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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).
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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