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Where an inability to deliver timely healthcare results, the frustration of parents often leads to aggression towards healthcare professionals working on the frontlines. This report analyses the connection between late presentations, systemic issues with resources and insecurity of healthcare workers.<\/jats:p>","DOI":"10.1177\/00494755261489896","type":"journal-article","created":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T13:59:04Z","timestamp":1789826344000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["The cost of delay: Tackling late referrals, public sector overburden and workplace violence in tropical paediatric hospitals"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9600-0667","authenticated-orcid":false,"given":"Shahid Akhtar","family":"Siddiqui","sequence":"first","affiliation":[{"name":"Assistant Professor, Department of Pediatrics, Moti Lal Nehru Medical College, Prayagraj, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rajesh Kumar","family":"Yadav","sequence":"additional","affiliation":[{"name":"Associate Professor, Department of Pediatrics, Moti Lal Nehru Medical College, Prayagraj, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8885-0015","authenticated-orcid":false,"given":"Anubha","family":"Shrivastava","sequence":"additional","affiliation":[{"name":"Professor and Ex Head, Department of Pediatrics, Moti Lal Nehru Medical College, Prayagraj, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9239-4358","authenticated-orcid":false,"given":"Manisha","family":"Maurya","sequence":"additional","affiliation":[{"name":"Professor and Head, Department of Pediatrics, Moti Lal Nehru Medical College, Prayagraj, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,9,19]]},"reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0291387"},{"key":"e_1_3_4_3_2","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2026.1653005"},{"key":"e_1_3_4_4_2","doi-asserted-by":"publisher","DOI":"10.1177\/30502225251336861"},{"key":"e_1_3_4_5_2","doi-asserted-by":"publisher","DOI":"10.1002\/clc.70352"},{"key":"e_1_3_4_6_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12887-024-04940-7"},{"key":"e_1_3_4_7_2","doi-asserted-by":"publisher","DOI":"10.1097\/PCC.0000000000003210"},{"key":"e_1_3_4_8_2","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.70286"},{"key":"e_1_3_4_9_2","doi-asserted-by":"publisher","DOI":"10.4103\/ipj.ipj_79_20"},{"key":"e_1_3_4_10_2","doi-asserted-by":"publisher","DOI":"10.4103\/ipj.ipj_79_20"},{"key":"e_1_3_4_11_2","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph18052603"},{"key":"e_1_3_4_12_2","doi-asserted-by":"publisher","DOI":"10.1177\/00494755241239995"},{"key":"e_1_3_4_13_2","doi-asserted-by":"publisher","DOI":"10.1177\/00494755241232175"},{"key":"e_1_3_4_14_2","doi-asserted-by":"publisher","DOI":"10.1177\/00494755211010005"}],"container-title":["Tropical Doctor"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00494755261489896","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/00494755261489896","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00494755261489896","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T17:18:54Z","timestamp":1790097534000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/00494755261489896"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,19]]},"references-count":13,"alternative-id":["10.1177\/00494755261489896"],"URL":"https:\/\/doi.org\/10.1177\/00494755261489896","relation":{},"ISSN":["0049-4755","1758-1133"],"issn-type":[{"value":"0049-4755","type":"print"},{"value":"1758-1133","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,19]]},"article-number":"00494755261489896"}}