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Specialized Care Centers and Settings-II01:30

Specialized Care Centers and Settings-II

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Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
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Updated: Jun 4, 2026

Establishment of a Clinic-based Biorepository
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Establishment of a Clinic-based Biorepository

Published on: May 29, 2017

Enhancing Access in Academic Medical Centers Through Incentive-Based Evening and Weekend Clinics.

Debbie A Aizenberg1, Satyan Lakshminrusimha, Susan Murin

  • 1Author Affiliations: Department of Otolaryngology, Head & Neck Surgery, Chief Medical Officer, Ambulatory Care Division, Chief Physician Executive, UC Davis Medical Group, UC Davis Health, Sacramento, California (Dr Aizenberg); Department of Pediatrics, UC Davis Health, Sacramento, California (Dr Lakshminrusimha); Department of Internal Medicine and Dean, UC Davis Health, Sacramento, California (Dr Murin); Ambulatory Analytics, Ambulatory Care Division, UC Davis Health, Sacramento, California (Ms Button); Department of Surgery, Chief Clinical Officer and Interim Vice Chancellor, UC Davis Health, Sacramento, California (Dr Hall); and Department of Anesthesiology, Westchester Medical Center Health Network, Valhalla, New York (Dr Lubarsky).

The Journal of Ambulatory Care Management
|June 2, 2026
PubMed
Summary
This summary is machine-generated.

Academic medical centers can improve patient access by extending clinic hours. UC Davis Health’s Access Plus program reduced wait times by 21 days for new patients, demonstrating a successful model for enhanced ambulatory care.

Keywords:
accessambulatory carepatient satisfactionphysician incentiveswait timesweekend clinics

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Area of Science:

  • Healthcare Management
  • Ambulatory Care Services
  • Physician Workforce Wellness

Background:

  • Academic medical centers face significant challenges in providing timely ambulatory care access.
  • Extended clinic hours are crucial for meeting patient demand and improving healthcare delivery.
  • Physician work-life balance is a key consideration in healthcare operational models.

Purpose of the Study:

  • To evaluate the impact of the Access Plus program on patient wait times and physician engagement.
  • To assess the financial viability and downstream revenue generation of extended ambulatory care hours.
  • To determine the feasibility of balancing physician preferences with organizational goals for improved patient access.

Main Methods:

  • Implementation of the Access Plus program, offering extended evening and weekend hours for physicians with enhanced compensation.
  • Targeting new patient appointments and UC Davis Health employees/families for expanded access.
  • Strategic focus on physician and employee support to drive initiative adoption and success.

Main Results:

  • A median reduction of 21 days in wait times for new patients was achieved.
  • 17.3% of eligible physicians (138 out of 800) participated in the program.
  • The program generated $13.3 million in total contribution margin, despite being cost-neutral initially.

Conclusions:

  • Well-designed programs can successfully extend traditional operating hours in academic health systems.
  • Balancing physician preferences with organizational goals enhances patient access and physician acceptance.
  • This model provides a scalable approach for other health systems to improve ambulatory care delivery and workforce engagement.