Whole-of-hospital response to admission access block: the need for a clinical revolution

Mitra, Biswadev; Cameron, Peter A; Smit, Pieter De Villiers

doi:10.5694/j.1326-5377.2010.tb03540.x

Topics

To the Editor: We read with interest Walters and Dawson’s call for a clinical revolution to tackle access block1 and are heartened by the interest shown by general physicians in a problem that primarily affects the emergency department (ED). The efficient management of admitted medical patients is paramount to patient flow within the hospital, and “buy-in” from general physicians is essential.

1 Emergency and Trauma Centre, The Alfred Hospital, Melbourne, VIC.
2 Department of Epidemiology and Preventive Medicine, Monash University, The Alfred Hospital, Melbourne, VIC.

Correspondence: b.mitra@alfred.org.au

1. Walters EH, Dawson DJ. Whole-of-hospital response to admission access block: the need for a clinical revolution. Med J Aust 2009; 191: 561-563. <MJA full text>
2. Richardson DB, Mountain D. Myths versus facts in emergency department overcrowding and hospital access block. Med J Aust 2009; 190: 369-374. <MJA full text>
3. Folland S, Goodman A, Stano M. The economics of health and health care. 4th ed. New Jersey: Prentice Hall, 2003.
4. Mork AK. Factor substitution, rational expectations, and the effects of commodity price shocks on employment and investment. Econ Inq 1985; 23: 507-523.

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