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Evaluating Open Access: Problems with the Program or the Studies?
- Ateev Mehrotra, MD, MPH;
- Lori Keehl-Markowitz, RN, BSN; and
- John Z. Ayanian, MD, MPP
- From the University of Pittsburgh School of Medicine, Pittsburgh, PA 15213; Crocheted Mountain Rehabilitation Hospital, Greenfield, NH 03047; and Harvard Medical School, Boston, MA 02115.
IN RESPONSE:
Dr. Murray and Dr. Anderson question the implementation of open access described in our article and raise concerns about whether supply and demand were adequately assessed. In fact, the participating practices used all 3 measures that Dr. Murray recommends, but panel size, as he has noted, has limited utility in predicting demand (1). On the basis of these 3 measures, the practice leaders judged that supply and demand were in balance at the start of implementation. As detailed in our article, the loss of providers threw …
