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

Includes bibliographical references.

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Bibliographic Details
Main Author: Daniels, Johann Alexander
Other Authors: Zweigenthal, Virginia
Format: Thesis
Language:English
Published: Department of Public Health and Family Medicine 2016
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access_status_str Open Access
author Daniels, Johann Alexander
author2 Zweigenthal, Virginia
author_browse Daniels, Johann Alexander
Zweigenthal, Virginia
author_facet Zweigenthal, Virginia
Daniels, Johann Alexander
author_sort Daniels, Johann Alexander
collection Thesis
description Includes bibliographical references.
format Thesis
id oai:open.uct.ac.za:11427/16566
institution University of Cape Town (South Africa)
language eng
last_indexed 2026-06-10T12:33:17.409Z
license_str Not specified — see source repository
provenance_str_mv Harvested via OAI-PMH from UCTD — University of Cape Town Open Access Repository
publishDate 2016
publishDateRange 2016
publishDateSort 2016
publisher Department of Public Health and Family Medicine
publisherStr Department of Public Health and Family Medicine
record_format dspace
source_str UCTD — University of Cape Town Open Access Repository
spelling oai:open.uct.ac.za:11427/16566 Assessing the impact of a waiting time survey on reducing waiting times in primary care clinics in Cape Town, South Africa Daniels, Johann Alexander Zweigenthal, Virginia Reagon Gavin Public Health Primary Health Care Includes bibliographical references. 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. 2016-01-26T12:04:34Z 2016-01-26T12:04:34Z 2015 Master Thesis Masters MPH http://hdl.handle.net/11427/16566 eng application/pdf Department of Public Health and Family Medicine Faculty of Health Sciences University of Cape Town
spellingShingle Public Health
Primary Health Care
Daniels, Johann Alexander
Assessing the impact of a waiting time survey on reducing waiting times in primary care clinics in Cape Town, South Africa
thesis_degree_str Master's
title Assessing the impact of a waiting time survey on reducing waiting times in primary care clinics in Cape Town, South Africa
title_full Assessing the impact of a waiting time survey on reducing waiting times in primary care clinics in Cape Town, South Africa
title_fullStr Assessing the impact of a waiting time survey on reducing waiting times in primary care clinics in Cape Town, South Africa
title_full_unstemmed Assessing the impact of a waiting time survey on reducing waiting times in primary care clinics in Cape Town, South Africa
title_short Assessing the impact of a waiting time survey on reducing waiting times in primary care clinics in Cape Town, South Africa
title_sort assessing the impact of a waiting time survey on reducing waiting times in primary care clinics in cape town south africa
topic Public Health
Primary Health Care
url http://hdl.handle.net/11427/16566
work_keys_str_mv AT danielsjohannalexander assessingtheimpactofawaitingtimesurveyonreducingwaitingtimesinprimarycareclinicsincapetownsouthafrica