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Appointment zen - shaping demand and matching capacity.

Andrew Knight1, Tony Lembke

  • 1MBBS, MMedSci (ClinEpid), FRACGP, is Chair, Expert Reference Panel on Access, The Australian Primary Care Collaborative, The Improvement Foundation, Adelaide, South Australia, a general practitioner, Katoomba, and Conjoint Senior Lecturer, The Fairfield General Practice Unit, NSW.

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Summary

General practices can improve patient care and financial viability by actively managing appointment systems. This involves predicting and shaping patient demand to match practice capacity, reducing wait times and enhancing satisfaction.

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Area of Science:

  • Primary Care Management
  • Health Services Research

Background:

  • Lessons learned from a decade of the Australian Primary Care Collaboratives program.
  • Experience with hundreds of general practices informs appointment system improvements.

Purpose of the Study:

  • To describe methods for general practitioners to actively manage appointment systems.
  • To demonstrate how managing appointments can reduce waiting times and delays.
  • To improve patient care, quality of life for practitioners, and practice financial viability.

Main Methods:

  • Actively managing practice appointment systems.
  • Shaping patient demand by influencing appointment scheduling.
  • Adjusting daily appointment numbers and team capacity.
  • Implementing contingency plans for capacity fluctuations.

Main Results:

  • Reduced waiting times and delays for patients.
  • Improved quality of patient care.
  • Enhanced quality of life for general practitioners.
  • Improved practice financial viability.

Conclusions:

  • Patient demand is finite and predictable, and can be shaped.
  • Matching daily appointment numbers and team capacity to demand is achievable.
  • Contingency planning prevents appointment backlogs.
  • Continuous monitoring of demand and capacity management ensures smooth patient flow, good care, and improved satisfaction.