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Table 1 Population, health service facilities and characteristics of vCare encounters by facility remoteness, Western NSW, 1 February to 31 March 2021

From: A retrospective observational study of vCare: a virtual emergency clinical advisory and transfer service in rural and remote Australia

 

Modified Monash Model Scorea

Total

N (%)

3

4

5

6

7

Western NSW Health Service

 Facilities, N (% of row total)

4 (10.0)

4 (10.0)

21 (52.5)

8 (20.0)

3 (7.5)

40 (100.0)

283,060

 Population served, N

142,001

62,117

58,501

16,745

3,696

vCare encounters

 N (% of row total)

23 (1.4)

443 (26.5)

800 (47.8)

341 (20.4)

65 (3.9)

1,672 (100.0)

 per facility

7.7

110.8

38.1

42.6

32.5

44.0

 per 1,000 population

0.2

7.1

13.7

20.4

17.6

5.9

vCare encounters by sex, % (% of population by sex)

 Female

47.8 (50.6)

52.6 (50.1)

48.6 (50.0)

48.1 (49.5)

44.6 (50.2)

49.4 (50.3)

 Male

52.2 (49.4)

47.4 (49.9)

51.4 (50.0)

51.9 (50.5)

55.4 (49.8)

50.6 (49.7)

vCare encounters by age, % (% of population by age)

 Child (< 15 years)

0.0 (20.5)

17.2 (19.4)

10.4 (18.9)

12.3 (19.7)

12.3 (21.6)

12.5 (19.9)

 Adult (15 < 65 years)

65.2 (61.7)

48.5 (58.3)

46.4 (56.8)

59.5 (59.9)

64.6 (63.5)

50.6 (59.8)

 Older person (65 + years)

34.8 (17.9)

34.3 (22.3)

43.3 (24.4)

28.2 (20.4)

23.1 (15.0)

36.9 (20.3)

vCare encounters by priorityb, N (%)

 A (high urgency)

 < 5 (16.7)

19 (4.5)

36 (4.6)

17 (5.1)

 < 5 (3.2)

77 (4.8)

 B (semi-urgent)

8 (44.4)

193 (46.1)

432 (55.3)

160 (47.9)

37 (58.7)

830 (50.1)

 C (non-urgent)

7 (38.9)

207 (49.4)

313 (40.1)

157 (47.0)

24 (38.1)

708 (42.7)

vCare encounters by time of day, N (%)

 Morning (0700–1430 h)

7 (30.4)

164 (37.1)

256 (32.0)

126 (37.1)

14 (21.5)

567 (34.0)

 Afternoon/evening (1430–2300 h)

7 (30.4)

218 (49.3)

433 (54.1)

172 (50.6)

39 (60.0)

869 (52.4)

 Night (2300–0700 h)

9 (39.1)

60 (13.6)

111 (13.9)

42 (12.4)

12 (18.5)

234 (14.1)

vCare encounters by camera assistance, N (%)

 Yes

 < 5 (4.3)

42 (9.5)

186 (23.5)

76 (22.4)

13 (20.3)

318 (19.2)

 No

22 (95.7)

398 (90.5)

605 (76.5)

263 (77.6)

51 (79.7)

1,339 (80.8)

vCare encounters by referring health professional, N (%)

 Nurse (onsite)

 < 5 (14.3)

23 (5.3)

277 (34.9)

76 (22.8)

5 (7.8)

384 (23.3)

 Doctor (onsite)

17 (81.0)

414 (94.5)

405 (51.1)

213 (64.0)

56 (87.5)

1,105 (67.0)

 VRGS doctor (off-site)c

 < 5 (4.8)

 < 5 (0.2)

111 (14.0)

44 (13.2)

 < 5 (4.7)

160 (9.7)

vCare transfers, N (%)

 Yes

18 (78.3)

292 (65.9)

558 (69.8)

231 (67.7)

45 (69.2)

1,144 (68.4)

 No

5 (21.7)

151 (34.1)

242 (30.3)

110 (32.3)

20 (30.8)

528 (31.6)

  1. N number of, VRGS Virtual Rural Generalist Service
  2. aMeasures remoteness and population size on a scale from 1–7 where 1 = major city and 7 = very remote [8)
  3. bReferral priority – Incoming Classification Matrix (three urgency levels] [13]
  4. A. Acutely critically ill/life-threatening, queue time < 30 s
  5. B. Acute/semi-urgent patient requiring clinical support, assessments 10 minutely
  6. C. Non-urgent clinical and non-clinical advice and support
  7. cVRGS stands for Virtual Rural Generalist Service which is a 24/7 service which utilizes telehealth to support small rural hospitals without medical cover to handle day to day medical care [23]