BACKGROUND General practices in England have been encouraged to introduce Advanced Access, but there is no robust evidence that this is associated with improved access in ways that matter to patients. AIM To compare priorities and experiences of patients consulting in practices which do or do not operate Advanced Access. DESIGN OF STUDY Patient questionnaire survey. SETTING Forty-seven pr...

OBJECTIVE Broken appointments cause adverse outcomes in healthcare systems: They interrupt continuity of care, waste resources, affect workflow, and reduce population-wide access to care. A better understanding of dental appointment-keeping behavior would support efforts toward designing novel interventions aimed at reducing rates of broken appointments. METHODS The authors conducted a concep...

This paper outlines, utilises and reflects upon effective software design development through effectively applying current practical solutions such as use case modelling, class sequence diagrams by developing a prototype program which the designs from said diagrams. A discussion is presented regarding best method of approaching Software Development Life Cycle (SDLC), justifying selection also c...

The Academy of Emergency Medicine and Care is one the more than 20 scientific societies promoting 3rd National Congress Emergency/Urgency (CEU2023), planned in Florence from March 30th to April 1st.1
 This will be a fundamental appointment for update on all clinical organizing aspects Italian emergency system. More that 2500 people participated CEU2023 meeting courses with possibility atte...

AIM To attempt to assess demand for access to sexual health services in a community where a "closed" appointment system operates in the local genitourinary medicine (GUM) clinic. SETTING A large GUM clinic serving a provincial city in England. Appointments for new episodes are available only 1 or 2 days ahead. Service user complaints about repeated difficulty in getting through to book a visi...

To test the efficiency of a flexible appointments system patients seeing one of the partners in a semirural dispensing practice were asked to choose whether they wanted appointments lasting five, 10, or 15 minutes. After seeing the doctor they were asked to fill in a questionnaire that asked, among other questions, how long an appointment they had booked, whether they had felt rushed, whether t...

OBJECTIVE To study the effects of using a population-based informatics system for osteoporosis screening and treatment in women aged 65 years or older. DESIGN A population-based informatics system (PRECARES: PREventive CAre REminder System) was implemented to meet the needs of the workflow of a primary care practice. Patients treated in either of two sections of a primary care internal medici...

BACKGROUND The 'Choose and Book' system provides an online booking service which primary care professionals can book in real time or soon after a patient's consultation. It aims to offer patients choice and improve outpatient clinic attendance rates. OBJECTIVE An audit comparing attendance rates of new patients booked into the Audiological Medicine Clinic using the 'Choose and Book' system wi...

INTRODUCTION The aim of this study was to evaluate and describe the three-stage triage method used in a child and adolescent psychiatry outpatient clinic. METHOD The study investigated the new allocation process of 1482 children and adolescents who were assessed using this triage system for the duration of one year, in the year 2005. Data of 1423 children and adolescents who presented in 2003...