Maxillofacial surgery and waiting lists in the Concepción public health network. Observational study
DOI:
https://doi.org/10.56294/saludcyt20252267Keywords:
Oral Surgical Procedures, Maxillofacial Surgery, Health Services Accessibility, Waiting lists, Health Care DisparitiesAbstract
Objective: to analyze minor maxillofacial surgery care and the accumulated demand on waiting lists in public healthcare facilities of the Concepción Health Service between 2022 and 2024.
Methods: observational, descriptive, cross-sectional study based on records from the Concepción Health Service. The sample included six public healthcare centers (Guillermo Grant Benavente Hospital, Víctor Manuel Fernández Primary Health Center, Coronel Hospital, Lota Hospital, Santa Juana Hospital, and Florida Hospital). Absolute and relative frequencies were described, and Pearson’s Chi-square test was applied for inferential analysis (p < 0,05), complemented by effect size estimation using Cramer’s V.
Results: between 2022 and 2024, a sustained increase in consultations and follow-up visits was observed, with the majority concentrated at Hospital Guillermo Grant Benavente (74.3% and 75% in 2024). Other centers showed relevant but decreasing participation. The most frequent interventions included minor outpatient surgery and treatment of dentoalveolar trauma, with an increase in procedures performed under general anesthesia in 2024. Significant differences were identified between years and centers (p < 0,001), with effect sizes ranging from moderate to low (W = 0.07–0.71).
Conclusion: minor maxillofacial surgery in the public system shows a marked gap between demand and response capacity, highlighting a structural deficit in oral healthcare services.
References
Zúñiga B, González M, González A, Gamonal J. Cirugía y traumatología bucomáxilofacial en la red hospitalaria chilena. Rev Clín Periodoncia Implantol Rehabil Oral. 2017;10(1):57–63.
Acuna JA, Zayas-Castro JL, Feijoo F, Sankaranarayanan S, Martinez R, Martinez DA. The Waiting Game - How Cooperation Between Public and Private Hospitals Can Help Reduce Waiting Lists. Health Care Manag Sci. 2022;25(1):100-125.
Letelier A, Cifuentes Rivas G. Situación y abordaje de lista de espera en un establecimiento de salud público en Santiago de Chile [Waiting list in a public health facility in Santiago, Chile]. Medwave. 2014;14(6):e6000.
Julio C, Wolff P, Vegoña Yarza M. Modelo de gestión de listas de espera centrado en oportunidad y justicia [Waiting lists management model based on timeliness and justice]. Rev Med Chil. 2016;144(6):781-7.
Salinas P, Reyes M. Resolución de cirugía menor en APS: una estrategia de descongestión efectiva. Rev Chil Atención Primaria. 2020;18(3):33–39.
Toro P, Manríquez M, Bravo C. Evaluación del acceso a atención odontológica especializada en la red pública chilena: desafíos para la cirugía maxilofacial. Rev Chil Salud Pública. 2022;26(2):123–130.
Estay R, Cuadrado C, Crispi F, et al. Desde el conflicto de listas de espera, hacia el fortalecimiento de los prestadores públicos de salud: Una propuesta para Chile. Cuadernos Médico Sociales. 2017;57(1):49–63.
Cuschieri S. The STROBE guidelines. Saudi J Anaesth. 2019;13(S1): S31-S34.
Stevens, G.A.; Alkema, L.; Black, R.E.; Boerma, J.T.; Collins, G.S.; Ezzati, M.; Grove, J.T.; Hogan, D.R.; Hogan, M.C.; Horton, R.; et al. Guidelines for Accurate and Transparent Health Estimates Reporting: The GATHER statement. Lancet 2016, 388, e19–e23.
Biblioteca del Congreso Nacional de Chile. Ley N° 20.285 sobre acceso a la información pública. Santiago: Biblioteca del Congreso Nacional de Chile; 2008. Disponible en: https://www.bcn.cl/leychile/navegar?idNorma=276363
World Medical Association. World Medical Association Declaration of Helsinki: Ethical principles for medical research involving human subjects. JAMA. 2025, 333, 71-74
Instituto Nacional de Estadísticas (INE). Censo de Población y Vivienda 2024. Santiago: INE; 2025. Disponible en: https://censo2024.ine.gob.cl
Liu Y, Jin H, Yu Z, Tong Y. Impact of Internet Hospital Consultations on Outpatient Visits and Expenses: Quasi-Experimental Study. J Med Internet Res. 2024 Nov 11;26: e57609.
Marcotte LM, Dugdale DC. Prevention as a Population Health Strategy. Prim Care. 2019;46(4):493-503.
McIntosh SA, Hudson G, Jiang M, Palmer B, Potter S, Head MG, Cutress RI. Global funding for surgical research between 2016 and 2020: content analysis of public and philanthropic investments. Br J Surg. 2025;112(6): znaf089.
Capurro C, Martino AR, Chiappe GD, Merlino E, Laffi N. Oral surgery in paediatric dentistry: type of surgical treatment and age distribution in a Public Dental Service in Northern Italy. Eur J Paediatr Dent. 2020;21(1):35-38.
Campbell RL, Shetty NS, Shetty KS, Pope HL, Campbell JR. Pediatric Dental Surgery Under General Anesthesia: Uncooperative Children. Anesth Prog. 2018 Winter;65(4):225-230.
Becker C, Zumbrunn S, Beck K, Vincent A, Loretz N, Müller J, Amacher SA, Schaefert R, Hunziker S. Interventions to Improve Communication at Hospital Discharge and Rates of Readmission: A Systematic Review and Meta-analysis. JAMA Netw Open. 2021;4(8): e2119346.
Mikhaeil JS, Jalali H, Orchanian-Cheff A, Chartier LB. Quality Assurance Processes Ensuring Appropriate Follow-up of Test Results Pending at Discharge in Emergency Departments: A Systematic Review. Ann Emerg Med. 2020;76(5):659-674.
Skopec M, Issa H, Reed J, Harris M. The role of geographic bias in knowledge diffusion: a systematic review and narrative synthesis. Res Integr Peer Rev. 2020; 5:2.
Hess DR. Observational Studies. Respir Care. 2023;68(11):1585-1597
Aslam M. Chi-square test under indeterminacy: an application using pulse count data. BMC Med Res Methodol. 2021;21(1):201
McHugh ML. The chi-square test of independence. Biochem Med (Zagreb). 2013;23(2):143-9.
Nora CRD, Beghetto MG. Patient safety challenges in primary health care: a scoping review. Rev Bras Enferm. 2020;73(5):e20190209.
Sawin G, O'Connor N. Primary Care Transformation. Prim Care. 2019 Dec;46(4):549-560.
2Yan W. Technologies for Primary Health Care Help Meet Global Goals. IEEE Pulse. 2019;10(3):15-18.
Xuan X, Li Z, Chen X, Cao Y, Feng Z. Study of the Physical Environment of Waiting Areas and Its Effects on Patient Satisfaction, Experience, Perceived Waiting Time, and Behavior in China. HERD. 2021;14(3):108-123.
Bala R, Sargaiyan V, Rathi SA, Mankar SS, Jaiswal AK, Mankar SA. Mobile dental clinic for oral health services to underserved rural Indian communities. Bioinformation. 2023;19(13):1383-1387.
Kshirsagar M, Dodamani A, Pimpale S, Sachdev SS, Patil D, Ghadage M, Shetty U, Khobrekar H. Mobile Dental Clinics: Bringing Smiles on Wheels. Cureus. 2025;17(5):e83873.
Sierra-Ortega A, González-Aguña A, Fernández-Batalla M, Monsalvo-San Macario E, Gonzalo de Diego B, Jiménez-Rodríguez L, Santamaría-García JM. Community Vulnerability: Measuring the Health Situation of a Population After COVID-19 Through Electronic Health Record Indicators. Healthcare (Basel). 2025;13(1):68.
González R, Pinto L. Disponibilidad de pabellones y resolución quirúrgica en hospitales públicos de Chile. Rev Chil Salud Pública. 2021;25(2):45–52.
Hoffmann J, Dammann F, Troitzsch D, Krimmel M, Gülicher D, Reinert S. Intraoperative computer tomography control within the scope of maxillofacial traumatology using a mobile scanner. Biomed Tech (Berl). 2002;47(6):155- 158
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