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Consuming Patients’ Days: Time Spent on Ambulatory Appointments by People With Cancer
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Journal Article
Consuming Patients’ Days: Time Spent on Ambulatory Appointments by People With Cancer
2024
Overview
Background
In qualitative work, patients report that seemingly short trips to clinic (eg, a supposed 10-minute blood draw) often turn into “all-day affairs.” We sought to quantify the time patients with cancer spend attending ambulatory appointments.
Methods
We conducted a retrospective study of patients scheduled for oncology-related ambulatory care (eg, labs, imaging, procedures, infusions, and clinician visits) at an academic cancer center over 1 week. The primary exposure was the ambulatory service type(s) (eg, clinician visit only, labs and infusion, etc.). We used Real-Time Location System badge data to calculate clinic times and estimated round-trip travel times and parking times. We calculated and summarized clinic and total (clinic + travel + parking) times for ambulatory service types.
Results
We included 435 patients. Across all service day type(s), the median (IQR) clinic time was 119 (78-202) minutes. The estimated median (IQR) round-trip driving distance and travel time was 34 (17-49) miles and 50 (36-68) minutes. The median (IQR) parking time was 14 (12-15) minutes. Overall, the median (IQR) total time was 197 (143-287) minutes. The median total times for specific service type(s) included: 99 minutes for lab-only, 144 minutes for clinician visit only, and 278 minutes for labs, clinician visit, and infusion.
Conclusion
Patients often spent several hours pursuing ambulatory cancer care on a given day. Accounting for opportunity time costs and the coordination of activities around ambulatory care, these results highlight the substantial time burdens of cancer care, and support the notion that many days with ambulatory health care contact may represent “lost days.”
This study used real-time location system and geolocation data to assess how much time (in minutes) patients spent on attending clinic appointments. Even seemingly short appointments can take up hours of patients' days, supporting the notion that that day may indeed represent a ''lost day''.
Publisher
Oxford University Press
Subject
