Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/25172
Title: Royal Flying Doctor Service Coronavirus Disease 2019 Activity and Surge Modeling in Australia.
Austin Authors: Gardiner, Fergus W;Johns, Hannah;Bishop, Lara;Churilov, Leonid 
Affiliation: National Centre for Epidemiology and Population Health, Research School of Population Health, The Australian National University, Canberra, Australia
Melbourne Brain Centre at the Royal Melbourne Hospital, The University of Melbourne, Melbourne, Australia
The Royal Flying Doctor Service, Canberra, Australia
Medicine (University of Melbourne)
Issue Date: Sep-2020
Date: 2020-05-16
Publication information: Air Medical Journal 2020; 39(5): 404-409
Abstract: There is a coronavirus disease 2019 (COVID-19) pandemic. We aimed to describe the characteristics of patients transported by the Royal Flying Doctor Service (RFDS) for confirmed or suspected COVID-19 and to investigate the surge capacity of and operational implications for the RFDS in dealing with COVID-19. This was a prospective cohort study. To determine the characteristics of patients transported for confirmed or suspected COVID-19, we included patient data from February 2, 2020, to May 6, 2020. To investigate the surge capacity and operational implications for the RFDS in dealing with COVID-19, we built and validated an interactive operations area-level discrete event simulation decision support model underpinned by RFDS air medical activity data from 2015 to 2019 (4 years). This model was subsequently used in a factorial in silico experiment to systematically investigate both the supply of RFDS air medical services and the increased rates of demand for these services for diseases of the respiratory system. The RFDS conducted 291 patient episodes of care for confirmed or suspected COVID-19. This included 288 separate patients, including 136 men and 119 women (sex missing = 33), with a median age of 62.0 years (interquartile range, 43.5-74.9 years). The simulation decision support model we developed is capable of providing dynamic and real-time support for RFDS decision makers in understanding the system's performance under uncertain COVID-19 demand. With increased COVID-19-related demand, the ability of the RFDS to cope will be driven by the number of aircraft available. The simulation model provided each aviation section with estimated numbers of aircraft required to meet a range of anticipated demands. Despite the lack of certainty in the actual level of COVID-19-related demand for RFDS services, modeling demonstrates that the robustness of meeting such demand increases with the number of operational and medically staffed aircraft.
URI: https://ahro.austin.org.au/austinjspui/handle/1/25172
DOI: 10.1016/j.amj.2020.05.011
Journal: Air Medical Journal
PubMed URL: 32425475
Type: Journal Article
Subjects: COVID-19
Appears in Collections:Journal articles

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