Evaluating Open Access: Problems with the Program or the Studies?

  1. Chris Salisbury, MD
  1. From the University of Bristol, Bristol, BS8 2AA, United Kingdom.

    TO THE EDITOR:

    Mehrotra and colleagues (1) describe the difficulties experienced by 6 primary care practices in Boston seeking to implement open-access scheduling. In England, practices have been strongly encouraged to implement advanced access (based on open-access scheduling) after the positive experiences reported by Murray and Berwick (2) in the United States. Practices were given financial incentives to offer people an appointment within 48 hours. A primary care collaborative was established, and “access facilitators” were used in each local area to help practices work together to introduce …

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