General fitness, health and nutrition · Public discussion

Advanced Access / Open Access

Started by Max · · Last activity · 2 posts · 633 views

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General fitness, health and nutrition
Published
8 May 2004
Last activity
11 May 2004
Original author
Max
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2
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  1. I don't know if this is the right group to post to but ...

    I was wondering if any physicians out there have had
    experience with the "Open Access" or "Advanced Access" model
    of seeing patients. That's where there really isn't a set
    schedule; patients just call up to come in that day if they
    need to come in.

    It's great for patients because it solves the problem of
    always having to wait weeks or months to get an appointment
    with their primary care doctor ... but how does it affect
    the doctors themselves? Do they spend their days dealing
    with much more acute stuff, chest pain, abdominal pain,
    people needing to be hospitalized, etc ... is it more
    stressful? Or do physicians like it better in general?

    My med group is thinking of implementing this system over
    the next several months and I just want to have an idea of
    whether people think this is going to be brutal.

    Thanks,

    MH

  2. (Max) said:

    I was wondering if any physicians out there have had
    experience with the "Open Access" or "Advanced Access"
    model of seeing patients.

    I'm not doing it yet, but I've done a lot of reading about
    it, and plan to implement it in the near future.

    Quoted message said:

    That's where there really isn't a set schedule; patients
    just call up to come in that day if they need to come in.

    Strictly speaking, this isn't always the case. Some
    appointments can be scheduled in advance if it's more
    convenient for the patient (e.g., physicals, follow-ups,
    etc.) Generally, you'll start the day with around 25% of
    your appointment slots filled, and the rest will be same-day
    appointments.

    Quoted message said:

    It's great for patients because it solves the problem of
    always having to wait weeks or months to get an
    appointment with their primary care doctor ... but how
    does it affect the doctors themselves?

    Every article I have read on the subject and every physician
    I've spoken with who has implemented open access has had
    nothing but positive things to say about it. The only
    downside is the need at the onset to work through your
    backlog of scheduled appointments, which may require working
    extra hours over a period of months. If you're opening a new
    office, it's a non-issue.

    Here are some good resources:

    aafp.org35theo.html
    ihi.orgaccess.asp
    mafp.orgpracticeoas.asp

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