News Video | Policy | GPs | Hospitals | Medical | Mental Health | Welfare | Search

 

Separating elective and acute surgical streams

ROYAL AUSTRALASIAN COLLEGE OF SURGEONS MEDIA RELEASE


Separating elective and acute surgical streams in a provincial hospital

Wednesday 8 May, 2013

While the separation of elective and acute surgical streams is increasingly common in large metropolitan hospitals, the feasibility of such a model of surgical care in smaller provincial hospitals has only recently been tested, delegates to the 82nd Annual Scientific Congress (ASC) of the Royal Australasian College of Surgeons have been told.

Dr Tracey Barnes, a Surgical Registrar at Invercargill’s Southland Hospital, told delegates that Consultant Surgeons and hospital management at Southland Hospital have structured a model where the on-call surgeon has no elective responsibilities whilst covering call for the week starting each Tuesday. The on-call surgeon’s usual elective sessions were utilised by other General Surgeon colleagues. Patients with unresolved acute problems were handed over to the on-coming surgeon each Tuesday. Southland Hospital provides acute care for a population of 110,000.

“We present a descriptive review and data for the 12 month period prior to and post the adoption of an acute service model at Southland Hospital,” Dr Barnes said. “This data includes acute and elective admission rates, elective surgery and outpatient appointments, and rates of acute operations of cholecystectomy (gallbladder removal) on initial acute admission with gallbladder symptoms.”

“Comparisons of the data from the two periods revealed the number of acute and elective admissions was similar. Up to 54% of total admissions were acute. Elective surgery throughout remained similar per consultant. Outpatient visits per consultant stayed the same or increased. There was an increase in the proportion of people who received gallbladder surgery during their first admission, from 14 to 42%.

“Our review led us to the conclusion that in a provincial hospital with just five General Surgeons it is feasible to run an acute surgical service model with a consultant having on-call responsibilities only. This can improve acute inpatient care without reducing or compromising elective services. Our model requires a degree of flexibility with scheduling of duties, an acute workload that is not too light or too busy, and may improve quality of life for surgeons during weeks they are not on call,” Dr Barnes said.

In 2011, the Royal Australasian College of Surgeons wrote to all health ministers and senior health department officials in Australia and New Zealand, enclosing a comprehensive report which demonstrated that the establishment of dedicated acute care surgical units leads to greater efficiency and better patient outcomes.

Approximately 1200 surgeons from New Zealand, Australia and around the world are attending the ASC, which runs from 6 to 10 May and is being held at Auckland’s Skycity/Crowne Plaza Convention Centre.

ENDS


© Scoop Media

 
 
 
 
 
Culture Headlines | Health Headlines | Education Headlines

 
Gordon Campbell: On The America’s Cup

The fact New Zealand now reigns supreme once again in the most sophisticated contest in the world’s most elite sport – yacht racing – can’t help but reflect the trajectory the country has been on since the 1980s... More>>

ALSO:

Howard Davis: Christopher Marlowe & 'The Tragedy Of Dr. Faustus'

Previous versions of 'The Devil's Pact' can be traced back to the fourth century, Marlowe deviated significantly by depicting his protagonist as unable to burn his books or repent to a merciful God in order to have his contract annulled... More>>

ALSO:

Gold For RNZ: Muslim Post-9/11 Series, Kim Hill Win In New York

The Radio New Zealand podcast series Public Enemy has won a gold award for excellence for its presenter, Mohamed Hassan, at the prestigious New York Festival Radio Awards announced in Manhattan today. RNZ National’s Saturday Morning host, Kim Hill, also received a gold award for Best Radio Personality. More>>

Human Rights Commission: Give Nothing To Racism

A campaign urging New Zealanders to give nothing to racism and refuse to spread intolerance has been launched by some of the country’s most well-known people. More>>

Louis Vuitton Series Win: Emirates Team NZ Will Challenge For The America’s Cup

By beating Artemis 5-2 they now take on Oracle Team USA in the America’s Cup match starting next weekend. More>>

ALSO:

 
 
 
 
 

LATEST HEADLINES

  • CULTURE
  • HEALTH
  • EDUCATION
 
 
  • Wellington
  • Christchurch
  • Auckland