Access to healthcare: waiting time until the surgical procedure
Background Understanding the determinants that limit the population’s access to surgical care in health services is highly relevant in order to provide data to support political interventions.Objective This study aimed to evaluate the time between diagnosis and elective surgery in adult patients wit...
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2025-12-01
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| Series: | Annals of Medicine |
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| Online Access: | https://www.tandfonline.com/doi/10.1080/07853890.2025.2452358 |
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| author | Cassiane de Santana Lemos Ana Maria Muller Magalhães Danielle Saraiva Tuma dos Reis Alessandra Yuri Takehana de Andrade Karla Cristina de Almeida Fabiana Zerbieri Martins Nancy Reynolds Vanessa de Brito Poveda |
| author_facet | Cassiane de Santana Lemos Ana Maria Muller Magalhães Danielle Saraiva Tuma dos Reis Alessandra Yuri Takehana de Andrade Karla Cristina de Almeida Fabiana Zerbieri Martins Nancy Reynolds Vanessa de Brito Poveda |
| author_sort | Cassiane de Santana Lemos |
| collection | DOAJ |
| description | Background Understanding the determinants that limit the population’s access to surgical care in health services is highly relevant in order to provide data to support political interventions.Objective This study aimed to evaluate the time between diagnosis and elective surgery in adult patients with the longest waiting lists in Brazil; identify the determinants that interfere with access to the health service to perform surgery; and analyze the quality of life after the indicative diagnosis of surgical intervention.Methods A cross-sectional study was conducted with adult patients treated at three hospitals in the Southeast, North and South regions of Brazil, from October 2020 to October 2022. Data collection included socio-demographic data and assessment of quality of life using the WHOQOL-Bref instrument in the immediate postoperative period and one month after surgery.Results A total of 250 patients participated in the study, 55.6% patients from the Southeast, 20.4% patients from the North and 24% patients from the South, with a mean age of 51.86 (SD = 14.27) years and clinical history such as arterial hypertension (p < 0.001). The longest mean waiting time for surgery identified was 26.23 (SD = 17.62) months in the South region, with a significant difference between the evaluated institutions (p = 0.02). Differences were observed between the first place of care of the evaluated patients (p < 0.001). There was a difference in the perception of quality of life between the immediate and late postoperative periods (p = 0.007) and in the physical domain, with an increase in scores among older patients (p = 0.004) and previous clinical history (p = 0.03).Conclusion Access to the health system varies by region and does not meet the standards proposed by the Brazilian health system. In addition, it seems that longer waiting times for surgery more perceptibly affect the quality of life of older adults and those with other associated diseases. |
| format | Article |
| id | doaj-art-5cebefc6e8e74542a2b298ef36a8f4e3 |
| institution | Kabale University |
| issn | 0785-3890 1365-2060 |
| language | English |
| publishDate | 2025-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Annals of Medicine |
| spelling | doaj-art-5cebefc6e8e74542a2b298ef36a8f4e32025-01-20T09:27:44ZengTaylor & Francis GroupAnnals of Medicine0785-38901365-20602025-12-0157110.1080/07853890.2025.2452358Access to healthcare: waiting time until the surgical procedureCassiane de Santana Lemos0Ana Maria Muller Magalhães1Danielle Saraiva Tuma dos Reis2Alessandra Yuri Takehana de Andrade3Karla Cristina de Almeida4Fabiana Zerbieri Martins5Nancy Reynolds6Vanessa de Brito Poveda7Sao Paulo State University- Julio de Mesquita Filho-UNESP, Botucatu, Sao Paulo, BrazilNursing School- Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, BrazilNursing School- Universidade Federal do Pará, Belém, Pará, BrazilTelemedicine Department, Israelita Albert Einstein Hospital, Sao Paulo, Sao Paulo, BrazilUniversity of São Paulo-School of Nursing, Sao Paulo, Sao Paulo, BrazilServiço de Enfermagem em Centro Cirúrgico, Hospital de Clínicas de Porto Alegre, Porto Alegre, Rio Grande do Sul, BrazilNursing School- Johns Hopkins University, Baltimore, Maryland, USAUniversity of São Paulo-School of Nursing, Sao Paulo, Sao Paulo, BrazilBackground Understanding the determinants that limit the population’s access to surgical care in health services is highly relevant in order to provide data to support political interventions.Objective This study aimed to evaluate the time between diagnosis and elective surgery in adult patients with the longest waiting lists in Brazil; identify the determinants that interfere with access to the health service to perform surgery; and analyze the quality of life after the indicative diagnosis of surgical intervention.Methods A cross-sectional study was conducted with adult patients treated at three hospitals in the Southeast, North and South regions of Brazil, from October 2020 to October 2022. Data collection included socio-demographic data and assessment of quality of life using the WHOQOL-Bref instrument in the immediate postoperative period and one month after surgery.Results A total of 250 patients participated in the study, 55.6% patients from the Southeast, 20.4% patients from the North and 24% patients from the South, with a mean age of 51.86 (SD = 14.27) years and clinical history such as arterial hypertension (p < 0.001). The longest mean waiting time for surgery identified was 26.23 (SD = 17.62) months in the South region, with a significant difference between the evaluated institutions (p = 0.02). Differences were observed between the first place of care of the evaluated patients (p < 0.001). There was a difference in the perception of quality of life between the immediate and late postoperative periods (p = 0.007) and in the physical domain, with an increase in scores among older patients (p = 0.004) and previous clinical history (p = 0.03).Conclusion Access to the health system varies by region and does not meet the standards proposed by the Brazilian health system. In addition, it seems that longer waiting times for surgery more perceptibly affect the quality of life of older adults and those with other associated diseases.https://www.tandfonline.com/doi/10.1080/07853890.2025.2452358Elective surgical proceduresGlobal healthEquity in access to Health servicesQuality of lifeSurgery |
| spellingShingle | Cassiane de Santana Lemos Ana Maria Muller Magalhães Danielle Saraiva Tuma dos Reis Alessandra Yuri Takehana de Andrade Karla Cristina de Almeida Fabiana Zerbieri Martins Nancy Reynolds Vanessa de Brito Poveda Access to healthcare: waiting time until the surgical procedure Annals of Medicine Elective surgical procedures Global health Equity in access to Health services Quality of life Surgery |
| title | Access to healthcare: waiting time until the surgical procedure |
| title_full | Access to healthcare: waiting time until the surgical procedure |
| title_fullStr | Access to healthcare: waiting time until the surgical procedure |
| title_full_unstemmed | Access to healthcare: waiting time until the surgical procedure |
| title_short | Access to healthcare: waiting time until the surgical procedure |
| title_sort | access to healthcare waiting time until the surgical procedure |
| topic | Elective surgical procedures Global health Equity in access to Health services Quality of life Surgery |
| url | https://www.tandfonline.com/doi/10.1080/07853890.2025.2452358 |
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