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Thaddeus and Maine identified three groups of factors obstructing access to care in their 3Ds model delay in seeking care, delay in arriving at a health facility, and delay in the provision of care [28].
It covers delay in recognition of illness, delay in seeking and accessing care, and delay in the provision of care once at a health facility.
Residents in nursing homes commonly had to wait for the GP to assess them which suggests a delay in the provision of adequate pain control.
However, the police can facilitate this contact by taking the necessary first step in contacting mental health services at the time of crisis, preventing further delay in the provision of care.
Respondents recognized the consequent delay in the provision of appropriate emergency obstetric care as a threat to women's health, and described cases in which on-referral resulted in women giving birth at home or in transit.
These process failures include delay in the provision of care when the patient is referred from the family medicine clinic, as well as, inaccurate diagnosis or inappropriate treatment during hospitalisation, including the period of labour or delivery.
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In 2017, a report noted delays in the provision of healthcare and a lack of adequate documentation.
The end result has been a decline in service quality and delays in the provision of services, which has negatively affected the demand for some services.
Another study which compared three types of surgical sessions in a dermatology clinic identified not only the most efficient method, but also which work steps were causing delays in the provision of service [ 10].
This document could prevent giving the same treatments at a referred hospital that might have failed at a referring facility, hence avoiding unnecessary delays in the provision of appropriate care.
In our study, these were mainly related to financial difficulties, such as co-payment of social services, and organisational problems, such as delays in performing the multidimensional assessment, the existence of waiting lists for residential services and delays in the provision of home care.
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