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dc.contributor.authorvan de Pol, Eileen
dc.contributor.authorLucas, Karen
dc.contributor.authorGeraghty, Timothy
dc.contributor.authorPershouse, Kiley
dc.contributor.authorHarding, Sandra
dc.contributor.authorAtresh, Sridhar
dc.contributor.authorWagemakers, Annemarie
dc.contributor.authorSmith, Anthony C
dc.date.accessioned2021-09-05T00:59:32Z
dc.date.available2021-09-05T00:59:32Z
dc.date.issued2016
dc.identifier.issn1472-6963
dc.identifier.doi10.1186/s12913-016-1256-2
dc.identifier.urihttp://hdl.handle.net/10072/407573
dc.description.abstractBackground: The Queensland Spinal Cord Injuries Service (QSCIS) is a statewide service in Brisbane at the Princess Alexandra Hospital (PAH). The QSCIS assists individuals with a spinal cord injury (SCI) through three services: the Spinal Injuries Unit (SIU), Transitional Rehabilitation Program (TRP) and the Spinal Outreach Team (SPOT). The aim of this study was to undertake a review of ambulatory services provided by the QSCIS (SIU and SPOT) to help identify where telehealth may potentially be useful. Methods: Profiling of patients with SCI in Queensland was achieved using database records containing referral data. Services provided by SIU Outpatient Clinics and the SPOT during a 6-year period (January 2008 – December 2013), were analysed. Using postcodes, we estimated distances between place of residence and Brisbane. We compared the general population of SCI patients with patients managed through SIU Outpatient Clinics and the SPOT. Results: During the 6-year period, 2073 patients were referred to the QSCIS (and living) at the time of the analysis. 74 % of all patients were male. The median age was 51y (IQR 39y-61y). About two-thirds of all patients lived within 200 km of Brisbane. 24% of all patients registered with the QSCIS lived further than 200 km away from Brisbane. 7513 appointments were provided in the SIU outpatient clinic. 43,827 occasions of service were reported by the SPOT, including telephone consultations (66%) and home visits (26%). 72 outreach clinics were held in selected regional sites for up to 100 patients per year. 13 videoconference appointments reported. 90% of all patients who attended the SIU outpatient clinic lived within 200 km of Brisbane. About two-thirds of patients who received a service from the SPOT lived within 200 km of Brisbane. Conclusion: Since one third of all patients registered with the QSCIS live at least 200 km away from Brisbane; it appears that these patients may not be accessing the same services as Brisbane based patients. Telehealth models of care, which promote better engagement with local health service providers (such as general practitioners, nurse practitioners and allied health professionals) could improve equity of access and reduce the need for extensive travel.
dc.description.peerreviewedYes
dc.languageEnglish
dc.publisherSpringer
dc.relation.ispartofjournalBMC Health Services Research
dc.relation.ispartofvolume16
dc.subject.fieldofresearchNursing
dc.subject.fieldofresearchHealth services and systems
dc.subject.fieldofresearchPublic health
dc.subject.fieldofresearchcode4205
dc.subject.fieldofresearchcode4203
dc.subject.fieldofresearchcode4206
dc.subject.keywordsScience & Technology
dc.subject.keywordsLife Sciences & Biomedicine
dc.subject.keywordsHealth Care Sciences & Services
dc.subject.keywordsREHABILITATION
dc.subject.keywordsTELEMEDICINE
dc.titleThe delivery of specialist spinal cord injury services in Queensland and the potential for telehealth
dc.typeJournal article
dc.type.descriptionC1 - Articles
dcterms.bibliographicCitationvan de Pol, E; Lucas, K; Geraghty, T; Pershouse, K; Harding, S; Atresh, S; Wagemakers, A; Smith, AC, The delivery of specialist spinal cord injury services in Queensland and the potential for telehealth, BMC Health Services Research, 2016, 16
dcterms.dateAccepted2016-01-06
dcterms.licensehttp://creativecommons.org/licenses/by/4.0/
dc.date.updated2021-09-05T00:54:41Z
gro.rights.copyright© 2016 van de Pol et al. Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
gro.hasfulltextFull Text
gro.griffith.authorAtresh, Sridhar
gro.griffith.authorPershouse, Kiley


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