Improving Access to Radiotherapy Services in Gauteng: Quantitative Analysis of Key Time Intervals from Diagnosis to Treatment

Portia N. Ramashia (), Pauline B. Nkosi and Thokozani P. Mbonane
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Portia N. Ramashia: Department of Medical Imaging & Radiation Sciences, Faculty of Health Sciences, University of Johannesburg, Johannesburg 2000, South Africa
Pauline B. Nkosi: Faculty of Health Sciences, Durban University of Technology, Durban 4000, South Africa
Thokozani P. Mbonane: Department of Environmental Health, Faculty of Health Sciences, University of Johannesburg, Johannesburg 2000, South Africa

IJERPH, 2025, vol. 22, issue 4, 1-14

Abstract: Background: Timely access to radiotherapy is crucial for optimal cancer treatment outcomes, as delays in receiving treatment can lead to disease progression and decreased chances of survival. Healthcare systems need to prioritise efficient scheduling and coordination of radiotherapy services to ensure patients receive timely care. This study aims to quantitatively analyse the key time intervals in the cancer care continuum, specifically from diagnosis to the start of radiotherapy treatment in Gauteng. Methods: Data from 800 patients treated between January and December 2023 were analysed using a retrospective analysis of patient records from the two public radiotherapy centres in Gauteng Province, one in Johannesburg and the other in Pretoria, focusing on key time intervals in the cancer care continuum. The durations from diagnosis to the commencement of radiotherapy were analysed. Results: The mean duration of the first consultation was 8.32 months, highlighting significant delays in accessing specialised care. This finding is further supported by the average time until a Computed Tomography (CT) simulation, which was 13.38 months, highlighting a considerable delay in treatment planning. Conclusion: This study highlights systemic delays in the Gauteng radiotherapy pathway, highlighting the need for optimisation of referral processes, resource constraints, and strategies to improve cancer care.

Keywords: access to care; cancer care continuum; healthcare system; public health; radiotherapy; South Africa; time intervals; treatment delay; treatment planning; waiting times (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2025
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