ArticleCanadian family physician Medecin de famille canadien2010
Advanced access appointments: Effects on family physician satisfaction, physicians' office income, and emergency department use.
Article in Canadian family physician Medecin de famille canadien, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.
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
16 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Association of Advanced Access With Primary Care Performance: A Systematic Review.Annals of family medicine · 2026Pooled it
- Non-emergency department interventions to reduce ED utilization: a systematic review.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2013Pooled it
- Reflective Tool on Advanced Access to Support Primary Healthcare Teams: Development and Validation of an Online Questionnaire.Journal of evaluation in clinical practice · 2025Article
- Advanced Access in Primary Healthcare and Its Effects on Emergency Department Utilization: A Rapid Review.Healthcare (Basel, Switzerland) · 2025Review
- Perception of the compatibility of Quebec residency program characteristics with the advanced access model: a cross-sectional study.BMC primary care · 2024Article
- Impact of externally facilitated continuous quality improvement cohorts on Advanced Access to support primary healthcare teams: protocol for a quasi-randomized cluster trial.BMC primary care · 2023Article
- Association between access to primary care and unplanned emergency department return visits among patients 75 years and older.Canadian family physician Medecin de famille canadien · 2022Article
- Article
- Interprofessional advanced access - a quality improvement protocol for expanding access to primary care services.BMC health services research · 2021Article
- Advanced Access scheduling in general practice and use of primary care: a Danish population-based matched cohort study.BJGP open · 2020Article
- Evaluation of the implementation and associated effects of advanced access in university family medicine groups: a study protocol.BMC family practice · 2020Article
- Scheduling models and primary health care quality: a multilevel and cross-sectional study.Revista de saude publica · 2019Article
- Snapshot of the primary care waiting room: Informing practice redesign to align with the Patient's Medical Home model.Canadian family physician Medecin de famille canadien · 2018Article
- What Are the Factors Influencing Implementation of Advanced Access in Family Medicine Units? A Cross-Case Comparison of Four Early Adopters in Quebec.International journal of family medicine · 2017Article
- Article
- All my possessions for a moment of time.Canadian family physician Medecin de famille canadien · 2010Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo examine the effects of advanced access (same-day physician appointments) on patient and provider satisfaction and to determine its association with other variables such as physician income and patient emergency department use.
designPatient satisfaction survey and semistructured interviews with physicians and support staff; analysis of physician medical insurance billings and patient emergency department visits.
settingCape Breton, NS.
participantsPatients, physicians, and support staff of 3 comparable family physician practices that had not implemented advanced access and an established advanced access practice.
main outcome measuresSelf-reported provider and patient satisfaction, physician office income, and patients' emergency department use.
resultsThe key benefits of implementation of advanced access were an increase in provider and patient satisfaction levels, same or greater physician office income, and fewer less urgent (triage level 4) and nonurgent (triage level 5) emergency department visits by patients.
conclusionCurrently within the Central Cape Breton Region, 33% of patients wait 4 or more days for urgent appointments. Findings from this study can be used to enhance primary care physician practice redesign. This research supports many benefits of transitioning to an advanced access model of patient booking.
Indexed as
Identifiers
20944024PMC2954100What 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.