Accessing patient-centered care using the advanced access model

J Ambul Care Manage. Jan-Mar 2009;32(1):32-43. doi: 10.1097/01.JAC.0000343122.15467.48.


Waits and delays for healthcare are legendary. These delays are not only frustrating and potentially hazardous for patients and providers but also represent significant cost to office practices. The traditional medical model that defines urgent care versus routine care is a vain and futile attempt to sort demand. This approach is at constant odds with patients' definition of urgency. Trusting patients to determine when and how they want to access care makes sense from a customer service perspective. If approached systematically using the principles of Advanced Access, patient demand patterns can be tracked to forecast demand. These demand patterns become the template for deploying the resources necessary to meet patients' needs. Although not a simple journey, the transformation to Advanced Access provides an entree to patient-centered care where patients can say, "I get exactly the care I want and need, when I want and need it."

MeSH terms

  • Appointments and Schedules
  • Continuity of Patient Care
  • Health Services Accessibility*
  • Health Services Needs and Demand
  • Models, Organizational*
  • Organizational Case Studies
  • Patient-Centered Care* / statistics & numerical data
  • Rhode Island
  • Waiting Lists