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.
| Published in | European Journal of Clinical and Biomedical Sciences (Volume 4, Issue 3) |
| DOI | 10.11648/j.ejcbs.20180403.12 |
| Page(s) | 46-50 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2018. Published by Science Publishing Group |
Patients Waiting Time, Care Model, Non Communicable Disease, Rural Health Care
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APA Style
Lasantha Krishan Hirimuthugoda, Hewa Kasakara Diwela Wannakuge Miyasiya Gajanayaka, Vithanage Narada Channa, Induwarie Harsha Gajanayaka Hewa Kasakara Diwala Wannakuge, Vithanage Milinda Chanaka Perera, et al. (2018). 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, 4(3), 46-50. https://doi.org/10.11648/j.ejcbs.20180403.12
ACS Style
Lasantha Krishan Hirimuthugoda; Hewa Kasakara Diwela Wannakuge Miyasiya Gajanayaka; Vithanage Narada Channa; Induwarie Harsha Gajanayaka Hewa Kasakara Diwala Wannakuge; Vithanage Milinda Chanaka Perera, et al. Innovative Care Model for Non Communicable Disease Patients on Patient Waiting Times in Peripheral Health Clinic in Base Hospital, Elpitiya. Eur. J. Clin. Biomed. Sci. 2018, 4(3), 46-50. doi: 10.11648/j.ejcbs.20180403.12
AMA Style
Lasantha Krishan Hirimuthugoda, Hewa Kasakara Diwela Wannakuge Miyasiya Gajanayaka, Vithanage Narada Channa, Induwarie Harsha Gajanayaka Hewa Kasakara Diwala Wannakuge, Vithanage Milinda Chanaka Perera, et al. Innovative Care Model for Non Communicable Disease Patients on Patient Waiting Times in Peripheral Health Clinic in Base Hospital, Elpitiya. Eur J Clin Biomed Sci. 2018;4(3):46-50. doi: 10.11648/j.ejcbs.20180403.12
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Download@article{10.11648/j.ejcbs.20180403.12,
author = {Lasantha Krishan Hirimuthugoda and Hewa Kasakara Diwela Wannakuge Miyasiya Gajanayaka and Vithanage Narada Channa and Induwarie Harsha Gajanayaka Hewa Kasakara Diwala Wannakuge and Vithanage Milinda Chanaka Perera and Suranga Paranagamage},
title = {Innovative Care Model for Non Communicable Disease Patients on Patient Waiting Times in Peripheral Health Clinic in Base Hospital, Elpitiya},
journal = {European Journal of Clinical and Biomedical Sciences},
volume = {4},
number = {3},
pages = {46-50},
doi = {10.11648/j.ejcbs.20180403.12},
url = {https://doi.org/10.11648/j.ejcbs.20180403.12},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ejcbs.20180403.12},
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.},
year = {2018}
}
TY - JOUR T1 - Innovative Care Model for Non Communicable Disease Patients on Patient Waiting Times in Peripheral Health Clinic in Base Hospital, Elpitiya AU - Lasantha Krishan Hirimuthugoda AU - Hewa Kasakara Diwela Wannakuge Miyasiya Gajanayaka AU - Vithanage Narada Channa AU - Induwarie Harsha Gajanayaka Hewa Kasakara Diwala Wannakuge AU - Vithanage Milinda Chanaka Perera AU - Suranga Paranagamage Y1 - 2018/08/31 PY - 2018 N1 - https://doi.org/10.11648/j.ejcbs.20180403.12 DO - 10.11648/j.ejcbs.20180403.12 T2 - European Journal of Clinical and Biomedical Sciences JF - European Journal of Clinical and Biomedical Sciences JO - European Journal of Clinical and Biomedical Sciences SP - 46 EP - 50 PB - Science Publishing Group SN - 2575-5005 UR - https://doi.org/10.11648/j.ejcbs.20180403.12 AB - 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. VL - 4 IS - 3 ER -
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