The advanced access model of patient scheduling is based on the core
principle that if the capacity to provide patient appointments balances the
demand for appointments, patients calling to see their physician are offered
an appointment the same day. The accompanying article in the series "Innovations
in Primary Care" presents the theory behind advanced access scheduling. In
this article we describe 4 case studies of primary care practices that successfully
implemented advanced access and 3 examples of practices that were unable to
achieve advanced access despite considerable efforts. The lessons of these
case studies should be useful for primary care practices desiring to improve
timely access to care and wishing to avoid the pitfalls that can derail this
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