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Patient-Reported Perceptions and Barriers in Accessing Surgical Care in a Tertiary Healthcare Setting: A
Muhammad Aamir1, Adeel Aslam2, Nimra Muhammad Boota3
1Faculty of Pharmacy University of Lahore Lahore Punjab Pakistan.
Health Science Reports
|July 27, 2026
Summary
Many patients face barriers to surgical care in Pakistan. Key predictors of these barriers include gender, family history, education, employment, and marital status, highlighting the need for targeted interventions.
Area of Science:
- Global Health
- Surgical Care Access
- Health Equity
Background:
- Surgery is crucial for reducing morbidity and mortality.
- Access to surgical care is limited in low- and middle-income countries.
- Evidence from Pakistan's urban tertiary centers is scarce, hindering targeted interventions.
Purpose of the Study:
- To evaluate patient perceptions of surgical care.
- To identify barriers to accessing surgical services.
- To inform targeted interventions for improved surgical service utilization in Lahore, Pakistan.
Main Methods:
- Cross-sectional study conducted from January to June 2025.
- 607 surgical patients aged 18 years and above were enrolled via convenience sampling.
- Data collected using a validated, interview-administered questionnaire; analyzed with descriptive statistics, Chi-square, and logistic regression.
Main Results:
- A majority (58.3%) of patients reported significant barriers to surgical care.
- Males and those with a family history of surgery were more likely to report barriers.
- Graduates, employed individuals, and married participants reported fewer barriers.
Conclusions:
- Patient willingness for surgery is influenced by socio-cultural and economic factors.
- Proximity to care is insufficient without trust, quality, and positive experiences.
- Interventions should focus on patient education, hospital environment improvements, and culturally sensitive counseling.
