Innovative Care Model for Non Communicable Disease Patients on Patient Waiting Times in Peripheral Health Clinic in Base Hospital, Elpitiya
European Journal of Clinical and Biomedical Sciences
Volume 4, Issue 3, June 2018, Pages: 46-50
Received: Jan. 28, 2018; Accepted: Aug. 2, 2018; Published: Aug. 31, 2018
Views 1008      Downloads 93
Authors
Lasantha Krishan Hirimuthugoda, Department of Community Medicine, Post Graduate Institute of Medicine, University of Colombo, Colombo, Sri Lanka
Hewa Kasakara Diwela Wannakuge Miyasiya Gajanayaka, Department of Non-communicable Disease, Institute of Regional Director of Health Services, Hambantota, Sri Lanka
Vithanage Narada Channa, Outpatient Department, Base Hospital, Diyathalawa, Sri Lanka
Induwarie Harsha Gajanayaka Hewa Kasakara Diwala Wannakuge, Outpatient Department, District Hospital, Bandarawela, Sri Lanka
Vithanage Milinda Chanaka Perera, Department of Public Health, Institute of Regional Director of Health Services, Badulla, Sri Lanka
Suranga Paranagamage, Department of Public Health, Institute of Regional Director of Health Services, Hambantota, Sri Lanka
Article Tools
Follow on us
Abstract
Long queue and long waiting time for taking appointment, consulting a doctor and to get drugs is a critical problem to patients with Non-communicable diseases who are following in government health sector. Many primary healthcare services in Sri Lanka is delivered through vertical systems, where services for routine issuing appointment, consultation and issuing drugs are co-located but use separate physical space, staff and medical records. Aim of the research leads to integration of the systems deteriorates the waiting time and reduces the worse health outcomes in the long run. A care model was developed integration of consultation and issuing drugs, with permanent issuing of routine appointment in rural healthcare settings, Elpitiya. Data on waiting time of patients during two seven-day periods before and six months after the integration were collected using a time and motion study. Statistical tests were conducted to investigate whether the two observation periods differed in operational details such as staffing, patient arrival rates, mix of patients etc. Previous level of attendance was analysed by their clinic records (before intervention). Multiple linear and logistic regression repeated measures analyses were used to assess the program's effects. Comparison of raw data showed that waiting times decreased by 7.2 hours to 3hours, after integration (p<0.01). Clinic patients attendance was remarkably improved with regular clinic service after implementing appoint system from 35%-60% to 85%-90%. The rate of clinic attendance was increased dramatically over the period from 6 months. Waiting time for attending clinic was declined and waiting in lines were avoided. Moreover, the intervention did improve clinic utilization and satisfaction. Integrating health services have the potential of reducing waiting times due to more efficient use of resources. Encouraging patients by new model is challenging and does appear to provide significant realistic benefits at rural, resource poor health settings beyond those provided by basic clinic services.
Keywords
Patients Waiting Time, Care Model, Non Communicable Disease, Rural Health Care
To cite this article
Lasantha Krishan Hirimuthugoda, Hewa Kasakara Diwela Wannakuge Miyasiya Gajanayaka, Vithanage Narada Channa, Induwarie Harsha Gajanayaka Hewa Kasakara Diwala Wannakuge, Vithanage Milinda Chanaka Perera, Suranga Paranagamage, Innovative Care Model for Non Communicable Disease Patients on Patient Waiting Times in Peripheral Health Clinic in Base Hospital, Elpitiya, European Journal of Clinical and Biomedical Sciences. Vol. 4, No. 3, 2018, pp. 46-50. doi: 10.11648/j.ejcbs.20180403.12
Copyright
Copyright © 2018 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
References
[1]
2008-2013 Action plan for the global strategy for the prevention and control of non communicable diseases. World Health Organization – 2011
[2]
Almomani, I. and A. AlSarheed (2016). "Enhancing outpatient clinics management software by reducing patients' waiting time." J Infect Public Health 9 (6): 734-743.
[3]
Aeenparast, A., et al. (2015). "Waiting time for first outpatient visit in specialty level: assessing the provider related factors." Arch Iran Med 18 (3): 185-188.
[4]
Doherty T, Chopra M, Tomlinson M, Oliphant N, Nsibande D, et al. Moving from vertical to intgrated child health programmes: experiences from a multi-country assessment of the Child Health Days approach in Africa. Trop Med Int Health. 2010; 15:296–305.
[5]
Lawn JE, Rohde J, Rifkin S, Were M, Paul VK, et al. Alma-Ata 30 years on: revolutionary, relevant, and time to revitalise. Lancet. 2008; 372:917–927.
[6]
Topp SM, Chipukuma JM, Giganti M, Mwango LK, Chiko LM, et al. Strengthening health systems at facility-level: feasibility of integrating antiretroviral therapy into primary health care services in Lusaka, Zambia. PLoS One. 2010; 5:e11522.
[7]
Wagner G, Ryan G, Taylor S. Formative evaluation of antiretroviral therapy scale-up efficiency in sub-Saharan Africa. Aids Patient Care and Stds. 2007; 21:871–887.
[8]
olebunders R, Bukenya T, Pakker N, Smith O, Boeynaems V, et al. Assessment of the patient flow at the infectious diseases institute out-patient clinic, Kampala, Uganda. Aids Care-Psychological and Socio-Medical Aspects of Aids/Hiv. 2007; 19:149–151.
[9]
Hardon AP, Akurut D, Comoro C, Ekezie C, Irunde HF, et al. Hunger, waiting time and transport costs: time to confront challenges to ART adherence in Africa. AIDS Care. 2007; 19:658–665.
[10]
Ward, P. R., et al. (2017). "'Waiting for' and 'waiting in' public and private hospitals: a qualitative study of patient trust in South Australia." BMC Health Serv Res 17 (1): 333.
ADDRESS
Science Publishing Group
1 Rockefeller Plaza,
10th and 11th Floors,
New York, NY 10020
U.S.A.
Tel: (001)347-983-5186