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Evaluating Open Access: Problems with the Program or the Studies?
TO THE EDITOR:
I had the opportunity to read the article by Mehrotra and colleagues (1). As one of the authors commonly cited in the article's references section, I feel qualified to comment. Although I applaud the efforts of the practices to make fundamental changes in the way they operate, to make a systematic approach to improvements, and to explore change over time, this investigation contains serious and fundamental flaws. First, my co-authors and I have emphasized that the fundamental dynamic in appointment scheduling is the necessity of balancing or matching patient demand with practice appointment supply or capacity. The first principle in improvement in this field is to fully understand, measure, and achieve a balance between demand and supply. If demand exceeds supply, no system …
