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July 16, 2003

Advanced-Access Scheduling in Primary Care

Author Affiliations

Letters Section Editor: Stephen J. Lurie, MD, PhD, Senior Editor.

JAMA. 2003;290(3):332-333. doi:10.1001/jama.290.3.332

To the Editor: Drs Murray and Berwick1 discussed the advanced-access model of patient scheduling, in which patients calling to see their physician are offered an appointment the same day. The authors claim that physicians can offer both quality and convenience to everyone all the time. In reality, however, these 2 goals often conflict. Furthermore, I suspect that most physicians and patients would not embrace greater convenience if it led to decreasing the quality of care they provide.