Even New Zealand’s emergency departments are a postcode lottery

Embargoed until: Publicly released:
Peer-reviewed: This work was reviewed and scrutinised by relevant independent experts.

Survey: A study based solely on people’s responses to a series of questions.

People: This is a study based on research using people.

A new survey of 26 New Zealand hospital emergency departments has revealed much variation in their staffing, workload, and structure. The study found median wait times at EDs ranged from 13 minutes to more than 1.5 hours. No single element of governance, staffing or structure was strongly linked to performance, but when hospitals had relatively fewer staff and less space - e.g. relative lack of doctors, ED or hospital beds - in the face of high workloads, performance appeared to be worse. This may limit the ability of some hospitals to cope with surges in demand for emergency care, warn the authors.

Journal/conference: New Zealand Medical Journal

Organisation/s: University of Auckland, Auckland District Health Board, Ministry of Health, Nelson-Marlborough District Health Board

Funder: N/A

Media release

From: New Zealand Medical Association (NZMA)

Key Points

  • There is variation among New Zealand hospitals with respect to structure, staff and workload, which may limit the ability of some hospitals to cope with surges in demand for acute care.
  • Although no single element of governance, staffing or structure was strongly related to performance, when there was a relative lack of doctors, ED or hospital beds in the face of high ambulance presentations or hospital admissions, performance appeared to suffer."

Summary

We surveyed New Zealand emergency departments to find out what the staffing, workload and capacity to cope with acute demand was. We found much variation across the country. When hospitals had relatively fewer staff and less space in the face of high workloads, performance appeared to be worse.

News for:

New Zealand

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