» Back to list of all Management eBriefs
|Issue 129||June 2017|
The report is a product of the VA/HSR&D Evidence Synthesis Program.
Systematic Review: Access Management Improvement
Timely access to care is one of the fundamental characteristics of a healthcare system. Access to primary care is important since primary care providers both diagnosis and treat most common conditions and also act as the entry point to more specialized care. Primary care access management involves the consideration of various interacting system parts and goals, including continuity, team roles, and management structures. This systematic review sought to determine what evidence is available regarding primary care access management strategies that support improved organizational management of access in an organized and accountable healthcare delivery system such as VA.
The West Los Angeles-based VA's Evidence-based Synthesis Program team searched CINAHL (2005 through 9/19/2006) and PubMed (2005 through 3/3/2016) for relevant literature related to group practice management and access or accessibility. After reviewing 979 potentially relevant citations, investigators included 53 publications. Of these, 29 discussed 19 interventions to improve access in primary care using management strategies, 6 described toolkits or tools, and 5 additional articles provided information that is relevant despite not fitting as evidence for one of the Key Questions (i.e., modeling studies or past reports).
Key Questions and Answers
What samples or populations of patients are studied, including eligibility criteria? What are the salient characteristics of local and organizational contexts studied?
What are the key features of successful (and unsuccessful) interventions for organizational management of access?
Are relevant, tested tools, toolkits, or other detailed material available from successful organizational interventions?
Please feel free to forward this information to others!
ESP is currently soliciting review topics from the broader VA community. Nominations will be accepted electronically using the online Topic Submission Form. If your topic is selected for a synthesis, you will be contacted by an ESP Center to refine the questions and determine a timeline for the report.
This Management e-Brief is provided to inform you about recent HSR&D findings that may be of interest. The views expressed in this article are those of the authors and do not necessarily reflect the position or policy of the Department of Veterans Affairs. If you have any questions or comments about this Brief, please email CIDER. The Center for Information Dissemination and Education Resources (CIDER) is a VA HSR&D Resource Center charged with disseminating important HSR&D findings and information to policy makers, managers, clinicians, and researchers working to improve the health and care of Veterans.
This report is a product of VA/HSR&D's Quality Enhancement Research Initiative's (QUERI) Evidence-Based Synthesis Program (ESP), which was established to provide timely and accurate synthesis of targeted healthcare topics of particular importance to VA managers and policymakers – and to disseminate these reports throughout VA.
See all reports online.