Evaluating Open Access: Problems with the Program or the Studies?
Authors: Ateev Mehrotra
Journal: Annals of Internal Medicine (2008)

LettersDecember 16, 2008Evaluating Open Access: Problems with the Program or the Studies?Ateev Mehrotra, MD, MPH, Lori Keehl-Markowitz, RN, BSN, and John Z. Ayanian, MD, MPPAteev Mehrotra, MD, MPHFrom the University of Pittsburgh School of Medicine, Pittsburgh, PA 15213; Crocheted Mountain Rehabilitation Hospital, Greenfield, NH 03047; and Harvard Medical School, Boston, MA 02115.Search for more papers by this author, Lori Keehl-Markowitz, RN, BSNFrom the University of Pittsburgh School of Medicine, Pittsburgh, PA 15213; Crocheted Mountain Rehabilitation Hospital, Greenfield, NH 03047; and Harvard Medical School, Boston, MA 02115.Search for more papers by this author, and John Z. Ayanian, MD, MPPFrom the University of Pittsburgh School of Medicine, Pittsburgh, PA 15213; Crocheted Mountain Rehabilitation Hospital, Greenfield, NH 03047; and Harvard Medical School, Boston, MA 02115.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-149-12-200812160-00017 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail 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 off the balance of supply and demand, leading to worsening access and ...References1. Murray M and Berwick DM. Advanced access: reducing waiting and delays in primary care. JAMA. 2003;289:1035-40. [PMID: 12597760] CrossrefMedlineGoogle Scholar2. Schoen C, Osborn R, Doty MM, Bishop M, Peugh J, and Murukutla N. Toward higher-performance health systems: adults' health care experiences in seven countries, 2007. Health Aff (Millwood). 2007;26:w717-34. [PMID: 17978360] CrossrefMedlineGoogle Scholar3. American Academy of Family Physicians, American Academy of Pediatrics, American College of Physicians, American Osteopathic Association. Joint Principles of the Patient-Centered Medical Home. February 2007. Accessed at www.aafp.org/online/etc/medialib/aafp_org/documents/policy/fed/jointprinciplespcmh0207.Par.0001.File.tmp/022107medicalhome.pdf on 4 November 2008. Google Scholar Author, Article, and Disclosure InformationAuthors: Ateev Mehrotra, MD, MPH; Lori Keehl-Markowitz, RN, BSN; John Z. Ayanian, MD, MPPAffiliations: 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.Disclosures: None disclosed. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoImplementing Open-Access Scheduling of Visits in Primary Care Practices: A Cautionary Tale Ateev Mehrotra , Lori Keehl-Markowitz , and John Z. Ayanian Evaluating Open Access: Problems with the Program or the Studies? Mark F. Murray Evaluating Open Access: Problems with the Program or the Studies? Chris Salisbury Evaluating Open Access: Problems with the Program or the Studies? Daren R. Anderson Evaluating Open Access: Problems with the Program or the Studies? Arthur L. Kellermann Metrics December 16, 2008Volume 149, Issue 12Page: 911KeywordsForecastingHealth carePrimary careReproducibility ePublished: 16 December 2008 Issue Published: December 16, 2008 Copyright & PermissionsCopyright © 2008 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...