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  • Analysis of health administration data to inform health service planning for paediatric palliative care

    Author(s)
    Bowers, Alison Pauline
    Bradford, Natalie
    Chan, Raymond Javan
    Herbert, Anthony
    Yates, Patsy
    Griffith University Author(s)
    Chan, Ray
    Year published
    2020
    Metadata
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    Abstract
    BACKGROUND: Health service planning in paediatric palliative care is complex, with the diverse geographical and demographic characteristics adding to the challenge of developing services across different nations. Accurate and reliable data are essential to inform effective, efficient and equitable health services. AIM: To quantify health service usage by children and young people aged 0-21 years with a life-limiting condition admitted to hospital and health service facilities in Queensland, Australia during the 2011 and 2016 calendar years, and describe the clinical and demographic characteristics associated with health ...
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    BACKGROUND: Health service planning in paediatric palliative care is complex, with the diverse geographical and demographic characteristics adding to the challenge of developing services across different nations. Accurate and reliable data are essential to inform effective, efficient and equitable health services. AIM: To quantify health service usage by children and young people aged 0-21 years with a life-limiting condition admitted to hospital and health service facilities in Queensland, Australia during the 2011 and 2016 calendar years, and describe the clinical and demographic characteristics associated with health services usage. DESIGN: Retrospective health administrative data linkage of clinical and demographic information with hospital admissions was extracted using International Statistical Classification of Diseases and Related Health Problems, Tenth Revision Australian Modification (ICD-10-AM) diagnostic codes. Data were analysed using descriptive statistics. SETTING/PARTICIPANTS: Individuals aged 0-21 years with a life-limiting condition admitted to a Queensland Public Hospital and Health Service or private hospital. RESULTS: Hospital admissions increased from 17 955 in 2011 to 23 273 in 2016, an increase of 5318 (29.6%). The greatest percentage increase in admissions were for those aged 16-18 years (58.1%, n=1050), and those with non-oncological conditions (36.2%, n=4256). The greatest number of admissions by ICD-10-AM chapter for 2011 and 2016 were by individuals with neoplasms (6174, 34.4% and 7206, 31.0% respectively). Overall, the number of admissions by Indigenous children and young people increased by 70.2% (n=838). CONCLUSIONS: Administrative data are useful to describe clinical and demographic characteristics and quantify health service usage. Available data suggest a growing demand for health services by children eligible for palliative care that will require an appropriate response from health service planners.
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    Journal Title
    BMJ Supportive & Palliative Care
    DOI
    https://doi.org/10.1136/bmjspcare-2020-002449
    Note
    This publication has been entered in Griffith Research Online as an advanced online version.
    Subject
    Nursing
    Health services and systems
    Public health
    chronic conditions
    hospital care
    paediatrics
    Publication URI
    http://hdl.handle.net/10072/398970
    Collection
    • Journal articles

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    • Gold Coast
    • Logan
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    First Peoples of Australia
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    • Torres Strait Islander