The Hershey access clinic: a model for improving patient access

J Am Acad Dermatol. 2007 Oct;57(4):601-3. doi: 10.1016/j.jaad.2007.03.041. Epub 2007 Jul 3.

Abstract

Background: When waiting times for new and return patient visits at Hershey Medical Center's Department of Dermatology approached 4 and 2 months, respectively, the Hershey access clinic was implemented to increase access for patients with acute problems.

Objective: The purpose of this study was to assess the impact of the Hershey access clinic on patient care.

Results: The great majority of patients were satisfied with the access clinic. However, there has been no effect on the no-show rates or patient waiting times for routine appointments. Fifty-seven percent of patients had eruptions, most commonly acne/rosacea, and 43% had neoplasms, most commonly warts.

Limitations: This study was limited by the fact that it was a survey filled out by the patients after their encounter.

Conclusion: The Hershey access clinic successfully provides acute problem-focused care, and patient satisfaction is high.

MeSH terms

  • Acute Disease
  • Appointments and Schedules
  • Dermatology / organization & administration*
  • Health Care Surveys
  • Health Services Accessibility*
  • Humans
  • Models, Organizational*
  • Outpatient Clinics, Hospital / organization & administration*
  • Patient Satisfaction
  • Pennsylvania
  • Skin Diseases* / diagnosis
  • Skin Diseases* / therapy
  • Waiting Lists*