Table 4.
Patient's experiences with the timeliness of access to care
| PROCESS | PATIENTS' EXPERIENCE AT CARE PROCESS | PROPORTION (%) |
|
STEP 1[*] (n = 50) |
Satisfactory | 21 (42.0) |
| Unsatisfactory (n=29, 58%) | ||
| Long queues at registration and clinician | 18 (36) | |
| Delayed transfer of hospital chart to the clinician | 6 (12) | |
| Lack of information on process/ navigation | 1 (2) | |
| Time wastage/poor quality time with HCW | 9 (18) | |
|
| ||
|
STEP 2[†] (n = 40) |
Satisfactory | 23 (57.5) |
| Unsatisfactory (n = 11, 27.5%) | ||
| Long queues | 5 (15.6) | |
| Delay of result processing | 3 (9.4) | |
| Bribes before getting staging investigation | 2 (6.3) | |
| Required to visit outside facility for a test | 18 (56.3) | |
| Not sure | 6 (15.0) | |
|
| ||
|
STEP 3[‡] (n = 40) |
Satisfactory | 14 (35.0) |
| Unsatisfactory (n=25, 62.5%) | ||
| Oncologist was late | 1 (6.25) | |
| Referral for a consultation to an outside hospital | 1 (6.25) | |
| Delay due to ill health resulting in admission | 2 (12.5) | |
| Purchase of cancer medicines | 2 (12.5) | |
| Delay due to incomplete workup | 8 (50) | |
| Not sure | 1 (2.5) | |
|
| ||
|
STEP 4[§] (n = 29) |
Satisfactory | 10 (34.5) |
| Unsatisfactory (n=16, 55.2%) | 0 | |
| Treatment delayed by the late arrival of HCW | 3 (11.5) | |
| Long queues | 8 (30.8) | |
| Delay of file transfer to the treatment room | 2 (7.7) | |
| Bribes before receiving treatment | 2 (7.7) | |
| Purchase of cancer medicines | 2 (7.7) | |
| Delay due to inadequate workup | 2 (7.7) | |
| Other delays | 1 (3.8) | |
| Not sure | 3 (10.3) | |
[*]
Step 1: Registration, Triage and First evaluation
[†]
Step 2: Staging investigations
[‡]
Step 3: Oncologist review, and treatment prescription
[§]
Step 4: Cancer treatment initiation