SynthesisAnnals of family medicine2026
Association of Advanced Access With Primary Care Performance: A Systematic Review.
Synthesis in Annals of family medicine, 2026. 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
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.
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Who cites it
0 citing papers in PubMed.
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Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTimely access to primary care remains a major challenge. Advanced access, an organizational model for appointment management, aims to improve accessibility by allowing patients to consult their health care professional in a timely manner. This systematic review evaluated its association with several key dimensions of primary care performance.
methodsWe conducted a comprehensive search in MEDLINE, Embase, Web of Science, CINAHL, and the Cochrane Library from inception to May 10, 2025. Randomized intervention studies, nonrandomized intervention studies, and observational studies comparing advanced access with traditional scheduling systems among patients in primary care were eligible. Outcomes were the wait time to an appointment, continuity of care, emergency department (ED) use, and patient satisfaction. Two independent reviewers selected studies, extracted data, and assessed risk of bias. We performed a narrative synthesis, separately analyzing universal and non-universal health care systems.
resultsAmong 7,595 unique records identified, 29 studies were included. Of these, 23 evaluated appointment wait time, 13 examined continuity of care, 3 assessed ED use, and 13 evaluated patient satisfaction. Appointment wait time decreased in all 23 studies assessing this outcome, with 13 reporting statistically significant reductions. Continuity of care improved in 11 of 13 studies, of which 7 reported statistically significant improvements. All 3 studies evaluating ED use reported reductions in ED visits, although none demonstrated statistical significance. Patient satisfaction improved in 8 studies, with 3 reporting statistically significant improvements. Overall, findings were consistent across universal and non-universal health care systems.
conclusionsAdvanced access appears to improve appointment timeliness, continuity of care, and patient satisfaction, and may help reduce avoidable ED use across diverse health care systems.
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