title: Increasing workload and changing referral patterns in paediatric cardiology outreach clinics: implications for consultant staffing.
abstract: OBJECTIVE
  To assess the workload of, and referral patterns to, paediatric cardiology outreach clinics to provide data for future planning.
  
  
  METHODS
  Descriptive study of outpatient attendance during 1991 and 1996.
  
  
  METHODS
  Five district general hospitals with unchanged local demographics and referral patterns during the study period.
  
  
  METHODS
  Postal, telephone, and on site survey of clinic records and case notes.
  
  
  RESULTS
  The number of outpatients increased by 61%, with a consequent increase in the number of clinics held and patients seen in each clinic. The number of patients aged between 10 and 15 years doubled.
  
  
  CONCLUSIONS
  These data confirm the impression that demands for paediatric cardiology services are increasing. The increased need for attendance at outreach clinics has inevitable consequences for the clinical, teaching, and research activities of specialists in tertiary centres. An increase in the number of paediatric cardiologists, or development of local expertise (general paediatricians with an interest in cardiology), will be required. Furthermore, the increasingly large cohort of older teenagers and young adults with congenital heart disease underscores the need for the development of specialist facilities.
authors.affiliation: Department of Paediatric Cardiology, Royal Brompton Hospital, Sydney, London, UK.
authors.forename: M H
authors.initials: MH
authors.lastname: Wagstaff
authors.forename: M L
authors.initials: ML
authors.lastname: Rigby
authors.forename: A N
authors.initials: AN
authors.lastname: Redington
mesh_terms: D000293:Adolescent; D002309:Cardiology / Q000706:statistics & numerical data*; D002648:Child; D002675:Child, Preschool; D006769:Hospitals, General; D006801:Humans; D007223:Infant; D008131:London; D008505:Medical Staff, Hospital; D010044:Outpatient Clinics, Hospital / Q000706:statistics & numerical data*; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data; D010372:Pediatrics / Q000706:statistics & numerical data*; D010561:Personnel Staffing and Scheduling; D016526:Workload