In this section
Every year, RCH outpatient (OP) clinics see in excess of 270,000 children and the number of referrals to RCH OP clinics has increased by 94% over the last six years.
Some clinics have wait lists more than 12 months yet many families do not turn up to their booked appointments. Similarly, there have been increasing numbers of children presenting to emergency departments (EDs) across Victoria. Over the last decade, paediatric referrals from general practitioners (GPs) to the ED have increased by 60% in Australia. Children aged zero to four years now make up the largest age category presenting in Victoria, far exceeding adults.
There is anecdotal evidence that many of these children could be safely managed outside the hospital setting for their diagnosis and/or ongoing management. Directing children away from the ED or OP clinics towards community-based care could improve access to hospital care for children with more complex conditions. However, concern exists regarding the skill level of community providers to manage health conditions.
The HSRU is conducting a number of studies examining the interface between community care and hospital OP clinics and ED.
Prof Hiscock is conducting related projects through the Community Health Services Research Group at MCRI. Project details are listed below.You can also read more about projects within the Community Health Services Research Group here. [link to: https://www.mcri.edu.au/research/themes/population-health/community-health-services-research]
National: RCH; MCRI; University of Melbourne; Sunshine Hospital; NWMPHN; Werribee Mercy Hospital; HaBIC Research IT Unit (A/Prof Dougie Boyle); Curve Tomorrow.International: USA - University of Michigan, Child Health Evaluation and Research Center (Prof Gary Freed) and Stanford University (Dr Lee Sanders); Canada - Toronto Sick Kids (A/Prof Eyal Cohen) and (Prof Astrid Gutmann); Ireland – Trinity College, Dublin (A/Prof Maria Brenner); UK – King’s College London (Prof Ingrid Wolfe) and University College London (Dr Dougal Hargreaves); Sweden – Karolinska Institute (Prof Anders Hjern).
Victorian Admitted Episodes Dataset (VAED); The Royal Children’s Hospital (RCH; Epic); Generic Health Network Information Technology for the Enterprise (GRHANITE); Australian Paediatric Research Network (APRN).
RCH Foundation; Better Care Victoria (DHHS), MCRI.