Referral and triage patterns of a new rural paediatric outpatient service in south-western Victoria, Australia

Abstract

Introduction: There is limited available information describing referral and triage patterns for rural paediatric outpatient clinics to guide health service planning and delivery. To address this, referrals for all new patients who attended an appointment during the initial year of a new rural paediatric outpatient service in Portland, Victoria, Australia were examined. Methods: This was a retrospective review of referrals with initial consultations between 29 October 2018 and 28 October 2019. Results: A total of 149 referrals for new patients were received, equating to a referral rate of 31.6 referrals per 1000 children for the service's Local Government Area (LGA). A total of 65.1% of new patients had not previously engaged with a paediatric service. Overall, 66.6% of referrals were triaged as having a behavioural or developmental problem. The median time from referral letter to initial appointment was 63 days, with referrals that were triaged as behavioural or developmental having an average wait time of 86 days until initial appointment. Conclusion: The establishment of this new rural paediatric service showed a latent need within the service's LGA, as demonstrated by higher referral rates compared to previously published studies and a majority patient population who had not previously accessed paediatric services. The greatest area of need identified by referral analysis was for behavioural and developmental problems.

Keywords

• Australia
• behavioural
• community paediatrics
• developmental
• health service planning
• paediatrics