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An examination of difficulties accessing surgical care in Canada from 2005-2014: Results from the Canadian Community Health Survey

BACKGROUND: Difficulties accessing surgical care (e.g., related to wait times, cancellations, cost, receiving a diagnosis) are understudied in Canada. Using population-based data, we studied difficulty accessing non-emergency surgical care, including (1) the incidence and annual changes in incidence...

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Autores principales: Sommer, Jordana Liyat, Noh, Edward, Jacobsohn, Eric, Christodoulou, Chris, El-Gabalawy, Renée
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7577481/
https://www.ncbi.nlm.nih.gov/pubmed/33085681
http://dx.doi.org/10.1371/journal.pone.0240083
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author Sommer, Jordana Liyat
Noh, Edward
Jacobsohn, Eric
Christodoulou, Chris
El-Gabalawy, Renée
author_facet Sommer, Jordana Liyat
Noh, Edward
Jacobsohn, Eric
Christodoulou, Chris
El-Gabalawy, Renée
author_sort Sommer, Jordana Liyat
collection PubMed
description BACKGROUND: Difficulties accessing surgical care (e.g., related to wait times, cancellations, cost, receiving a diagnosis) are understudied in Canada. Using population-based data, we studied difficulty accessing non-emergency surgical care, including (1) the incidence and annual changes in incidence, (2) types of difficulties, and (3) associated factors (e.g., sociodemographics, surgery characteristics). METHODS: Cross-sectional data from the Canadian Community Health Survey annual components were analyzed from 2005–2014. Weighted frequencies established the annual incidence of difficulty accessing surgical care, and total incidence of types of difficulties. Chi-square analyses, independent samples t-tests, and a multivariable logistic regression examined sociodemographic and surgery-related characteristics associated with difficulty accessing surgical care. RESULTS: Among individuals who required past-year non-emergency surgery between 2005–2014 (weighted n = 3,052,072), 15.6% experienced difficulty accessing surgical care. The most common difficulty was “waited too long for surgery” (58.5%). There were significant differences in the incidence of difficulty according to year (Χ(2) = 83.50, p < .001) from 2005–2014. The incidence of difficulty accessing surgery varied according to sex (Χ(2) = 4.02, p < .05), surgery type (Χ(2) = 96.09, p < .001), party responsible for cancellation/postponement (Χ(2) range: 4.36–19.01, p < .05), and waiting time (t = 10.59, p < .001). In particular, males, orthopedic surgery, and surgery cancelled by the surgeon or hospital had the highest rates of difficulty. CONCLUSION: Results provide insight into the difficulties experienced by patients accessing elective surgery, and the associated factors. These results may inform targeted healthcare interventions and resource reallocation to reduce these occurrences.
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spelling pubmed-75774812020-10-26 An examination of difficulties accessing surgical care in Canada from 2005-2014: Results from the Canadian Community Health Survey Sommer, Jordana Liyat Noh, Edward Jacobsohn, Eric Christodoulou, Chris El-Gabalawy, Renée PLoS One Research Article BACKGROUND: Difficulties accessing surgical care (e.g., related to wait times, cancellations, cost, receiving a diagnosis) are understudied in Canada. Using population-based data, we studied difficulty accessing non-emergency surgical care, including (1) the incidence and annual changes in incidence, (2) types of difficulties, and (3) associated factors (e.g., sociodemographics, surgery characteristics). METHODS: Cross-sectional data from the Canadian Community Health Survey annual components were analyzed from 2005–2014. Weighted frequencies established the annual incidence of difficulty accessing surgical care, and total incidence of types of difficulties. Chi-square analyses, independent samples t-tests, and a multivariable logistic regression examined sociodemographic and surgery-related characteristics associated with difficulty accessing surgical care. RESULTS: Among individuals who required past-year non-emergency surgery between 2005–2014 (weighted n = 3,052,072), 15.6% experienced difficulty accessing surgical care. The most common difficulty was “waited too long for surgery” (58.5%). There were significant differences in the incidence of difficulty according to year (Χ(2) = 83.50, p < .001) from 2005–2014. The incidence of difficulty accessing surgery varied according to sex (Χ(2) = 4.02, p < .05), surgery type (Χ(2) = 96.09, p < .001), party responsible for cancellation/postponement (Χ(2) range: 4.36–19.01, p < .05), and waiting time (t = 10.59, p < .001). In particular, males, orthopedic surgery, and surgery cancelled by the surgeon or hospital had the highest rates of difficulty. CONCLUSION: Results provide insight into the difficulties experienced by patients accessing elective surgery, and the associated factors. These results may inform targeted healthcare interventions and resource reallocation to reduce these occurrences. Public Library of Science 2020-10-21 /pmc/articles/PMC7577481/ /pubmed/33085681 http://dx.doi.org/10.1371/journal.pone.0240083 Text en © 2020 Sommer et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Sommer, Jordana Liyat
Noh, Edward
Jacobsohn, Eric
Christodoulou, Chris
El-Gabalawy, Renée
An examination of difficulties accessing surgical care in Canada from 2005-2014: Results from the Canadian Community Health Survey
title An examination of difficulties accessing surgical care in Canada from 2005-2014: Results from the Canadian Community Health Survey
title_full An examination of difficulties accessing surgical care in Canada from 2005-2014: Results from the Canadian Community Health Survey
title_fullStr An examination of difficulties accessing surgical care in Canada from 2005-2014: Results from the Canadian Community Health Survey
title_full_unstemmed An examination of difficulties accessing surgical care in Canada from 2005-2014: Results from the Canadian Community Health Survey
title_short An examination of difficulties accessing surgical care in Canada from 2005-2014: Results from the Canadian Community Health Survey
title_sort examination of difficulties accessing surgical care in canada from 2005-2014: results from the canadian community health survey
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7577481/
https://www.ncbi.nlm.nih.gov/pubmed/33085681
http://dx.doi.org/10.1371/journal.pone.0240083
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