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Related Experiment Videos

Advanced access scheduling outcomes: a systematic review.

Katherine D Rose¹, Joseph S Ross, Leora I Horwitz

¹Brigham and Women's Hospital, Boston, Massachusetts, USA.

Archives of Internal Medicine

|April 27, 2011

Summary

This summary is machine-generated.

Advanced access scheduling improves wait times and reduces no-shows in primary care. However, its impact on patient satisfaction is mixed, with limited data on clinical outcomes.

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Area of Science:

Health Services Research
Primary Care Medicine
Healthcare Management

Background:

Advanced access scheduling, a patient-centered approach, is widely adopted in the UK, US Veterans Health Administration, and private practices.
This scheduling model prioritizes patient-driven appointment choices over prearranged slots.

Purpose of the Study:

To evaluate patient and practice outcomes following the implementation of advanced access scheduling in primary care settings.
To synthesize existing evidence on the effectiveness of advanced access scheduling.

Main Methods:

A comprehensive literature search was conducted across major electronic databases (MEDLINE, Scopus, Web of Science) up to August 2010.
Eligibility criteria included controlled and uncontrolled English-language studies on advanced access implementation in primary care, with data on specified outcomes.
Risk of bias was assessed by two independent reviewers using the Cochrane Effective Practice and Organisation of Care Group criteria.

Main Results:

Twenty-four studies met the eligibility criteria, with all studies exhibiting some risk of bias.
Eight studies reported reduced wait times for the third-next-available appointment, ranging from 1.1 to 32 days.
No-show rates improved only in practices with baseline rates exceeding 15%; patient satisfaction varied, and data on clinical outcomes were limited.

Conclusions:

Advanced access scheduling demonstrates benefits in reducing wait times and no-show rates.
The impact on patient satisfaction remains variable, and further research is needed regarding clinical outcomes and patient attrition.
Evidence suggests potential benefits but highlights areas requiring more investigation for comprehensive understanding.