Patient waiting time analysis for elective gynecologic surgeries in a tertiary training hospital in the Philippines: A retrospective cross-sectional study

Abstract

ObjectivesThis study aimed to determine the median waiting time and assess the factors affecting patient waiting time and scheduling for elective gynecologic surgery in a tertiary training hospital in the Philippines. MethodsA retrospective analysis of waiting times for elective gynecologic surgeries was performed. The different time intervals for each step of the process map were determined. Regression models were used to study the relationship between waiting time intervals and demographic data, consideration of malignancy, and surgeries performed. ResultsThe median waiting time from the date of the first consult to surgery was 154 days. Patients with consideration of malignancy and pelvic organ prolapse had significantly longer intervals from the Waitlist Clinic to actual surgery with regression coefficients of 6.76 and 17.53 days, respectively. Other intervals in the process map did not show significant differences. ConclusionsThe median waiting time for elective gynecologic surgeries in a tertiary training institution in the Philippines was longer than global standards. A significant amount of time was spent waiting for diagnostic studies and referral to the Waitlist Clinic. The study recommends regulating and improving systems processes at the hospital and national levels to decrease patient waiting time. Surgical waitlists, referral systems, and benchmarks for safe waiting times should be established.