title: Access to public healthcare services and waiting times for patients with chronic nonmalignant pain: feedback from a tertiary pain clinic.
abstract: Evaluation of healthcare services by patients is an essential component of quality improvement. We studied association between patient satisfaction and accessibility of healthcare services to patients with chronic nonmalignant pain. A hundred patients from the Pain Clinic, Split University Hospital Center, Split, Croatia, completed a 27-item questionnaire about their condition, duration of chronic pain treatment, access to healthcare, waiting times for various healthcare services, and their satisfaction with the pain clinic and health system. Patients were referred to the pain clinic after median of 4.5 years of chronic nonmalignant pain duration. Median waiting time for pain clinic appointment, seeing a specialist and performing diagnostic procedures was 10, 30 and 90 days, respectively. However, some patients waited for an appointment to a specialist and diagnosis for up to one year. Negative association was found between waiting time for pain clinic appointment and healthcare system grade (r = -0.34, P = 0.02). Patient suggestions for improving pain clinic were more staff, better approach to each patient, and better organization. In conclusion, access to public healthcare for patients with chronic nonmalignant pain should be better to improve patient satisfaction and provide better care.
authors.affiliation: Department of Dental Medicine, School of Medicine, University of Split, Split, Croatia.
authors.forename: Petra
authors.initials: P
authors.lastname: Triva
authors.forename: Marko
authors.initials: M
authors.lastname: Jukić
authors.forename: Livia
authors.initials: L
authors.lastname: Puljak
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D059350:Chronic Pain / Q000209:etiology* / Q000628:therapy*; D017523:Croatia; D005260:Female; D005500:Follow-Up Studies; D006297:Health Services Accessibility / Q000592:standards*; D006785:Hospitals, University; D006801:Humans; D008297:Male; D008875:Middle Aged; D009140:Musculoskeletal Diseases / Q000150:complications / Q000175:diagnosis / Q000628:therapy*; D055013:Osteoarthritis, Spine / Q000628:therapy; D018710:Pain Clinics / Q000706:statistics & numerical data*; D017060:Patient Satisfaction; D026741:Physical Therapy Modalities; D058996:Quality Improvement; D011787:Quality of Health Care / Q000592:standards*; D011795:Surveys and Questionnaires; D013997:Time Factors; D014850:Waiting Lists