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Methods of Documentation VI: Case Management Model01:15

Methods of Documentation VI: Case Management Model

The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
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In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
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Documentation in Long-Term and Home Healthcare Setting

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Long-Term Care Facilities
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Related Experiment Videos

Association of Advanced Access With Primary Care Performance: A Systematic Review.

Judicaël Adadja1,2, Simon Lafrance1,2, Janyce Gnanvi1,2

  • 1Axe Santé des Populations et Pratiques Optimales en Santé, Centre de Recherche du CHU de Québec-Université Laval, Québec City, Québec, Canada.

Annals of Family Medicine
|May 26, 2026
PubMed
Summary

Advanced access scheduling improves primary care by reducing wait times and enhancing patient satisfaction. This model also shows potential for decreasing emergency department visits and improving continuity of care.

Keywords:
advanced accessappointments and schedulescontinuity of patient caredelivery of health careemergency department useemergency service, hospitalhealth servicesoffice visitsorganizational changepatient satisfactionpractice managementprimary health caresame-day caresystematic reviewwaiting listswaiting time

Related Experiment Videos

Area of Science:

  • Health Services Research
  • Primary Care Management
  • Healthcare System Performance

Background:

  • Timely access to primary care is a persistent challenge.
  • Advanced access is an organizational model designed to improve appointment accessibility.
  • This review examines the impact of advanced access on key primary care performance metrics.

Purpose of the Study:

  • To systematically review the association between advanced access and primary care performance.
  • To evaluate effects on appointment wait times, continuity of care, emergency department use, and patient satisfaction.

Main Methods:

  • Comprehensive literature search across multiple databases (MEDLINE, Embase, Web of Science, CINAHL, Cochrane Library) up to May 2025.
  • Inclusion of randomized, non-randomized, and observational studies comparing advanced access with traditional scheduling.
  • Data extraction and risk of bias assessment by two independent reviewers, with narrative synthesis.

Main Results:

  • Twenty-nine studies were included, assessing various outcomes.
  • Appointment wait times decreased in all 23 studies, with 13 showing significant reductions.
  • Continuity of care improved in 11/13 studies, and patient satisfaction in 8/13.
  • Reductions in emergency department use were observed in 3/3 studies, though not statistically significant.

Conclusions:

  • Advanced access scheduling demonstrates positive impacts on appointment timeliness.
  • The model appears to enhance continuity of care and patient satisfaction.
  • Advanced access may contribute to reducing avoidable emergency department utilization across different healthcare systems.