Development of a novel metric of timely care access to primary care services.

ABSTRACT:

Objective

To develop a model for identifying clinic performance at fulfilling next-day and walk-in requests after adjusting for patient demographics and risk.

Data source

Using Department of Veterans Affairs (VA) administrative data from 160 VA primary care clinics from 2014 to 2017.

Study design

Using a retrospective cohort design, we applied Bayesian hierarchical regression models to predict provision of timely care, with clinic-level random intercept and slope while adjusting for patient demographics and risk status. Timely care was defined as the provision of an appointment within 48 hours of any patient requesting the clinic's next available appointment or walking in to receive care.

Data collection/extraction methods

We extracted 1 841 210 timely care req

SUBMITTER: Batten AJ 

PROVIDER: S-EPMC7080389 | biostudies-literature | 2020 Apr

REPOSITORIES: biostudies-literature