Evidence map›Paper›PMID 39483313›Full record

ArticleActa medica Philippina2024

Turnaround Time of Consults in a Primary Care System in Rural Philippines: A Descriptive Retrospective Cohort Study.

April Faye P Barbadillo, Leonila F Dans, Carol Stephanie C Tan-Lim, Cara Lois T Galingana, Josephine T Sanchez, Maria Rhodora N Aquino, Arianna Maever L Amit, Regine Ynez H De Mesa, Mia P Rey, Janelle Micaela S Panganiban and 3 more

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Article in Acta medica Philippina, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

April Faye P BarbadilloDepartment of Pediatrics, Philippine General Hospital, University of the Philippines Manila.
Leonila F DansDepartment of Pediatrics, Philippine General Hospital, University of the Philippines Manila.
Carol Stephanie C Tan-LimDepartment of Clinical Epidemiology, College of Medicine, University of the Philippines Manila.
Cara Lois T GalinganaPhilippine Primary Care Studies, Center for Integrative and Development Studies, University of the Philippines Diliman.
Josephine T SanchezPhilippine Primary Care Studies, Center for Integrative and Development Studies, University of the Philippines Diliman.
Maria Rhodora N AquinoPhilippine Primary Care Studies, Center for Integrative and Development Studies, University of the Philippines Diliman.
Arianna Maever L AmitPhilippine Primary Care Studies, Center for Integrative and Development Studies, University of the Philippines Diliman.
Regine Ynez H De MesaPhilippine Primary Care Studies, Center for Integrative and Development Studies, University of the Philippines Diliman.
Mia P ReyDepartment of Accounting and Finance, Cesar E.A. Virata School of Business, University of the Philippines Diliman.
Janelle Micaela S PanganibanPhilippine Primary Care Studies, Center for Integrative and Development Studies, University of the Philippines Diliman.
Karl Engelene E PobletePhilippine Primary Care Studies, Center for Integrative and Development Studies, University of the Philippines Diliman.
Nanette B SundiangPhilippine Primary Care Studies, Center for Integrative and Development Studies, University of the Philippines Diliman.
Antonio L DansPhilippine Primary Care Studies, Center for Integrative and Development Studies, University of the Philippines Diliman.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Turnaround time is an integral component of primary healthcare and is a key performance indicator of healthcare delivery. It is defined as the time patients spend during a healthcare facility visit. In this study, turnaround time is defined as the time elapsed from registration to the end of consultation. Objectives: This study aimed to determine the turnaround time of consults in the primary care system in a rural site in the Philippines, and compare turnaround time during the pre-pandemic and COVID-19 pandemic periods. Methods: This is a retrospective cohort study of patients seen at the primary care facility under the Philippine Primary Care Studies (PPCS) rural site from April 2019 to March 2021. Patients included in this study were chosen through random sampling. Electronic medical records (EMR) of these patients were reviewed. Turnaround time was computed electronically from time of registration to end of consultation. Descriptive statistics was used to summarize data and report turnaround time. The turnaround time before and during the pandemic was compared using an independent sample t-test (if normally distributed) or Mann Whitney U test (if not normally distributed). A p-value of <0.05 was considered statistically significant. Results: A random sample of 342 patients out of the total 45,501 patient consults seen at the rural primary healthcare facility from April 2019 to March 2021 were included in this study. The median turnaround time was 29.0 minutes (interquartile range [IQR] 68.3), with range of 0.9 to 437.2 minutes. During the pre-pandemic period, the median turnaround time of consults is 29.3 minutes (IQR 70.4) which is 1.8 minutes longer than the pandemic period which showed median turnaround time of 27.5 minutes (IQR 72.7). The difference between the two time periods was not statistically significant (P = 0.39). Conclusion: The study showed that the median turnaround time of medical consults was 29.0 minutes, which was shorter by 80 minutes compared to other published Philippine studies. The turnaround time did not differ significantly in the pandemic and pre-pandemic period, despite new policies and systems that were implemented during the pandemic.

Indexed as

electronic medical recordspandemicPhilippinesprimary careturnaround time

Identifiers

PMID39483313
PMCPMC11522336

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Registered trials

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