Document Detail


The results of two years operation of the visiting specialist service to the Waikato mobile ear clinic.
MedLine Citation:
PMID:  7478335     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
AIM: To review the function and results of the Health Waikato mobile ear clinic service 1993-4. METHOD: Data were collected on all children reviewed at the fortnightly specialist clinics conducted in the mobile ear clinics during 1993-4. An overall pathological assessment of the middle ear and eardrum was made for each ear. RESULTS: Of the 467 children examined 311 children were wait listed for elective surgery. Pathology ranged from recurrent acute otitis media to cholesteatoma. Large numbers of children were found with atelectasis of the tympanic membrane. Children as young as seven years of age required modified radical mastoidectomy for treatment of otorrhea due to cholesteatoma. CONCLUSIONS: The results of this survey show the mobile ear clinic service requires a large amount of resources to operate. The mobile ear clinic generates a large operative workload which creates an imbalance between resources devoted to finding the disease and those devoted to treating it. Recommendations include a tighter integration between the mobile ear clinic and the hospital, and appropriate allocation of treatment services to treat the children identified by the service.
Authors:
G A Mackle; M Giles
Related Documents :
1743115 - Effect of otitis media on development: a community-based study.
7827655 - Signs and symptoms predicting acute otitis media.
1952305 - Temperature relationship to distance and flow rate of warmed i.v. fluids.
6119055 - Tympanostomy tubes: the conservative approach.
17157605 - Factors associated with a previous diagnosis of strabismus in a population-based sample...
17965795 - Allergic fungal sinusitis in children in saudi arabia.
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The New Zealand medical journal     Volume:  108     ISSN:  0028-8446     ISO Abbreviation:  N. Z. Med. J.     Publication Date:  1995 Oct 
Date Detail:
Created Date:  1995-12-01     Completed Date:  1995-12-01     Revised Date:  2010-03-24    
Medline Journal Info:
Nlm Unique ID:  0401067     Medline TA:  N Z Med J     Country:  NEW ZEALAND    
Other Details:
Languages:  eng     Pagination:  410-3     Citation Subset:  IM    
Affiliation:
University of Otago Medical School, Dunedin.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Acute Disease
Adolescent
Age Factors
Cerebrospinal Fluid Otorrhea / surgery
Child
Child Health Services* / organization & administration
Child, Preschool
Cholesteatoma, Middle Ear / surgery
Ear Diseases / diagnosis,  surgery
Ear, Middle / pathology*,  surgery
Female
Health Care Rationing
Health Resources
Humans
Infant
Male
Mastoid / surgery
Mobile Health Units* / organization & administration
Otitis Media / surgery
Recurrence
Referral and Consultation
Surgical Procedures, Elective
Tympanic Membrane / pathology
Waiting Lists

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Where are tomorrow's specialists?
Next Document:  Hysterectomy for nonmalignant conditions: cost to New Zealand society.