Patients spent longer in hospital emergency departments and longer on the elective surgery waiting list in 2018-19, according to the Productivity Commission's latest Report on Government Services.
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The percentage of patients who spent less than four hours in emergency departments dropped from 73 per cent in 2016-17 to 59.5 per cent in 2018-19.
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This is despite a slight growth in the number of presentations, from 143,860 in 2016-17 to 149,273 last financial year.
As for patients seen on time in hospital emergency departments, 74 per cent of emergency cases met the recommended time frame and 32 per cent of urgent cases.
Overall, 46 per cent of emergency department patients were seen on time, compared to 66 per cent the year before.
Extended waiting times for people on the elective surgery waiting list increased in 2018-19.
There were 42.5 per cent of category one patients with extended waiting times, up from 16.1 per cent in 2015-16, and 54.6 per cent of category two patients with extended waiting times, up from 32 per cent in 2016-17.
There were 18.4 per cent of category three patients who faced extended waiting times - double the 7.8 per cent recorded in 2017-18.
As for admitted elective surgery patients, 28.2 per cent category one patients made their way into hospital, 56.9 per cent of category two patients, and 33.6 per cent of category three patients over the year.
Admissions in these three areas had increased compared to the year before.
There were 22,157 additions to the state's elective surgery waiting list in 2018-19 and 17,858 removals.
Ambulances responded to 90 per cent of code one incidents in 29.2 minutes which was better than the 31.4-minute average recorded two years ago.
Health Minister Sarah Courtney said the Productivity Commission report highlighted an increase in all staff categories within the state's public hospitals.
She said there were increases to 2.1 full-time-equivalent medical staff members per 1000 people and 7.6 full-time-equivalent nurses per 1000 people.
"These figures mean that Tasmania now has the highest increase of the number of full-time-equivalent public hospital staff of any state in Australia," Ms Courtney said.