Assessing the impact of a waiting time survey on reducing waiting times in primary care clinics in Cape Town, South Africa

 

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dc.contributor.advisor Zweigenthal, Virginia en_ZA
dc.contributor.advisor Reagon Gavin en_ZA
dc.contributor.author Daniels, Johann Alexander en_ZA
dc.date.accessioned 2016-01-26T12:04:34Z
dc.date.available 2016-01-26T12:04:34Z
dc.date.issued 2015 en_ZA
dc.identifier.citation Daniels, J. 2015. Assessing the impact of a waiting time survey on reducing waiting times in primary care clinics in Cape Town, South Africa. University of Cape Town. en_ZA
dc.identifier.uri http://hdl.handle.net/11427/16566
dc.description Includes bibliographical references. en_ZA
dc.description.abstract Objective: A waiting time survey (WTS), conducted in 2007 at 94% of clinics in Cape Town, measured length of patient waiting times (WT) for services and provided recommendations to shorten waiting times. Whether subsequent implementation of these recommendations occurred was unknown, hence a study was conducted to assess the impact of the previous waiting time survey recommendations on stimulating efforts to reduce waiting times and whether waiting times had reduced. Methods: A cross-sectional analytical study design assessed the perceptions of 92% of clinic managers in Cape Town, regarding the 2007 survey, while a before and after study design assessed changes in waiting time between 2007 and 2011, using a random sample of 22 clinics. Results: The overall median waiting time of all clinics in the sample decreased by 21 minutes in 2011 (95% CI 11.77-30.23), a 28% decrease from 2007. This reduction was manifest at individual clinic level as well, with 55% of clinics reducing their median waiting time by at least 15 minutes. No specific factors, including whether recommendations to reduce waiting times were implemented, were associated with decreases in waiting times. Implementation of recommendations to reduce waiting times was 2.67 times (95% CI 1.33-5.40) more likely amongst those who received written recommendations and 2.3 times ) 95% CI 1.28-4.19) more likely amongst managers with 5 or more years' experience. Conclusion: The decrease in waiting times in primary care urban clinics subsequent to a waiting time survey, demonstrates the utility of waiting times surveys, although no specific factors associated with the decrease in waiting time were identified. en_ZA
dc.language.iso eng en_ZA
dc.subject.other Public Health en_ZA
dc.subject.other Primary Health Care en_ZA
dc.title Assessing the impact of a waiting time survey on reducing waiting times in primary care clinics in Cape Town, South Africa en_ZA
dc.type Thesis / Dissertation en_ZA
uct.type.publication Research en_ZA
uct.type.resource Thesis en_ZA
dc.publisher.institution University of Cape Town
dc.publisher.faculty Faculty of Health Sciences en_ZA
dc.publisher.department Department of Public Health and Family Medicine en_ZA
dc.type.qualificationlevel Masters en_ZA
dc.type.qualificationname MPH en_ZA
uct.type.filetype Text
uct.type.filetype Image


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