Please use this identifier to cite or link to this item: https://hdl.handle.net/1959.11/56270
Title: A systematic review to identify the challenges to achieving effective patient flow in public hospitals
Contributor(s): Manning, Larissa (author); Islam, Md Shahidul  (author)orcid 
Publication Date: 2023-05
Early Online Version: 2023-02-28
Open Access: Yes
DOI: 10.1002/hpm.3626
Handle Link: https://hdl.handle.net/1959.11/56270
Abstract: 

This systematic review aims to uncover the challenges related to patient flow from a whole public hospital perspective and identify strategies to overcome these challenges. A search in Medline, Emcare and PubMed was conducted and 24 articles published in English, from 2015 to 2020, were selected in relation to patient flow challenges and strategies. Analysis of the articles was completed using a thematic approach to identify common themes in relation to the area of focus. Strategies from the literature were then aligned with the challenges to inform areas of potential improvement in relation to patient flow. The themes generated included Teamwork, Collaboration and Communication; Public Hospitals as complex systems; Timely discharge; Policy, Process and Decision-making; and Resources-capacity and demand. The key finding is that a whole system approach is required to improve patient flow in public hospitals. When effective patient flow is achieved, demand and capacity are matched, increasing patient access to the health service and enabling the resources required to provide high quality patient care. The findings will create a better understanding of improving patient flow in public hospitals.

Publication Type: Journal Article
Source of Publication: International Journal of Health Planning and Management, 38(3), p. 805-828
Publisher: John Wiley & Sons Ltd
Place of Publication: United Kingdom
ISSN: 1099-1751
0749-6753
Fields of Research (FoR) 2020: 420699 Public health not elsewhere classified
420309 Health management
429999 Other health sciences not elsewhere classified
Socio-Economic Objective (SEO) 2020: 200499 Public health (excl. specific population health) not elsewhere classified
200206 Health system performance (incl. effectiveness of programs)
209999 Other health not elsewhere classified
Peer Reviewed: Yes
HERDC Category Description: C1 Refereed Article in a Scholarly Journal
Appears in Collections:Journal Article
School of Health

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