The Hershey Access Clinic: A model for improving patient access

Anderson, Bryan; Marks, James G.; Downs, Erika; Buckel, Tamy; Adams, David R.; Enterline, Jonathan R.; Miller, Jeffrey J.

doi:10.1016/j.jaad.2007.03.041

Cited by 6 publications

(3 citation statements)

References 3 publications

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“…The demand for subspecialty evaluation in place of, or to complement, PCP evaluation is not unique (Anderson et al ., 2007; Martin et al ., 2009; Hsu et al ., 2012). For the Access Clinic, the involvement of local referring PCPs and subspecialists in the planning stages has been critical to aligning service delivery with demand.…”

Section: Discussionmentioning

confidence: 99%

Pediatrician preferences, local resources, and economic factors influence referral to a subspecialty access clinic

Guglielmo

Greenspan

Abatemarco

2016

Prim Health Care Res Dev

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Background Pediatric patients seek timely access to subspecialty care within a complex delivery system while facing barriers: distance, economics, and clinician shortages. Aim We examined stakeholder perceptions about solutions to the access challenge. We engaged over 300 referring primary care pediatricians in the evaluation of Access Clinics at an academic children’s hospital. Methods Using an anonymous online survey, we asked pediatricians about their and their patients’ experiences and analyzed factors that may influence referrals. Findings Referring pediatricians reported satisfaction; they provided feedback about their patients’ experiences, physician communication, and referral influences. Distance from the Access Clinic does not correlate with differences in referral volume; living in areas with higher child populations and higher median income is associated with more referrals. Referring pediatricians have strong opinions about referrals, are attuned to patient experiences, and desire bi-directional communication. Multiple factors influence referral to and acceptance of Access Clinics, but external influences have less impact than expected.

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Section: Discussionmentioning

confidence: 99%

Pediatrician preferences, local resources, and economic factors influence referral to a subspecialty access clinic

Guglielmo

Greenspan

Abatemarco

2016

Prim Health Care Res Dev

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“…These significant wait times result from excess demand for dermatology care relative to supply and from suboptimal resource allocation, such as unplanned appointment scheduling [5]. Strategies to improve care access include utilizing teledermatology [6][7][8], employing non-physician providers [9][10][11], and triaging patients [12][13][14][15].…”

Section: Introductionmentioning

confidence: 99%

Expediting patient appointments with dermatology rapid access clinics

Jayakumar¹,

Samimi²,

Vittorio³

et al. 2018

Dermatology Online Journal

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“…All of these strategies have demonstrated some efficacy in the literature; novel triage systems 15 and education programs for physician referrers 16 have successfully decreased wait times or increased the proportion of appropriate referrals for pigmented lesions, whereas dedicated urgent access clinics have also improved access among those at highest risk for melanoma. 17,18 In a recent retrospective review of 3036 patients with a history of melanoma, Einwachter-Thompson and Mackie 19 found a very low rate of death among patients with melanomas less than 0.5-mm thick, prompting those authors to advocate for a shift in dermatology resources for patients with thin melanomas from routine follow-up visits to rapid access visits, coupled with patient education so that they may know when to appropriately seek urgent care. To this end, we created an urgent access track (UAT) within the Massachusetts General Hospital (MGH) Melanoma and Pigmented Lesion Center (PLC).…”

mentioning

confidence: 99%