2013 - ISODP 2013 Congress


Mini-Oral 3 Technical Advances

10.13 - Increased donor rates - the hidden impact on coordination workload.

Presenter: Victoria , Dale, Melbourne, Australia
Authors: Victoria Dale, Jessica Amsden, Kelly Rogerson, David Pilcher


Increased donor rates – the hidden impact on coordination workload.

Victoria Dale1, Jessica Amsden1, Kelly Rogerson1, David Pilcher2,3

1DonateLife, Melbourne, Australia, 2Department of Intensive Care, The Alfred Hospital, Prahran, Australia, 3Department of Epidemiology and Preventative Medicine, Monash University, Melbourne, Australia

ABSTRACT

Background: Since the implementation of the National Health Reform in 2009, Victoria has seen a 63% increase in donation cases (to December 2012).  Strategies utilised to achieve this include education around donor identification, communication training, and broadening of the donor pool.  These strategies have led to increased referrals to organ donor coordinators (ODCs), and the impact of this increased workload has not been measured. 

Objective: Our aim was to describe the number and duration of referrals to DonateLife Victoria in July 2011 - June 2013, and to determine the relative proportion of these which led to attendance of an ODC at a hospital to facilitate actual or intended donation.

Methods: The number of referrals and the time spent on each were extracted from the DonateLife Victoria referral database. Trends over time were analysed.

Results: Over the 2 year period, there were 664 referrals, which incurred a total duration of 677 hours (average 1.01 hours per referral).

  • 43% (285/664) of referrals resulted in an ODC hospital attendance
  • Referrals which led to an attendance had a longer duration than those where there was no hospital attendance (<P=0.001).
  •  The average number of referrals/month was 28
  • A rise was seen  from 17 in the July-September(1st quarter) 2011  to 36 in the Mar-June 2013 (last quarter), which is equivalent to 3 additional referrals every 2 months (P<0.001).
  • There has been a trend to a reduction in the proportion of referrals which have led to ODC hospital attendances from 54% in the first quarter to 37% in the final quarter (P=0.054).

Conclusion: There has been an increase in referrals over the past 2 years which reflects increased awareness and a desire to check medical suitability in patients who would not have previously been referred.  This results in a significant increase in workload associated with initial referrals, and should be considered when planning service delivery models.


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