Evidence map›Paper›PMID 41219756›Full record

ArticleArchives of public health = Archives belges de sante publique2025

Reducing patient waiting times in humanitarian settings: a data-driven approach to improving healthcare access for vulnerable populations.

Eslam Abo Alhawa, Elise Presser, Amin Zahwe, Sary Faraj, Samar Al-Hajj, Marwa Fares, Mohammad Fadi AlHalbi

Abstract read
In one paragraph

Article in Archives of public health = Archives belges de sante publique, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

7 authors.

Eslam Abo AlhawaDepartment of Epidemiology and Population Health, Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon. eaa37@mail.aub.edu.
Elise PresserDepartment of Surgery, Yale School of Medicine, Yale University, Connecticut, USA.
Amin ZahweFaculty of Medicine, American University of Beirut, American University of Beirut, Beirut, Lebanon.
Sary FarajFaculty of Medicine, American University of Beirut, American University of Beirut, Beirut, Lebanon.
Samar Al-HajjDepartment of Epidemiology and Population Health, Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon. sh137@aub.edu.lb.
Marwa FaresMulti-Aid Programs Research Department, Multi-Aid Programs (MAPs), Bekaa, Lebanon.
Mohammad Fadi AlHalbiMulti-Aid Programs Research Department, Multi-Aid Programs (MAPs), Bekaa, Lebanon.

Funding

Research Mentoring and Building Capacity of underrepresented Minority Research Scientists in India.D43TW010540 · FIC · YALE UNIVERSITY · PI MICHELE BARRY, Eva Harris · 2017 to 2026
$15.5M
Yale-American University in Beirut Program on Advanced Injury Research (Yale-AUB PAIR Consortium)D43TW012202 · FIC · YALE UNIVERSITY · PI Hani Mowafi · 2021 to 2026
$1.5M
FIC NIH HHS D43 TW010540FIC NIH HHS D43 TW012202Fogarty International Center of the U.S. National Institutes of Health (NIH) D43TW012202Global Health Equity Scholars Program NIH FIC D43TW010540
6 · The paper itself

Abstract

backgroundProlonged patient waiting times in healthcare settings, particularly within humanitarian contexts, pose significant challenges to the provision and quality of care received. This study examines the persistent issue of extended waiting periods among patients, including Syrian and Palestinian refugees and Lebanese nationals seeking care at humanitarian clinics in Lebanon. The study aims to highlight the challenges faced by these populations and their impact on care and health outcomes.

methodsThis study analyzed secondary data for 111,998 patient records receiving care at Multi Aid Programs clinic between December 2018 and June 2023. Descriptive statistics were performed on the compiled data. Additionally, an Auto-Regressive Integrated Moving Average (ARIMA) model was developed to forecast patient waiting times over the next 14 days, providing a data-driven approach to understanding and optimizing healthcare service delivery.

resultsA total of 442,332 patient visits were analyzed. The vast majority of patients treated at the clinic were Syrian refugees (84.6%), Lebanese patients (15.3%), and Palestinian refugees(0.1%). Females accounted for 55% of visits, slightly outnumbering males (45%). Approximately 21.4% of patients left the clinic without receiving medical care, likely due to extended waiting times. The average waiting time was 1.4 h with an average of a 1-hour wait for emergencies and a 2-hour wait for orthopedic appointments. The study team, along with clinic staff and administration, observed patients waiting in overcrowded rooms. Little improvement has been reported in waiting times since 2019. The predictive ARIMA model for patient waiting time forecasting yielded a notably low RMSE of 0.18, indicating excellent fidelity between the modeled and true wait times.

conclusionPatient waiting time represents a significant issue in the humanitarian setting, jeopardizing patient access to medical care and often resulting in patients leaving clinics before being seen by a physician. Future research should explore the underlying causes and broader consequences of prolonged wait times, including their impact on patient satisfaction, healthcare provider burnout, and overall system efficiency.

Indexed as

ARIMAHealthcareLebanonRefugeesWaiting times

Identifiers

PMID41219756
PMCPMC12606882

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.