title: The use of open-access scheduling for the elderly.
abstract: Open-access scheduling is a method of reducing both waits in access to care and the number of appointments missed by outpatients. The Department of Veterans Affairs has pioneered a system that includes a feature known as advanced clinic access as a quality improvement project to improve access to care. Patients are not scheduled for an appointment more than 30 days in advance but instead are reminded 30 days before anticipated appointments to call to be scheduled. Same-day appointments are also available. Although this system may pose theoretical disadvantages for the elderly, in Miami no significant reduction occurred in numbers of patients seen, and the number of missed appointments decreased significantly.
authors.affiliation: Geriatrics Clinic, Miami VA Medical Center, FL, USA. evan.cherniack@med.va.gov
authors.forename: E Paul
authors.initials: EP
authors.lastname: Cherniack
authors.forename: Lauran
authors.initials: L
authors.lastname: Sandals
authors.forename: Delanne
authors.initials: D
authors.lastname: Gillespie
authors.forename: Elba
authors.initials: E
authors.lastname: Maymi
authors.forename: Enrique
authors.initials: E
authors.lastname: Aguilar
mesh_terms: D000368:Aged; D001071:Appointments and Schedules; D005431:Florida; D006297:Health Services Accessibility; D006299:Health Services for the Aged / Q000458:organization & administration*; D006801:Humans; D017146:Models, Organizational; D017010:Reminder Systems; D013997:Time Factors; D014481:United States; D014493:United States Department of Veterans Affairs; D014728:Veterans