title: A method to improve patient access in urological practice.
abstract: OBJECTIVE
  Studies to improve patient access to care have generally involved office based primary care practices or highly managed systems. Surgical practices differ in their referral nature, the common need for imaging at the first appointment and the need to schedule subsequent surgical procedures. We determined whether new patient access to care can be improved in a surgical practice.
  
  
  METHODS
  To reduce new patient appointment wait times to a goal of 5 working days (1 week), a 12-week transition period into a new scheduling approach was designed. At the next clinic with open slots (9 weeks away) 10% of the appointments were held open until the week before for new patient visits. For each of the following 4 weeks 10% additional appointments were held open each week until 50% were being reserved. These slots were not available until 1 week before the clinic date and then were only open for new patients calling to make an appointment.
  
  
  RESULTS
  Appointment delay times improved significantly and this improvement has been durable for 2 years. Interestingly our no show rate did not change.
  
  
  CONCLUSIONS
  A surgical office with long new patient appointment wait times can improve access to clinic consultations by implementing this system.
authors.affiliation: Department of Pediatric Urology, Primary Children's Medical Center, Salt Lake City, Utah, USA.
authors.forename: Brent W
authors.initials: BW
authors.lastname: Snow
authors.forename: Patrick C
authors.initials: PC
authors.lastname: Cartwright
authors.forename: Scott
authors.initials: S
authors.lastname: Everitt
authors.forename: Melinda
authors.initials: M
authors.lastname: Ekins
authors.forename: Willow
authors.initials: W
authors.lastname: Maudsley
authors.forename: Susan
authors.initials: S
authors.lastname: Aloi
mesh_terms: D001071:Appointments and Schedules; D002648:Child; D006297:Health Services Accessibility / Q000592:standards*; D006801:Humans; D013997:Time Factors; D014572:Urology