Although the cause of prolonged wait times for endoscopy in Ontario, and Canada, is multifactorial, one solution is the increased implementation and utilization of IHFs. This IHF reported providing endoscopy to patients well within the recommended wait time guidelines.
This study involved a retrospective review of a prospectively collected and maintained database of endoscopic procedures performed from 2014 to 2015 at a community IHF. Data collection was conducted by authors who did not perform or observe the endoscopic procedures.
Wait time to consultation is defined as the time from when the patient was first referred to the IHF until the time of consultation; wait time to procedure is defined as the time from when the patient first consulted the IHF health care provider until the time of completion of the colonoscopy; and, total wait time is defined as the time from when the patient was first referred to the IHF until the time of completion of the colonoscopy.
At this IHF, data was collected from 3211 consecutive patients during the study period.
The proportion of patients who underwent colonoscopy for BRBPR at the IHF (18.5%) were higher compared to those reported in SAGES 2008 (9.2%) and SAGES 2012 (9.5%) surveys [6,7].
During the study period at this IHF, nearly all colonoscopies were performed by general surgeons.
This study demonstrates that this IHF meets the predetermined quality indicators as outlined by CCO and CAG.