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Letters |16 December 2008

Evaluating Open Access: Problems with the Program or the Studies?

Arthur L. Kellermann, MD, MPH

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Potential Financial Conflicts of Interest: None disclosed.
  • From Emory University School of Medicine, Atlanta, GA 30322.
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Potential Financial Conflicts of Interest: None disclosed.
TO THE EDITOR:
Kudos to Mehrotra and colleagues (1) for their effort to implement and evaluate open-access scheduling of visits to 6 Boston-area primary care practices. Unfortunately, because the authors didn't come close to achieving their goal of same-day access, it is difficult to draw meaningful conclusions from their findings. Few patients with an acute problem are likely to consider an 8-day wait for a 15-minute appointment to be a meaningful improvement. But evidently, that was the best these practices could do.
When a patient with a physically uncomfortable or worrisome problem cannot...
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Kellermann AL. Evaluating Open Access: Problems with the Program or the Studies?. Ann Intern Med. 2008;149:910–911. doi: 10.7326/0003-4819-149-12-200812160-00016

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Published: Ann Intern Med. 2008;149(12):910-911.

DOI: 10.7326/0003-4819-149-12-200812160-00016

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