Wait times for gastroenterology consultation in Canada: The patients' perspective
WG Paterson, AN Barkun, WM Hopman, DJ Leddin, P Paré, DM Petrunia, MJ Sewitch, C Switzer, S Veldhuyzen van Zanten
Long wait times for health care have become a significant issue in
Canada. As part of the Canadian Association of Gastroenterology's
Human Resource initiative, a questionnaire was developed to survey
patients regarding wait times for initial gastroenterology consultation
and its impact. A total of 916 patients in six cities from across Canada
completed the questionnaire at the time of initial consultation. Selfreported
wait times varied widely, with 26.8% of respondents reporting
waiting less than two weeks, 52.4% less than one month, 77.1% less
than three months, 12.5% reported waiting longer than six months
and 3.6% longer than one year. One-third of patients believed their
wait time was too long, with 9% rating their wait time as 'far too long';
96.4% believed that maximal wait time should be less than three
months, 78.9% believed it should be less than one month and 40.3%
believed it should be less than two weeks. Of those working or attending
school, 22.6% reported missing at least one day of work or school
because of their symptoms in the month before their appointment, and
9.0% reported missing five or more days in the preceding month. A
total of 20.2% of respondents reported being very worried about having
a serious disease (ie, scored 6 or higher on 7-point Likert scale),
and 17.6% and 14.8%, respectively, reported that their symptoms
caused major impairment of social functioning and with the activities
of daily living. These data suggest that a significant proportion of
Canadians with digestive problems are not satisfied with their wait
time for gastroenterology consultation. Furthermore, while awaiting
consultation, many patients experience an impaired quality of life
because of their gastrointestinal symptoms.
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