ArticleAtencion primaria2026
[Impact of the Healthcare Triad Model on Primary Care accessibility: a quasi-experimental before-and-after study].
Article in Atencion primaria, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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4 authors.
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Abstract
objectiveTo assess the impact of the Healthcare Triad Model (HTM) on Primary Care accessibility by analyzing changes in Average Response Time (ART).
designMulticenter, retrospective, quasi-experimental before-and-after study.
settingThree primary care centers within the Jerez, Costa Noroeste and Sierra de Cádiz Health Management Area (Andalusia, Spain).
participantsThirty physicians with continuous clinical activity throughout the study period. Data from the two months before and two months after implementation were analyzed, excluding the rollout phase and summer months.
interventionsImplementation of the Healthcare Triad Model, which integrates family physicians, nurses, and citizen care units to reorganize care demand management.
main outcome measureAverage Response Time (ART), defined as the number of days until a scheduled medical appointment.
resultsMedian ART decreased from 8.93 to 4.61 days, representing a median relative reduction of 39.5% (interquartile range [IQR]: 31.1-55.3; p <0.0001). Improvement was observed in 28 of 30 physicians. Multivariable analysis showed no significant associations between ART reduction and individual professional or workload characteristics.
conclusionsThe Healthcare Triad Model significantly improves Primary Care accessibility through organizational redesign, independently of individual professional factors.
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