Barriers to Timely Presentation of Patients with Surgical Conditions at Tamale Teaching Hospital in Northern Ghana

World Journal of Surgery
Stephen TabiriMicah G Katz

Abstract

Improving access to surgical services and understanding the barriers to receiving timely care are necessary to save lives. The aim of this study was to assess barriers to timely presentation to an appropriate medical facility using the Three-Delay model, for patients presenting to Tamale Teaching Hospital, in northern Ghana. In 2013, patients with delays in seeking surgical care were prospectively identified. Pairwise correlation coefficients between delay in presentation and factors associated with delay were conducted and served as a foundation for a multivariate log-linear regression model. A total of 718 patients presented with an average delay of 22.1 months. Delays in receiving care were most common (56.4%), while delays in seeking care were seen in 52.3% of patients. "Initially seeking treatment at the nearest facility, but appropriate care was unavailable" was reported by 56.4% and predicted longer delays (p < 0.001). 42.9% of patients had delays secondary to treatment from a traditional or religious healer, which also predicted longer delays (p < 0.001). On multivariate regression, emergent presentation was the strongest predictor of shorter delays (OR 0.058, p = 0.002), while treatment from a traditional or religious ...Continue Reading

References

Mar 1, 1994·CA: a Cancer Journal for Clinicians·P Boffetta, D M Parkin
Feb 5, 2002·Social Science & Medicine·Michelle Cocks, Valerie Møller
Apr 7, 1956·Journal of the American Medical Association·J L TITCHENERH SILVER
Feb 5, 2004·International nursing review·M M Tabi, S Frimpong
Jan 25, 2006·International nursing review·M M TabiD Hodnicki
Mar 28, 2007·World Journal of Surgery·Gaurav AgarwalPolly S Y Cheung
May 16, 2013·World Journal of Surgery·Charles Mock
Jun 14, 2013·Global Health Action·Richard B BiritwumPaul Kowal
Nov 26, 2013·The British Journal of Surgery·B StewartC Mock
Oct 4, 2014·World Journal of Surgery·Mihir Tejanshu ShahCharles Mock
May 1, 2015·The Lancet Global Health·Blake C AlkirePaul E Farmer
Jul 5, 2015·Injury·Mihir Tejanshu ShahCharles Mock
Aug 21, 2015·BMC Health Services Research·Kilian Nasung AtuoyeIsaac Luginaah
Nov 20, 2016·The Lancet Global Health·Elima Jedy-AgbaIsabel Dos-Santos-Silva
Aug 10, 2017·World Journal of Surgery·Dennis CornelissenLeon Bijlmakers
Sep 25, 2017·World Journal of Surgery·Stephen TabiriTheophilus T K Anyomih
Aug 14, 2018·The Journal of Surgical Research·Stephen TabiriMicah G Katz

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Citations

Oct 5, 2019·World Journal of Surgery·Alhassan Abdul-MuminStephen Tabiri
Dec 19, 2019·World Journal of Surgery·Micah G KatzFrancis A Abantanga

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