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Redefining open access to primary care.

M Murray1, C Tantau

  • 1Permanente Medical Group, Chicago Park, CA, USA.

Managed Care Quarterly
|January 6, 2000
PubMed
Summary
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Rethinking healthcare access, this study proposes a patient-centered definition focusing on provider and timing choice. It details a successful Second Generation Open Access system that enhances satisfaction and efficiency.

Area of Science:

  • Health Services Research
  • Healthcare Management
  • Patient Access to Care

Background:

  • The definition of healthcare access has evolved, becoming a significant market and clinical issue.
  • Traditional clinical definitions of access are increasingly insufficient for current healthcare demands.

Purpose of the Study:

  • To propose a patient-centered definition of healthcare access.
  • To analyze different healthcare access systems and identify the most effective model.

Main Methods:

  • Literature review and analysis of healthcare access concepts.
  • Development and description of a model for analyzing access systems.
  • Detailed examination of a "Second Generation Open Access" system.

Main Results:

Related Experiment Videos

  • Identified three major types of access systems with varying strengths and weaknesses.
  • The "Second Generation Open Access" system demonstrated superior performance.
  • This system provides same-day appointments, improves primary care physician (PCP) matching, reduces utilization, and boosts satisfaction.

Conclusions:

  • A patient-centric definition of access is crucial for modern healthcare.
  • The "Second Generation Open Access" model offers a successful framework for improving healthcare delivery and patient experience.