In this section
Bowel and bladder dysfunction (BBD) affects up to 6 per cent of
children. The two often occur together
and cause a great deal of distress for families.
A large number of children with BBD are referred to the Royal Children's Hospital (RCH). Children may be seen in one (or more) of the
following clinics: Gastroenterology, Renal, Paediatric Surgery, Urology,
General Medicine, Encopresis or Child and Adolescent Mental Health.
Wait lists for these clinics range from seven months (Enuresis
clinic) to 12 months (Renal clinic) and there are currently limited guidelines
to assist triage and referral, and few clinical guidelines to direct practice.
The project will implement a five-step approach:
This project is expected to improve the service delivered to
patients and their families through more timely and streamlined care. Earlier treatment can reduce
complications and reduce the negative psychological effects for children and their families.
The project's evaluation measures include:
The project flows through to an implementation phase in 2018 so
that processes are sustainably changed without the need for ongoing coordinator
support. The two-year timeline allows
for sufficient time to develop the final products and processes, implement the
proposed new model of care and evaluate impact.
Professor Sharon Goldfeld is a paediatrician and public health
physician at the Centre for Community Child Health at the RCH. Professor Goldfeld has a research focus in
community based systems change and implementing equity based community
intervention trials in health and education.
Dr Susie Gibb is a paediatrician in the Department of General
Medicine at the RCH and has a clinical and research interest in incontinence
Associate Professor Sebastian King is a paediatric surgeon in the Department
of Paediatric Surgery at the RCH with an interest in colonic disorders in children.
Dr Misel Trajanovska is a senior project officer at the RCH. Misel has undertaken several research
projects with families of young children and service providers in hospital and
For project inquiries, contact Misel.Trajanovska@rch.org.au
The Centre for Community Child Health is a department of The Royal Children’s Hospital and a research group of Murdoch Childrens Research Institute.