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- Matthew H R Anstey, Stephen P Gildfind, and Eugene Litvak.
- Beth Israel Deaconess Medical Center, W/CC 470, Deaconess Rd, Boston, MA 02215, USA. manstey@bidmc.harvard.edu
- Aust Health Rev. 2012 Aug 1;36(3):244-7.
AbstractOne of the elements of the health reform plan, as agreed to by Australian state and federal governments, is to introduce a 4-h National Access Target, to reduce emergency department (ED) waiting times. This article highlights the flawed rationale behind the 4-h rule, the UK experience of this rule and discusses the potential dangers it poses to Australian patients. An alternative solution proposed is the separation of elective and emergency surgical streams to reduce the variability in demand for inpatient services.
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