SynthesisJournal of general internal medicine2020
Eight Priorities for Improving Primary Care Access Management in Healthcare Organizations: Results of a Modified Delphi Stakeholder Panel.
Synthesis in Journal of general internal medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed.
- Validation of a questionnaire to assess complexity of palliative care needs in primary care in Malaga, Spain: a study protocol.BMJ open · 2025Article
- Caring for high-need patients.BMC health services research · 2023Article
- Associations Between Primary Care Providers and Staff-Reported Access Management Challenges and Patient Perceptions of Access.Journal of general internal medicine · 2023Article
- Learning from national implementation of the Veterans Affairs Clinical Resource Hub (CRH) program for improving access to care: protocol for a six year evaluation.BMC health services research · 2023Article
- Are Family Medicine Clinics Improving Access to Care through Organizational Changes Driven by Healthcare Reform?Healthcare policy = Politiques de sante · 2022Observational
- The Unrecognized Role of VA Call Center and Primary Care Clerical Staff in Assisting Patients with Obtaining Needed Care.Journal of general internal medicine · 2022Article
- Association between care coordination tasks with non-VA community care and VA PCP burnout: an analysis of a national, cross-sectional survey.BMC health services research · 2021Article
- Accelerating Implementation of Virtual Care in an Integrated Health Care System: Future Research and Operations Priorities.Journal of general internal medicine · 2021Article
- Scalable Model for Delivery of Inpatient Palliative Care During a Pandemic.The American journal of hospice & palliative care · 2021Article
- Semantic adaptation of the Global Psychotrauma Screen for children and adolescents in the United States.European journal of psychotraumatology · 2021Article
- Ease and equity of access to free DR-TB services in Nigeria- a qualitative analysis of policies, structures and processes.International journal for equity in health · 2020Article
- "Palliative Pandemic Plan," Triage and Symptoms Algorithm as a Strategy to Decrease Providers' Exposure, While Trying to Increase Teams Availability and Guidance for Goals of Care (GOC) and Symptoms Control.The American journal of hospice & palliative care · 2020Article
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo identify priorities for improving healthcare organization management of patient access to primary care based on prior evidence and a stakeholder panel.
backgroundStudies on healthcare access show its importance for ensuring population health. Few studies show how healthcare organizations can improve access.
methodsWe conducted a modified Delphi stakeholder panel anchored by a systematic review. Panelists (N = 20) represented diverse stakeholder groups including patients, providers, policy makers, purchasers, and payers of healthcare services, predominantly from the Veterans Health Administration. A pre-panel survey addressed over 80 aspects of healthcare organization management of access, including defining access management. Panelists discussed survey-based ratings during a 2-day in-person meeting and re-voted afterward. A second panel process focused on each final priority and developed recommendations and suggestions for implementation.
resultsThe panel achieved consensus on definitions of optimal access and access management on eight urgent and important priorities for guiding access management improvement, and on 1-3 recommendations per priority. Each recommendation is supported by referenced, panel-approved suggestions for implementation. Priorities address two organizational structure targets (interdisciplinary primary care site leadership; clearly identified group practice management structure); four process improvements (patient telephone access management; contingency staffing; nurse management of demand through care coordination; proactive demand management by optimizing provider visit schedules), and two outcomes (quality of patients' experiences of access; provider and staff morale). Recommendations and suggestions for implementation, including literature references, are summarized in a panelist-approved, ready-to-use tool.
conclusionsA stakeholder panel informed by a pre-panel systematic review identified eight action-oriented priorities for improving access and recommendations for implementing each priority. The resulting tool is suitable for guiding the VA and other integrated healthcare delivery organizations in assessing and initiating improvements in access management, and for supporting continued research.
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