Road deaths relating to the attendance of medical appointments in Queensland
Edwin Phillip Greenup A C and Boyd Alexander Potts BA Clinical Excellence Division, Queensland Health, Level 2, 15 Butterfield Street, Herston, Qld 4006, Australia.
B Menzies University School of Health Research, Level 1, 147 Wharf Street, Spring Hill, Qld 4001, Australia. Email: boyd.potts@menzies.edu.au
C Corresponding author. Email: phil.greenup@health.qld.gov.au
Australian Health Review 44(1) 121-124 https://doi.org/10.1071/AH18159
Submitted: 7 August 2018 Accepted: 4 October 2018 Published: 10 December 2018
Abstract
Objective This study sought to estimate and observe the risks imposed on patients as they travel to hospital for referred treatment. Factors such as distance and remoteness were compared to understand how they affect this risk.
Methods This study focused on Queensland residents attending specialist out-patient appointments in a Queensland public hospital throughout 2016. Deidentified information on all recipients of a specialist out-patient appointment in 2016 (n = 2 946 584) were included in the study. This study also contained a theoretical component: using a data model to estimate the number of fatalities that could be expected from a travelling population of this size and complexity. The modelling results were compared with the frequency of actual fatalities among individuals travelling to receive treatment, as determined by a review of the Queensland Police Road Database. The data model and empirical values from police reports were used to independently measure what risk, if any, individuals travelling to obtain specialist out-patient treatment are exposed to. Differences between the model and observed values were evaluated using statistical tests.
Results A direct relationship between increasing remoteness and travel risk was established in both the model and observed data (CV(RMSD) = 0.660773).
Conclusion Fatal risk is present in any road journey regardless of distance, duration or the purpose of travel. Individuals living in regional and remote Queensland are exposed to a larger risk than those living in the major cities of Queensland when travelling to obtain public health care.
What is already known on this subject? Road safety remains one of Australia’s most serious public health issues, with 1295 road-related fatalities recorded throughout Australia in 2016. Although the potential dangers of road travel are well understood, extended journeys by road to attend hospital appointments are often undertaken despite available alternatives to travel in some instances.
What this paper adds? Travelling to attend medical appointments exposes a patient to a small but potentially catastrophic risk that can be observed in state road crash data. This risk is measurably greater for individuals in regional Queensland.
What are the implications for practitioners? Clinical models of care that reduce patient travel may represent a new standard in patient safety when of the risks associated travel are considered.
Additional keywords: eHealth, equity, quality and safety, rural and remote health.
References
[1] Dayman I. SA Health ignored warnings from own staff before inpatient’s tragic death in crash. ABC News, 20 December 2017. Available at: https://www.abc.net.au/news/2017-12-20/sa-health-ignored-warnings-before-inpatients-fatal-crash/9274092 [verified 15 November 2018].[2] Proudman D. Triple-fatal driver was heading home from methadone clinic. The Sydney Morning Herald, 28 December 2017. Available at: https://www.smh.com.au/national/nsw/triplefatal-driver-was-heading-home-from-methadone-clinic-20171228-h0b1a0.html [verified 15 November 2018].
[3] Bureau of Infrastructure, Transport and Regional Economics (BITRE). Road trauma Australia 2016 statistical summary. Canberra: BITRE; 2017. Available at: https://bitre.gov.au/publications/ongoing/files/Road_Trauma_Australia_2016_rev.pdf [verified June 2016].
[4] Glover JD, Tennant SK. Remote areas statistical geography in Australia: notes on the Accessibility/Remoteness Index for Australia. Adelaide: The University of Adelaide; 2003.
[5] Australian Automobile Association. How safe are our roads? Australian road assessment program. Risk mapping (2016). 2016. Available at: http://ausrap-data.flywheelsites.com/wp-content/uploads/2016/12/AusRAP-2016-Risk-Mapping-spreads.pdf [verified November 2017].
[6] Spiegelhalter DJ. The power of the MicroMort. BJOG 2014; 121 662–3.
| The power of the MicroMort.Crossref | GoogleScholarGoogle Scholar |
[7] Jolly T. Could a ‘safest’ option on sat navs save more lives? Significance 2014; 11 46–8.
| Could a ‘safest’ option on sat navs save more lives?Crossref | GoogleScholarGoogle Scholar |
[8] Australian Bureau of Statistics (ABS). Capital cities: past, present and future. Canberra: ABS; 2014.
[9] Smeed RJ. Some statistical aspects of road safety research. J R Stat Soc Ser A 1949; 112 1–34.
| Some statistical aspects of road safety research.Crossref | GoogleScholarGoogle Scholar |
[10] Queensland Audit Office (QAO). Queensland Ambulance Service performance. Brisbane: QAO; 2013.
[11] Bennett P, Calman K, Curtis S, Fischbacher-Smith D. Risk communication and public health. Oxford: Oxford University Press; 2009.
[12] Queensland Health. Telehealth strategic plan 2015–2018. Brisbane: Queensland Health; 2015.
[13] Guise V, Anderson J, Wiig S. Patient safety risks associated with telecare: a systematic review and narrative synthesis of the literature. BMC Health Serv Res 2014; 14 588
| Patient safety risks associated with telecare: a systematic review and narrative synthesis of the literature.Crossref | GoogleScholarGoogle Scholar |
