Analysis of Skin Condition Emergency Department Outcomes via the Free Healthline Service From Whakarongorau Aotearoa.

aut.relation.endpage50
aut.relation.issue1586
aut.relation.journalN Z Med J
aut.relation.startpage32
aut.relation.volume136
dc.contributor.authorWilson, Miriama K
dc.contributor.authorPienaar, Fiona
dc.contributor.authorLarge, Ruth
dc.contributor.authorWright, Matt
dc.contributor.authorHowie, Graham
dc.contributor.authorFoliaki, Siale
dc.contributor.authorMikaere, Martin
dc.contributor.authorDavis, Rebecca
dc.contributor.authorTodd, Verity
dc.date.accessioned2024-05-23T23:35:50Z
dc.date.available2024-05-23T23:35:50Z
dc.date.issued2023-12
dc.description.abstractThe aim of this research is to gain a deeper understanding of the ethnic and socio-demographic differences in the utilisation of the national 24/7 Healthline service in relation to skin condition calls and their outcomes. Healthline is one of the 39 free telehealth services that Whakarongorau Aotearoa | New Zealand Telehealth Services provides to New Zealanders. This is a retrospective observational study analysing Healthline data over a 4-year period: January 2019 through to December 2022. A total of 61,876 skin condition calls were analysed including demographics of service users: age group, ethnicity, area of residence and call outcome. Higher acuity skin condition calls resulting in an outcome of a recommendation for emergency department (ED) care accounted for 5.3% (n=3,294) of calls. This research found that Māori were over-represented in this ED recommendation data over four years (942 ED outcomes; 28.6%), and Pasifika were under-represented (203 ED outcomes; 5.9%). Wairarapa and West Coast were found to have the highest number of ED outcomes per capita. Our results support the theory that severe skin conditions positively correlate with smaller district populations and increased deprivation in access to services. This study highlights the potential that telehealth services have to help reduce the inequity of access to care.
dc.identifier.citationN Z Med J, ISSN: 0028-8446 (Print); 1175-8716 (Online), 136(1586), 32-50.
dc.identifier.issn0028-8446
dc.identifier.issn1175-8716
dc.identifier.urihttp://hdl.handle.net/10292/17595
dc.languageeng
dc.publisherPasifika Medical Association Group
dc.relation.urihttps://nzmj.org.nz/journal/vol-136-no-1586/analysis-of-skin-condition-emergency-department-outcomes-via-the-free-healthline-service-from-whakarongorau-aotearoa
dc.rightsOpen access. The New Zealand Medical Journal is fully available to individual subscribers and does not incur a subscription fee. This applies to both New Zealand and international subscribers. The Journal no longer takes APC fees, as all content is freely available once logged in to htps://nzmj.org.nz/.
dc.rights.accessrightsOpenAccess
dc.subject42 Health Sciences
dc.subjectEmergency Care
dc.subjectHealth Services
dc.subjectClinical Research
dc.subject3 Good Health and Well Being
dc.subject11 Medical and Health Sciences
dc.subjectGeneral & Internal Medicine
dc.subject32 Biomedical and clinical sciences
dc.subject42 Health sciences
dc.subject.meshHumans
dc.subject.meshEmergency Medical Services
dc.subject.meshEmergency Service, Hospital
dc.subject.meshMaori People
dc.subject.meshNew Zealand
dc.subject.meshRetrospective Studies
dc.subject.meshSkin Diseases
dc.subject.meshTelemedicine
dc.subject.meshHealth Services Accessibility
dc.subject.meshHumans
dc.subject.meshSkin Diseases
dc.subject.meshRetrospective Studies
dc.subject.meshTelemedicine
dc.subject.meshEmergency Service, Hospital
dc.subject.meshEmergency Medical Services
dc.subject.meshHealth Services Accessibility
dc.subject.meshNew Zealand
dc.subject.meshMaori People
dc.subject.meshHumans
dc.subject.meshEmergency Medical Services
dc.subject.meshEmergency Service, Hospital
dc.subject.meshMaori People
dc.subject.meshNew Zealand
dc.subject.meshRetrospective Studies
dc.subject.meshSkin Diseases
dc.subject.meshTelemedicine
dc.subject.meshHealth Services Accessibility
dc.titleAnalysis of Skin Condition Emergency Department Outcomes via the Free Healthline Service From Whakarongorau Aotearoa.
dc.typeJournal Article
pubs.elements-id532072
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