Advanced access: more than just GP waiting times?

Advanced access: more than just GP waiting times?

BACKGROUND Advanced access has been forwarded as a strategy for reducing waiting times in primary care; however, previous evaluations have raised important issues regarding its appropriateness. OBJECTIVES The objectives of this paper are to assess the impact of advanced access on patient access to primary care services, and its broader effects on stakeholders. METHODS A quantitative analysi...

Reduced waiting times for the GP: two examples of "advanced access" in Australia.

"Advanced access" is a set of change principles for improved scheduling in office-based health care, widely applied in the United States and in the United Kingdom. Examination of advanced access in two Australian general practices indicates it is feasible in this country and may offer improvements in patient access to care, practice income and workplace conditions. Rigorous evaluations of advan...

More Than Just Access: Delivering on a Network-Enabled Literature

By any measure it has been a huge year for the open-access movement. At the beginning of the year, it looked possible that the public access policy of the US National Institutes of Health (NIH) might be rolled back by the Research Works Act, a legislative attempt supported by Elsevier and the Association of American Publishers to make such policies illegal [1]. But as we move towards year’s end...

Arteriovenous access failure: more than just intimal hyperplasia?

Haemodialysis vascular access patency is severely compromised by fistula non-maturation and access stenosis. Intimal hyperplasia (IH) is considered the culprit lesion in failed fistulas, resulting in luminal narrowing and stenosis. This review focuses on the biology and pathophysiology of fistula failure and highlights not only the classically associated IH but also some relatively neglected bu...

More than just vanilla.