularly in rural and remote regions of Australia, and an inability to attract trainees .Longer waiting lists have been proposed to equate to poorer patient outcomes. Poorer outcomes may be due to longer waiting times resulting in more time to diagnosis or treatment, thus allowing progression of disease or an avoidable event,
Australasian Journal on Ageing – Wiley
Published: Jan 1, 2018
Keywords: ; ; ;
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