Cost impact of high staff turnover on primary care in remote Australia

Australian Health Review : a Publication of the Australian Hospital Association
Yuejen ZhaoJohn Wakerman

Abstract

Objectives The aim of this study was to estimate the costs of providing primary care and quantify the cost impact of high staff turnover in Northern Territory (NT) remote communities. Methods This cost impact assessment used administrative data from NT Department of Health datasets, including the government accounting system and personnel information and payroll systems between 2004 and 2015, and the primary care information system from 2007 to 2015. Data related to 54 government-managed clinics providing primary care for approximately 27200 Aboriginal and non-Aboriginal people. Main outcome measures were average costs per consultation and per capita, cost differentials by clinic, year and levels of staff turnover. Linear regression and dominance analysis were used to assess the effect of staff turnover on primary care costs, after adjusting for remoteness and weighting analysis by service population. Both current and constant prices were used. Results On average, in constant prices, there was a nearly 10% annual increase in remote clinic expenditure between 2004 and 2015 and an almost 15% annual increase in consultation numbers since 2007. In real terms, the average costs per consultation decreased markedly from A$273 in 2007 ...Continue Reading

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Citations

Feb 26, 2019·The Medical Journal of Australia·John Wakerman, John S Humphreys
Jul 15, 2020·Nursing Management·Mohammad SulimanWafa'a F Ta'an
Mar 19, 2020·Journal of Multidisciplinary Healthcare·Catherine A HaysBeverley D Glass
Dec 18, 2019·Human Resources for Health·John WakermanMichael P Jones
Jan 18, 2021·Health Promotion Journal of Australia : Official Journal of Australian Association of Health Promotion Professionals·Jodi PhillipsTherese Kearns
Apr 9, 2021·The Australian Journal of Rural Health·Narelle Campbell, Koshila Kumar
Jun 3, 2021·International Journal of Environmental Research and Public Health·Shu-Fen ChenTze-Fang Wang

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