Daren R. Anderson, MD
Potential Financial Conflicts of Interest: None disclosed.
Anderson D.; Evaluating Open Access: Problems with the Program or the Studies?. Ann Intern Med. 2008;149:909-910. doi: 10.7326/0003-4819-149-12-200812160-00014
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Published: Ann Intern Med. 2008;149(12):909-910.
TO THE EDITOR:
By claiming that their study calls into question the benefits of advanced access, Mehrotra and colleagues (1) have misinterpreted and misconstrued their findings. What they have in fact demonstrated is simply that if a practice attempts to implement advanced access and fails, it will not realize any of the well-documented benefits of the system. Although reduction in third-next-available appointments for both “short” and “long” appointments is an improvement, it is in no way sufficient to claim that “advanced access” has been achieved. It is therefore no wonder that neither no-show rates nor staff and patient satisfaction improved substantially.
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