ArticleJournal of general internal medicine2010
Improving clinical access and continuity through physician panel redesign.
Article in Journal of general internal medicine, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
12 citing papers in PubMed.
- Data in ambulatory care logistics: What modelers need and what practice can offer.Health care management science · 2025Article
- Connecting unattached patients to comprehensive primary care: a rapid review.Primary health care research & development · 2023Review
- Improving access to primary care: a mixed-methods approach studying a new review appointment system in a Scottish GP practice.BMJ open quality · 2021Article
- Alternative care providers in rheumatoid arthritis patient care: a queueing and simulation analysis.Health systems (Basingstoke, England) · 2021Article
- An analytics approach to designing patient centered medical homes.Health care management science · 2015Article
- Dynamic allocation of same-day requests in multi-physician primary care practices in the presence of prescheduled appointments.Health care management science · 2014Article
- A roadmap for designing a personalized search tool for individual healthcare providers.Journal of medical systems · 2014Article
- Resident physician perspectives on outpatient continuity of care.Journal of graduate medical education · 2013Article
- The impact of case mix on timely access to appointments in a primary care group practice.Health care management science · 2013Article
- The productivity and cost-efficiency of models for involving nurse practitioners in primary care: a perspective from queueing analysis.Health services research · 2012Article
- Determining Patient Panel Size in Primary Care: A Meta-Narrative Review.Journal of primary care & community healthReview
- Observational
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPopulation growth, an aging population and the increasing prevalence of chronic disease are projected to increase demand for primary care services in the United States.
objectiveUsing systems engineering methods, to re-design physician patient panels targeting optimal access and continuity of care.
designWe use computer simulation methods to design physician panels and model a practice's appointment system and capacity to provide clinical service. Baseline data were derived from a primary care group practice of 39 physicians with over 20,000 patients at the Mayo Clinic in Rochester, MN, for the years 2004-2006. Panel design specifically took into account panel size and case mix (based on age and gender). MEASURES: The primary outcome measures were patient waiting time and patient/clinician continuity. Continuity is defined as the inverse of the proportion of times patients are redirected to see a provider other than their primary care physician (PCP).
resultsThe optimized panel design decreases waiting time by 44% and increases continuity by 40% over baseline. The new panel design provides shorter waiting time and higher continuity over a wide range of practice panel sizes.
conclusionsRedesigning primary care physician panels can improve access to and continuity of care for patients.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.