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The economic impact of rostering junior doctors to triage to assist nursing staff in the early part of the patient journey through the emergency department

OBJECTIVE: This study aims to determine whether redeploying junior doctors to assist at triage represents good value for money and a good use of finite staffing resources. METHODS: We undertook a cost-minimisation analysis to produce new evidence, from an economic perspective, about the costs associ...

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Detalles Bibliográficos
Autores principales: Brain, David, Johnson, David, Hocking, Julia, Chang, Angela T.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8682888/
https://www.ncbi.nlm.nih.gov/pubmed/34919596
http://dx.doi.org/10.1371/journal.pone.0261303
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author Brain, David
Johnson, David
Hocking, Julia
Chang, Angela T.
author_facet Brain, David
Johnson, David
Hocking, Julia
Chang, Angela T.
author_sort Brain, David
collection PubMed
description OBJECTIVE: This study aims to determine whether redeploying junior doctors to assist at triage represents good value for money and a good use of finite staffing resources. METHODS: We undertook a cost-minimisation analysis to produce new evidence, from an economic perspective, about the costs associated with reallocating junior doctors in the emergency department. We built a decision-analytic model, using a mix of prospectively collected data, routinely collected administrative databases and hospital costings to furnish the model. To measure the impact of uncertainty on the model’s inputs and outputs, probabilistic sensitivity analysis was undertaken, using Monte Carlo simulation. RESULTS: The mean costs for usual care were $27,035 (95% CI $27,016 to $27,054), while the mean costs for the new model of care were $25,474, (95% CI $25,453 to $25,494). As a result, the mean difference was -$1,561 (95% CI -$1,533 to -$1,588), with the new model of care being a less costly approach to managing staffing allocations, in comparison to the usual approach. CONCLUSION: Our study shows that redeploying a junior doctor from the fast-track area of the department to assist at triage provides a modest reduction in cost. Our findings give decision-makers who seek to maximise benefit from their finite budget, support to reallocate personnel within the ED.
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spelling pubmed-86828882021-12-18 The economic impact of rostering junior doctors to triage to assist nursing staff in the early part of the patient journey through the emergency department Brain, David Johnson, David Hocking, Julia Chang, Angela T. PLoS One Research Article OBJECTIVE: This study aims to determine whether redeploying junior doctors to assist at triage represents good value for money and a good use of finite staffing resources. METHODS: We undertook a cost-minimisation analysis to produce new evidence, from an economic perspective, about the costs associated with reallocating junior doctors in the emergency department. We built a decision-analytic model, using a mix of prospectively collected data, routinely collected administrative databases and hospital costings to furnish the model. To measure the impact of uncertainty on the model’s inputs and outputs, probabilistic sensitivity analysis was undertaken, using Monte Carlo simulation. RESULTS: The mean costs for usual care were $27,035 (95% CI $27,016 to $27,054), while the mean costs for the new model of care were $25,474, (95% CI $25,453 to $25,494). As a result, the mean difference was -$1,561 (95% CI -$1,533 to -$1,588), with the new model of care being a less costly approach to managing staffing allocations, in comparison to the usual approach. CONCLUSION: Our study shows that redeploying a junior doctor from the fast-track area of the department to assist at triage provides a modest reduction in cost. Our findings give decision-makers who seek to maximise benefit from their finite budget, support to reallocate personnel within the ED. Public Library of Science 2021-12-17 /pmc/articles/PMC8682888/ /pubmed/34919596 http://dx.doi.org/10.1371/journal.pone.0261303 Text en © 2021 Brain et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Brain, David
Johnson, David
Hocking, Julia
Chang, Angela T.
The economic impact of rostering junior doctors to triage to assist nursing staff in the early part of the patient journey through the emergency department
title The economic impact of rostering junior doctors to triage to assist nursing staff in the early part of the patient journey through the emergency department
title_full The economic impact of rostering junior doctors to triage to assist nursing staff in the early part of the patient journey through the emergency department
title_fullStr The economic impact of rostering junior doctors to triage to assist nursing staff in the early part of the patient journey through the emergency department
title_full_unstemmed The economic impact of rostering junior doctors to triage to assist nursing staff in the early part of the patient journey through the emergency department
title_short The economic impact of rostering junior doctors to triage to assist nursing staff in the early part of the patient journey through the emergency department
title_sort economic impact of rostering junior doctors to triage to assist nursing staff in the early part of the patient journey through the emergency department
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8682888/
https://www.ncbi.nlm.nih.gov/pubmed/34919596
http://dx.doi.org/10.1371/journal.pone.0261303
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