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Time to address disparities in care by appointment time
Allison H Oakes1, Mitesh S Patel1
1Crescenz Veterans Affairs Medical Center, Philadelphia, PA, USA; Penn Medicine Nudge Unit, University of Pennsylvania, Philadelphia, PA, USA.
Healthcare (Amsterdam, Netherlands)
|December 18, 2020
Summary
Quality of care declines as the day progresses. This study proposes solutions to ensure patients receive consistent, high-quality primary care, regardless of appointment time, benefiting the healthcare system.
Area of Science:
- Healthcare Management
- Clinical Operations
- Patient Care Quality
Background:
- Healthcare quality is not uniform throughout the day.
- Late-day appointments often receive suboptimal care compared to early appointments.
- This disparity has significant clinical and economic consequences.
Purpose of the Study:
- To identify and propose solutions for declining quality of care over the course of the day.
- To ensure consistent primary care for all patients, irrespective of appointment timing.
- To improve clinical decision-making throughout the day.
Main Methods:
- The study outlines feasible, near-term solutions.
- Focuses on practical strategies for clinicians and patients.
- Draws on existing healthcare system challenges.
Main Results:
- Proposed solutions aim to standardize care quality.
- Strategies are designed for immediate implementation.
- The insights are adaptable to various healthcare settings.
Conclusions:
- Addressing the diurnal variation in care quality is crucial.
- Implementing proposed solutions can lead to consistently better primary care.
- These findings have broader implications for healthcare delivery efficiency and patient outcomes.
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