ArticleJournal of primary care & community health
Concierge-Level Care for Underserved Communities: Not a Pipe Dream.
Article in Journal of primary care & community health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
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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
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionSt. Thomas (STCHC) has a long history of serving an urban, uninsured, and underinsured (Medicaid) population in the greater New Orleans area. Beginning in 2010, STCHC faced financial danger when Louisiana did not expand Medicaid coverage. Partnering with the nonprofit Institute for Healthcare Optimization (IHO), we increased patient throughput by balancing the clinic's resources between two modalities of care: urgent (same/next day) appointments in which patients were seen by whichever provider was available; and less urgent, in which patients saw their preferred PCP at the provider's availability. Assessing patient's appointment preferences was crucial in directing this innovation.
methodsWe analyzed 8913 appointments and patients' priorities between being cared for by a preferred provider or being seen on the same/next day. Appointment outcomes (i.e., occurred, no-show, canceled, or rescheduled) were matched to each preference group and no-show rates were calculated.
resultsWhen 80% to 90% of same-day requests were satisfied, the proportion of no-shows declined significantly, and patients' satisfaction with access to care reached 97%. Clinic appointment kept rate became 87% (95% CI [0.869975, 0.870025]).
conclusionsDisseminating these results nationwide would result in many lives and millions of dollars saved. Large-scale educational and implementation efforts are needed.
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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.