Assessment of the patient flow at the infectious diseases institute out-patient clinic, Kampala, Uganda

Datos Bibliográficos

ID19443299
AutoresRobert Colebunders (0000-0002-1919-1340, Instituut voor Tropische Geneeskunde, autor de correspondencia), T Bukenya (a Makerere University , Kampala , Uganda), N Pakker (d International Antiviral Therapy Evaluation Centre , Kampala , Uganda), Nadine G Pakker (International Hospital Kampala), Owen Smith (0000-0002-4589-6686, Makerere University), V Boeynaems (a Makerere University , Kampala , Uganda), John Waldron (0000-0002-1050-7329, Makerere University), A Muganzi Muganga (a Makerere University , Kampala , Uganda), C Twijukye (a Makerere University , Kampala , Uganda), Keith McAdam (0000-0001-9300-0760, Makerere University), Elly Katabira (0000-0001-9951-755X, Makerere University)
Año2007
Volumen19
Número2
Páginas149-151
Fecha de publicación2007-02-01
Peer ReviewedSí
Open AccessNo
TipoARTICLE
RevistaAIDS Care (JOURNAL)
Identificadores de la revistaISSN: 0954-0121 • E-ISSN: 1360-0451
EditorialInforma UK Limited (PUBLISHER • GB)
DOI10.1080/09540120600762078
PMID17364392
OpenAlexW2039760223
IdiomaEN
Citas recibidas2
Referencias citadas2

In order to cope with the increasing patient load, a study was performed to identify bottlenecks in patient flow at the Infectious Diseases out-patient clinic in Kampala, Uganda on 10 January 2005. On a standardised questionnaire we recorded for all patients: the time they presented at reception, waiting times for different services and in- and out times for nursing, counselling and doctor visits. 250 patients visited the clinic the study day: 36 (20 per cent) were asymptomatic; 133 (75 per cent) symptomatic but not critically ill and 8 (4.5 per cent) severely ill; 63 (37.5 per cent) were on antiretroviral treatment. The median time spend at the clinic was 157 minutes (range 22-426). The median time from reception to the triage/vital-signs measuring unit was 34 minutes (range 3-92), from triage nurse to doctor 51 minutes (range 1-205), from doctor to pharmacy 24 minutes (range 5-292). The median waiting time at the pharmacy was 30 minutes (range 10-175). Based on these results, organisational changes were proposed. A similar methodology could be used to evaluate and compare health service delivery systems for persons with HIV infection in Africa in order to identify the most efficient models of care

Asymptomatic · Family medicine · Medical emergency · Triage · Global Maternal and Child Health · HIV/AIDS Impact and Responses · HIV/AIDS Research and Interventions · Medicine · Emergency Medicine · Pharmacy · Surgery