The Impact of Healthcare Privatization on Access to Surgical Care: Cholecystectomy as a Model
| Autor: | Hazem Jokhadar, Ahmed H Saleem, Firas Ghomraoui, Ayman Al-Jazaeri, Wejdan Al-Muhanna, Tareq M. Aljurf |
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| Rok vydání: | 2016 |
| Předmět: |
Adult
Male medicine.medical_specialty Cross-sectional study medicine.medical_treatment Saudi Arabia Health Services Accessibility Time-to-Treatment 03 medical and health sciences 0302 clinical medicine Health care Medicine Humans Cholecystectomy 030212 general & internal medicine Economic Competition business.industry 030503 health policy & services Surgical care Vascular surgery Length of Stay Privatization Confidence interval Surgery Cross-Sectional Studies Cardiothoracic surgery Emergency medicine Female 0305 other medical science business Abdominal surgery |
| Zdroj: | World journal of surgery. 41(2) |
| ISSN: | 1432-2323 |
| Popis: | Privatization is widely perceived as a tool to improve healthcare access; however, its impact on the access of surgical care has not been quantified. We used cholecystectomy as a model to assess the variation in access between coexisting public (PB) and private providers (PVs). We performed cross-sectional analysis of patients who underwent cholecystectomy at two major PB and PV groups serving Riyadh, Saudi Arabia. Representative sample sizes were estimated based on 95 % confidence level and ±5 confidence interval (CI). Exclusion criteria were major comorbidities, emergency cholecystectomies, age ≥60 and concurrent non-minor procedures. Data collected were patients’ demographics, payer status, and durations of symptoms, diagnosis and hospitalization. Between 2012 and 2104, samples of 330 and 297 were randomly selected from the total of 2164 and 1315 cases performed at PV and PB, respectively. Seventy-eight PV and 73 PB cases were excluded. The distribution of publically funded/insured/self-paid was (3/179/70 PV) and (209/0/4 PB), respectively. Median durations between symptoms and surgery for PV and PB cases were 90 and 365 days (P |
| Databáze: | OpenAIRE |
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