Wait and consult times for primary healthcare services in central Mozambique: a time-motion study
Background: We describe wait and consult times across public-sector clinics and identify health facility determinants of wait and consult times. Design: We observed 8,102 patient arrivals and departures from clinical service areas across 12 public-sector clinics in Sofala and Manica Provinces betwee...
Saved in:
Main Authors: | , , , , , , , , , , , , |
---|---|
Format: | Book |
Published: |
Taylor & Francis Group,
2016-08-01T00:00:00Z.
|
Subjects: | |
Online Access: | Connect to this object online. |
Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
MARC
LEADER | 00000 am a22000003u 4500 | ||
---|---|---|---|
001 | doaj_708d7741a97f45b0b54f4234fe16dfb5 | ||
042 | |a dc | ||
100 | 1 | 0 | |a Bradley H. Wagenaar |e author |
700 | 1 | 0 | |a Sarah Gimbel |e author |
700 | 1 | 0 | |a Roxanne Hoek |e author |
700 | 1 | 0 | |a James Pfeiffer |e author |
700 | 1 | 0 | |a Cathy Michel |e author |
700 | 1 | 0 | |a Fatima Cuembelo |e author |
700 | 1 | 0 | |a Titos Quembo |e author |
700 | 1 | 0 | |a Pires Afonso |e author |
700 | 1 | 0 | |a Stephen Gloyd |e author |
700 | 1 | 0 | |a Barrot H. Lambdin |e author |
700 | 1 | 0 | |a Mark A. Micek |e author |
700 | 1 | 0 | |a Victoria Porthé |e author |
700 | 1 | 0 | |a Kenneth Sherr |e author |
245 | 0 | 0 | |a Wait and consult times for primary healthcare services in central Mozambique: a time-motion study |
260 | |b Taylor & Francis Group, |c 2016-08-01T00:00:00Z. | ||
500 | |a 1654-9880 | ||
500 | |a 10.3402/gha.v9.31980 | ||
520 | |a Background: We describe wait and consult times across public-sector clinics and identify health facility determinants of wait and consult times. Design: We observed 8,102 patient arrivals and departures from clinical service areas across 12 public-sector clinics in Sofala and Manica Provinces between January and April 2011. Negative binomial generalized estimating equations were used to model associated health facility factors. Results: Mean wait times (in minutes) were: 26.1 for reception; 43.5 for outpatient consults; 58.8 for antenatal visits; 16.2 for well-child visits; 8.0 for pharmacy; and 15.6 for laboratory. Mean consultation times (in minutes) were: 5.3 for outpatient consults; 9.4 for antenatal visits; and 2.3 for well-child visits. Over 70% (884/1,248) of patients arrived at the clinic to begin queuing for general reception prior to 10:30 am. Facilities with more institutional births had significantly longer wait times for general reception, antenatal visits, and well-child visits. Clinics in rural areas had especially shorter wait times for well-child visits. Outpatient consultations were significantly longer at the smallest health facilities, followed by rural hospitals, tertiary/quaternary facilities, compared with Type 1 rural health centers. Discussion: The average outpatient consult in Central Mozambique lasts 5 min, following over 40 min of waiting, not including time to register at most clinics. Wait times for first antenatal visits are even longer at almost 1 h. Urgent investments in public-sector human resources for health alongside innovative operational research are needed to increase consult times, decrease wait times, and improve health system responsiveness. | ||
546 | |a EN | ||
690 | |a health services research | ||
690 | |a maternal and child health | ||
690 | |a maternity services | ||
690 | |a primary health care | ||
690 | |a priority setting | ||
690 | |a healthcare allocation | ||
690 | |a health professionals | ||
690 | |a Public aspects of medicine | ||
690 | |a RA1-1270 | ||
655 | 7 | |a article |2 local | |
786 | 0 | |n Global Health Action, Vol 9, Iss 0, Pp 1-10 (2016) | |
787 | 0 | |n http://www.globalhealthaction.net/index.php/gha/article/view/31980/pdf_323 | |
787 | 0 | |n https://doaj.org/toc/1654-9880 | |
856 | 4 | 1 | |u https://doaj.org/article/708d7741a97f45b0b54f4234fe16dfb5 |z Connect to this object online. |