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Balancing walk-ins and scheduled appointments in a direct primary care setting
Dissertation   Open access

Balancing walk-ins and scheduled appointments in a direct primary care setting

Megan Leser
Doctor of Nursing Practice (D.N.P.), Drexel University
2019
DOI:
https://doi.org/10.17918/akn0-e285
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Abstract

Nursing--Practice Medical appointments and schedules Nursing
Introduction: Walk-in patients are a frequent problem that can be a significant barrier in providers staying on schedule. Although increasing access to care is a major focus in health care and offering walk-in appointments would help this balancing the two items is cumbersome task. Methods: Using the Rapid Cycle Improvement model, a quality improvement project implemented a new schedule method that factored in walk-in patients. The study was conducted at direct primary care (DPC) office and a total of 603 visits were evaluated. The dependent variable, wait times, was measured and analyzed based on baseline and post intervention, scheduled versus unscheduled, and day of the week. Results: Independent T-test comparing means showed a significant (p=0.001) reduction in wait time post intervention. Additional significant relationship was seen between wait time and day of the week (p=0.000). Conclusion: Adjusting schedule system to accommodate walk-in patients can reduce wait times and allow for increased access for same-day patient needs.

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