A comparison of telepaediatric activity at two regional hospitals in Queensland

We conducted a 15-month feasibility study of telepaediatrics. A novel service was offered to two hospitals in Queensland (Mackay and Hervey Bay). We used data from all other hospitals throughout the state as the control group. Although both intervention hospitals were provided with the same service, the telepaediatric activity generated and the effect on admissions and outpatient activity were markedly different. There was a significant decrease in the number of patient admissions to Brisbane from the Mackay region. In addition, there was an increase in the number of Mackay patients treated locally (as outpatients). In contrast, little change was observed in Hervey Bay. We assessed whether the observed differences between the two hospitals were due to various factors which influenced the use of the telepaediatric service. These factors included the method of screening patients before transfer to the tertiary centre and the physical distance between each facility and the tertiary centre. We believe that the screening method used for patient referrals was the most important determinant of the use of the telepaediatric service.

Timber shutters, Ocean View Farmhouse, Mount Mee

Timber shutters to the living room seating alcove, in the open position.

View along North-East elevation, Ocean View Farmhouse, Mount Mee

As seen from timber entrance ramp.

North-East and North-West elevations of Ocean View Farmhouse model, Mount Mee

Cardboard the balsa model as seen from above.

Aerial view of Ocean View Farmhouse model, Mount Mee

Cardboard and balsa model as seen from above.

Living room seating alcove, Ocean View Farmhouse, Mount Mee

View of seating alcove from living room with timber shutters in the closed position.

Main deck, Ocean View Farmhouse, Mount Mee

View across main deck to farm beyond.

Living room seating alcove, Ocean View Farmhouse, Mount Mee

View to seating alcove from living room with the timber shutters in the open position.

Hand-drawn plan, Ocean View Farmhouse, Mount Mee

Plan drawing.

Leadlight windows, Ocean View Farmhouse, Mount Mee

Detailed view of leadlight windows as seen from dining room.