Australian Caregivers’ Experiences of Paediatric Wait times for Primary and Allied Healthcare Appointments: A Scoping Review

IF 2 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Yvonne Karen Parry, Md Abdul Ahad, Eileen Willis, Matthew Ankers
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Abstract

Background. Paediatric patients in Australia experience lengthy wait times for Primary and Allied Healthcare Service (PAHCS) appointments. This results in a lack of satisfaction and adverse health outcomes. However, very few studies have explored wait times for appointments with PAHCSs in Australia. This study explored the length of wait time and associated barriers to timely access to paediatric PAHCSs in Australia. Methods. The scoping review followed PRISMA-ScR guidelines for Preferred Reporting Items for Systematic Reviews and Meta-Analyses. We comprehensively searched for relevant studies from five databases, including Scopus, Emcare, Medline (via Ovid), CINAHL, and Google Scholar in August 2023 without any time limitations. Studies that reported qualitative findings on the wait times and associated barriers to timely accessing to PAHCSs were selected in this scoping review. We performed a reflexive thematic analysis using NVivo software in this review. Results. A total of seven studies out of ninety-one retrieved records were eligible to be included in this review. Studies show that Australian children, in general, had to wait more than one year for health assessments and interventions in PAHCSs. The long waiting times were perceived as frustrating and worrying by caregivers of children. Several overarching themes related to the barriers of timely accessing to paediatric PAHCSs in Australia were identified, such as strict appointment criteria for children, disparity between demand and provision, parental unawareness, and inadequate public funding in rural PAHCSs. Conclusion. Australian paediatric patients are severely burdened with long wait times for appointments with PAHCSs, primarily, due to the poor government initiatives in rural PAHCSs. This study suggested that the criteria for booking an appointment in PAHCSs need to be simplified. Besides, adequate public health funding and the provision of resources are required in rural PAHCSs.

Abstract Image

澳大利亚护理人员对儿科初级和专职医疗预约等候时间的体验:范围审查
背景。澳大利亚的儿科患者在预约初级和专职医疗保健服务(PAHCS)时需要等待很长时间。这导致患者缺乏满意度,并对健康产生不利影响。然而,很少有研究对澳大利亚儿童预约初级和专职医疗服务的等待时间进行探讨。本研究探讨了等待时间的长短以及在澳大利亚及时就诊儿科太平洋初级保健服务的相关障碍。方法。范围界定审查遵循 PRISMA-ScR 指南(系统审查和元分析首选报告项目)。我们于 2023 年 8 月在 Scopus、Emcare、Medline(通过 Ovid)、CINAHL 和 Google Scholar 等五个数据库中全面检索了相关研究,没有任何时间限制。本次范围界定综述选取了报告 PAHCS 的等待时间和相关障碍的定性研究结果。在本次综述中,我们使用 NVivo 软件进行了反思性专题分析。结果。在检索到的 91 条记录中,共有 7 项研究符合纳入本综述的条件。研究表明,澳大利亚儿童一般需要等待一年以上的时间才能获得 PAHCS 的健康评估和干预。儿童看护者认为,漫长的等待时间令人沮丧和担忧。研究还发现了一些与澳大利亚儿科专业健康服务中心的及时就诊障碍有关的重要主题,如严格的儿童预约标准、需求与提供之间的差距、家长的不了解以及农村地区专业健康服务中心的公共资金不足等。结论澳大利亚儿科患者在太平洋初级保健中心的预约等待时间过长,这主要是由于政府在农村地区太平洋初级保健中心的举措不力造成的。本研究建议,应简化 PAHCS 的预约标准。此外,农村公共健康服务中心需要充足的公共卫生资金和资源。
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来源期刊
CiteScore
4.50
自引率
8.30%
发文量
423
期刊介绍: Health and Social Care in the community is an essential journal for anyone involved in nursing, social work, physiotherapy, occupational therapy, general practice, health psychology, health economy, primary health care and the promotion of health. It is an international peer-reviewed journal supporting interdisciplinary collaboration on policy and practice within health and social care in the community. The journal publishes: - Original research papers in all areas of health and social care - Topical health and social care review articles - Policy and practice evaluations - Book reviews - Special issues
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