In 2001, the Institute of Medicine's (IOM) Committee on the Quality of Health Care in America called for a redesign of the U.S. healthcare delivery system and appealed to all healthcare constituencies to commit to reducing delays in care. As a result of several VA strategies to reduce wait-times, the average wait-time for a new primary care VA patient decreased from about 50 to 20 days between 2002 and 2010. However, 10% of VA facilities still had waits of more than 25 days for new primary care patients. Outside of the VA healthcare system, wait-times for a first primary care appointment are seldom measured.
The VA Evidence-Based Synthesis Program Coordinating Center located in Portland, OR reviewed studies of the effects of long wait-times or of wait-time targets in primary care and primary mental healthcare and report their findings in a brief evidence Memo. Investigators discuss several issues related to wait-times both within and outside the VA, including international healthcare systems. Topics covered in the Memo include, but are not limited to: