Unraveling the wait: exploring factors behind patient delays at a South African Clinic

Abstract

As access to healthcare has come under increasing scrutiny, patient waiting times have become crucial. Qualitative research provides an in-depth understanding and reflections of the nurses at Nthabiseng Clinic in Capricorn region, Limpopo Province, South Africa.This article is based on an investigation of patient waiting, which used in-depth semi-structured interviews with five strategically selected healthcare professionals to disentangle the web of different elements that can affect the length of time a patient might wait at the hospital. We identified two superordinate themes that emerged from our thematic analysis. The data analysis identified two key themes that influenced how patient waiting time was related to patients and operational matters during clinic visits: 1) Determinants of patient waiting time at a clinic visit: (i.e. a lack of definitions of patient waiting time; patient waiting time contributing factors; patient waiting time seen through patients; operational challenges regarding patient waiting time); as well as 2) Patient waiting time policy position (i.e. South Africa’s patient waiting time specific policy/ies and/or legislative framework; A clinic’s specific development plan; DOH’s assistance to a clinic). As healthcare systems strive to enhance accessibility and patient experience, this study offers invaluable insights into the multifaceted nature of patient waiting times, paving the way for evidence-based strategies to address this critical issue.