Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/24924
Title: Displaying emergency patient estimated wait times: A multi-centre, qualitative study of patient, community, paramedic and health administrator perspectives.
Austin Authors: Walker, Katie;Stephenson, Melanie ;Loupis, Anne;Ben-Meir, Michael ;Joe, Keith;Stephenson, Michael;Lowthian, Judy;Yip, Beatrice;Wu, Elena;Hansen, Kim;Rosler, Rachel;Buntine, Paul;Hutton, Jennie
Affiliation: Emergency Department, Monash Health, Melbourne, Victoria, Australia
Faculty of Medicine, The University of Queensland, Brisbane, Queensland, Australia
Emergency Department, The Prince Charles Hospital, Brisbane, Queensland, Australia
Emergency Department, St Andrew's War Memorial Hospital, Brisbane, Queensland, Australia
Central Clinical School, Monash University, Melbourne, Victoria, Australia
Faculty of Health and Behavioural Sciences, The University of Queensland, Brisbane, Queensland, Australia
Bolton-Clarke Research Institute, Bolton Clarke, Melbourne, Victoria, Australia
Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Melbourne, Victoria, Australia
Emergency Department, St Vincent's Hospital Melbourne, Melbourne, Victoria, Australia
Eastern Health Clinical School, Monash University, Melbourne, Victoria, Australia
Emergency Department, Box Hill Hospital, Eastern Health, Melbourne, Victoria, Australia
Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Victoria, Australia
Emergency
Department of Medicine, School of Clinical Sciences, Monash University, Melbourne, Victoria, Australia
Department of Health Services, School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia
Department of Emergency Medicine Research, Cabrini Institute, Melbourne, Victoria, Australia
Department of Community Emergency Health and Paramedic Practice, Monash University, Melbourne, Victoria, Australia
Ambulance Victoria, Melbourne, Victoria, Australia
Design Health Collab, Monash Art, Design and Architecture, Monash University, Melbourne, Victoria, Australia
School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia
Emergency Department, Cabrini Institute, Melbourne, Victoria, Australia
Issue Date: 28-Sep-2020
Date: 2020-09-28
Publication information: Emergency Medicine Australasia : EMA 2020; online first: 29 September
Abstract: EDs have the potential ability to predict patient wait times and to display this to patients and other stakeholders. Little is known about whether consumers and stakeholders would want this information and how wait time predictions might be used. The aim of the present study was to gain perspectives from consumers and health services personnel regarding the concept of emergency wait time visibility. We conducted a qualitative interview and focus group study in 2019. Participants included emergency medicine patients, families, paramedics, well community members, and hospital/paramedic administrators from multiple EDs and organisations in Victoria, Australia. Transcripts were coded and themes presented. One focus group and 103 semi-structured interviews were conducted in 2019 including 32 patients, 22 carers/advocates and 21 paramedics in the ED; 20 health service administrators (paramedic and hospital) and 15 community members. Consumers and paramedics face physical and psychological difficulties when wait times are not visible. Consumers believe about a 2-h wait is tolerable, beyond this most begin to consider alternative strategies for seeking care. Consumers want to see triage to doctor times; paramedics want door-to-off stretcher times (for all possible transport destinations); with 47 of 50 consumers and 30 of 31 paramedics potentially using this information. About 28 of 50 consumers would use times to inform facility or provider choice, another 19 of 50 want information once in the waiting room. During prolonged waits, 51 of 52 consumers would continue to seek care. Consumers and paramedics want wait time information visibility. They would use the information in a variety of ways, both pre-hospital and while waiting for care.
URI: https://ahro.austin.org.au/austinjspui/handle/1/24924
DOI: 10.1111/1742-6723.13640
ORCID: 0000-0002-5313-5852
0000-0002-9780-5256
0000-0001-7911-9546
Journal: Emergency Medicine Australasia : EMA
PubMed URL: 32985795
Type: Journal Article
Subjects: ambulance
decision making
emergency medicine
patient-centred care
shared
waiting lists
Appears in Collections:Journal articles

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