{"id":"https://openalex.org/W2538561017","doi":"https://doi.org/10.4338/aci-2016-03-ra-0044","title":"Appointment Lead Time Policy Development to Improve Patient Access to Care","display_name":"Appointment Lead Time Policy Development to Improve Patient Access to Care","publication_year":2016,"publication_date":"2016-10-01","ids":{"openalex":"https://openalex.org/W2538561017","doi":"https://doi.org/10.4338/aci-2016-03-ra-0044","mag":"2538561017"},"language":"en","primary_location":{"id":"doi:10.4338/aci-2016-03-ra-0044","is_oa":true,"landing_page_url":"https://doi.org/10.4338/aci-2016-03-ra-0044","pdf_url":"http://www.thieme-connect.de/products/ejournals/pdf/10.4338/ACI-2016-03-RA-0044.pdf","source":{"id":"https://openalex.org/S187139995","display_name":"Applied Clinical Informatics","issn_l":"1869-0327","issn":["1869-0327"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310320000","host_organization_name":"Thieme Medical Publishers (Germany)","host_organization_lineage":["https://openalex.org/P4310320000"],"host_organization_lineage_names":["Thieme Medical Publishers (Germany)"],"type":"journal"},"license":"other-oa","license_id":"https://openalex.org/licenses/other-oa","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Applied Clinical Informatics","raw_type":"journal-article"},"type":"article","indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"http://www.thieme-connect.de/products/ejournals/pdf/10.4338/ACI-2016-03-RA-0044.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5110304527","display_name":"Sarah Bach","orcid":null},"institutions":[{"id":"https://openalex.org/I4210087865","display_name":"University of Chicago Medical Center","ror":"https://ror.org/0076kfe04","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210087865"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Sarah Bach","raw_affiliation_strings":["University of Chicago Medical Center, Center for Quality, Chicago, Illinois, United States"],"affiliations":[{"raw_affiliation_string":"University of Chicago Medical Center, Center for Quality, Chicago, Illinois, United States","institution_ids":["https://openalex.org/I4210087865"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5033164357","display_name":"Yu-Li Huang","orcid":"https://orcid.org/0000-0002-3575-3446"},"institutions":[{"id":"https://openalex.org/I1330342723","display_name":"Mayo Clinic","ror":"https://ror.org/02qp3tb03","country_code":"US","type":"funder","lineage":["https://openalex.org/I1330342723"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Yu-Li Huang","raw_affiliation_strings":["Mayo Clinic, College of Medicine, Rochester, Minnesota, United States;"],"affiliations":[{"raw_affiliation_string":"Mayo Clinic, College of Medicine, Rochester, Minnesota, United States;","institution_ids":["https://openalex.org/I1330342723"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5033164357"],"corresponding_institution_ids":["https://openalex.org/I1330342723"],"apc_list":null,"apc_paid":null,"fwci":0.9936,"has_fulltext":true,"cited_by_count":7,"citation_normalized_percentile":{"value":0.80137734,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":89,"max":96},"biblio":{"volume":"07","issue":"04","first_page":"954","last_page":"968"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11773","display_name":"Healthcare Operations and Scheduling Optimization","score":0.9998999834060669,"subfield":{"id":"https://openalex.org/subfields/3604","display_name":"Emergency Medical Services"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11773","display_name":"Healthcare Operations and Scheduling Optimization","score":0.9998999834060669,"subfield":{"id":"https://openalex.org/subfields/3604","display_name":"Emergency Medical Services"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":0.9990000128746033,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T12174","display_name":"Hospital Admissions and Outcomes","score":0.993399977684021,"subfield":{"id":"https://openalex.org/subfields/2711","display_name":"Emergency Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/lead-time","display_name":"Lead time","score":0.7877386212348938},{"id":"https://openalex.org/keywords/lead","display_name":"Lead (geology)","score":0.7745873928070068},{"id":"https://openalex.org/keywords/schedule","display_name":"Schedule","score":0.7236775159835815},{"id":"https://openalex.org/keywords/set","display_name":"Set (abstract data type)","score":0.5910141468048096},{"id":"https://openalex.org/keywords/government","display_name":"Government (linguistics)","score":0.583841860294342},{"id":"https://openalex.org/keywords/medicine","display_name":"Medicine","score":0.5646316409111023},{"id":"https://openalex.org/keywords/patient-care","display_name":"Patient care","score":0.4176423251628876},{"id":"https://openalex.org/keywords/computer-science","display_name":"Computer science","score":0.3959577679634094},{"id":"https://openalex.org/keywords/operations-management","display_name":"Operations management","score":0.38726890087127686},{"id":"https://openalex.org/keywords/operations-research","display_name":"Operations research","score":0.3836762607097626},{"id":"https://openalex.org/keywords/medical-emergency","display_name":"Medical emergency","score":0.3564302921295166},{"id":"https://openalex.org/keywords/nursing","display_name":"Nursing","score":0.19398057460784912},{"id":"https://openalex.org/keywords/engineering","display_name":"Engineering","score":0.10759210586547852}],"concepts":[{"id":"https://openalex.org/C2781468064","wikidata":"https://www.wikidata.org/wiki/Q1267117","display_name":"Lead time","level":2,"score":0.7877386212348938},{"id":"https://openalex.org/C2777093003","wikidata":"https://www.wikidata.org/wiki/Q6508345","display_name":"Lead (geology)","level":2,"score":0.7745873928070068},{"id":"https://openalex.org/C68387754","wikidata":"https://www.wikidata.org/wiki/Q7271585","display_name":"Schedule","level":2,"score":0.7236775159835815},{"id":"https://openalex.org/C177264268","wikidata":"https://www.wikidata.org/wiki/Q1514741","display_name":"Set (abstract data type)","level":2,"score":0.5910141468048096},{"id":"https://openalex.org/C2778137410","wikidata":"https://www.wikidata.org/wiki/Q2732820","display_name":"Government (linguistics)","level":2,"score":0.583841860294342},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.5646316409111023},{"id":"https://openalex.org/C2989236134","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Patient care","level":2,"score":0.4176423251628876},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.3959577679634094},{"id":"https://openalex.org/C21547014","wikidata":"https://www.wikidata.org/wiki/Q1423657","display_name":"Operations management","level":1,"score":0.38726890087127686},{"id":"https://openalex.org/C42475967","wikidata":"https://www.wikidata.org/wiki/Q194292","display_name":"Operations research","level":1,"score":0.3836762607097626},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.3564302921295166},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.19398057460784912},{"id":"https://openalex.org/C127413603","wikidata":"https://www.wikidata.org/wiki/Q11023","display_name":"Engineering","level":0,"score":0.10759210586547852},{"id":"https://openalex.org/C199360897","wikidata":"https://www.wikidata.org/wiki/Q9143","display_name":"Programming language","level":1,"score":0.0},{"id":"https://openalex.org/C114793014","wikidata":"https://www.wikidata.org/wiki/Q52109","display_name":"Geomorphology","level":1,"score":0.0},{"id":"https://openalex.org/C138885662","wikidata":"https://www.wikidata.org/wiki/Q5891","display_name":"Philosophy","level":0,"score":0.0},{"id":"https://openalex.org/C111919701","wikidata":"https://www.wikidata.org/wiki/Q9135","display_name":"Operating system","level":1,"score":0.0},{"id":"https://openalex.org/C127313418","wikidata":"https://www.wikidata.org/wiki/Q1069","display_name":"Geology","level":0,"score":0.0},{"id":"https://openalex.org/C41895202","wikidata":"https://www.wikidata.org/wiki/Q8162","display_name":"Linguistics","level":1,"score":0.0}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.4338/aci-2016-03-ra-0044","is_oa":true,"landing_page_url":"https://doi.org/10.4338/aci-2016-03-ra-0044","pdf_url":"http://www.thieme-connect.de/products/ejournals/pdf/10.4338/ACI-2016-03-RA-0044.pdf","source":{"id":"https://openalex.org/S187139995","display_name":"Applied Clinical Informatics","issn_l":"1869-0327","issn":["1869-0327"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310320000","host_organization_name":"Thieme Medical Publishers (Germany)","host_organization_lineage":["https://openalex.org/P4310320000"],"host_organization_lineage_names":["Thieme Medical Publishers (Germany)"],"type":"journal"},"license":"other-oa","license_id":"https://openalex.org/licenses/other-oa","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Applied Clinical Informatics","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:5228137","is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/5228137","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Appl Clin Inform","raw_type":"Text"}],"best_oa_location":{"id":"doi:10.4338/aci-2016-03-ra-0044","is_oa":true,"landing_page_url":"https://doi.org/10.4338/aci-2016-03-ra-0044","pdf_url":"http://www.thieme-connect.de/products/ejournals/pdf/10.4338/ACI-2016-03-RA-0044.pdf","source":{"id":"https://openalex.org/S187139995","display_name":"Applied Clinical Informatics","issn_l":"1869-0327","issn":["1869-0327"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310320000","host_organization_name":"Thieme Medical Publishers (Germany)","host_organization_lineage":["https://openalex.org/P4310320000"],"host_organization_lineage_names":["Thieme Medical Publishers (Germany)"],"type":"journal"},"license":"other-oa","license_id":"https://openalex.org/licenses/other-oa","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Applied Clinical Informatics","raw_type":"journal-article"},"sustainable_development_goals":[],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W2538561017.pdf","grobid_xml":"https://content.openalex.org/works/W2538561017.grobid-xml"},"referenced_works_count":34,"referenced_works":["https://openalex.org/W1537848840","https://openalex.org/W1890988128","https://openalex.org/W1966160353","https://openalex.org/W1975924210","https://openalex.org/W1984244683","https://openalex.org/W1993393166","https://openalex.org/W1999932004","https://openalex.org/W2004503824","https://openalex.org/W2005179876","https://openalex.org/W2014484497","https://openalex.org/W2022485413","https://openalex.org/W2024949764","https://openalex.org/W2029096430","https://openalex.org/W2033878903","https://openalex.org/W2037258588","https://openalex.org/W2039421249","https://openalex.org/W2042415920","https://openalex.org/W2055476904","https://openalex.org/W2057733989","https://openalex.org/W2074600314","https://openalex.org/W2074738196","https://openalex.org/W2076225426","https://openalex.org/W2080435768","https://openalex.org/W2095155399","https://openalex.org/W2105913577","https://openalex.org/W2106677039","https://openalex.org/W2121978357","https://openalex.org/W2123619613","https://openalex.org/W2130757307","https://openalex.org/W2139200745","https://openalex.org/W2161513253","https://openalex.org/W2185238964","https://openalex.org/W2418894365","https://openalex.org/W2421738833"],"related_works":["https://openalex.org/W2899084033","https://openalex.org/W338259523","https://openalex.org/W4244251363","https://openalex.org/W2538561017","https://openalex.org/W2502964546","https://openalex.org/W3128217557","https://openalex.org/W2001182280","https://openalex.org/W2988803498","https://openalex.org/W2063681755","https://openalex.org/W294504314"],"abstract_inverted_index":{"Summary":[0],"Background":[1],"Patient":[2],"access":[3,297],"to":[4,52,74,153,169,176,233,257,294,298],"care":[5,16],"has":[6],"been":[7],"a":[8,47,61,84,106,131,201,209,239,246],"known":[9],"and":[10,64,83,94,100,116,191,208,245,263,273],"continuing":[11],"struggle":[12],"for":[13,34,50,96,165,206,212,222,229,243,250,261,267],"many":[14],"health":[15],"providers.":[17],"In":[18],"spite":[19],"of":[20,238],"appointment":[21,56,65,80,127,147,155,281],"lead":[22,36,58,81,87,133,184,193,203,215,241,248,282,290],"time":[23,37,82,194,204,216,242,249,291],"policies":[24,38],"set":[25,54],"by":[26,220,254],"government":[27],"or":[28,173],"clinics,":[29],"the":[30,76,117,143,159,177,187,227,230],"problem":[31],"persists.":[32],"Justification":[33],"how":[35,51],"are":[39],"determined":[40],"is":[41,195,252],"lacking.":[42],"Objectives":[43],"This":[44],"paper":[45],"proposed":[46,69,271],"data-driven":[48],"approach":[49,70,272],"best":[53],"feasible":[55,85,280],"target":[57,86,132,175,183],"times":[59,185],"given":[60],"clinic\u2019s":[62],"capacity":[63,256],"requests.":[66],"Methods":[67],"The":[68,122,198,214,270],"reallocates":[71],"patient":[72,102,224,296],"visits":[73,111],"minimize":[75],"deviation":[77],"between":[78,189],"actual":[79],"time.":[88],"A":[89],"step-by-step":[90],"algorithm":[91],"was":[92,218],"presented":[93],"demonstrated":[95],"return":[97],"visit":[98],"(RV)":[99],"new":[101],"(NP)":[103],"types":[104],"from":[105],"Pediatric":[107],"clinic":[108,232],"excluding":[109],"planned":[110],"such":[112],"as":[113],"well-child":[114],"exam":[115],"same":[118],"day":[119],"urgent":[120],"appointments.":[121],"steps":[123],"are:":[124],"1.":[125],"Obtain":[126],"requests;":[128],"2.":[129],"Initialize":[130],"time;":[134],"3.":[135],"Set":[136],"up":[137],"an":[138],"initial":[139],"schedule;":[140],"4.":[141],"Check":[142],"feasibility":[144],"based":[145],"on":[146,174],"availability;":[148],"5.":[149],"Adjust":[150,162],"schedule":[151,163],"backward":[152],"fill":[154],"slots":[156],"earlier":[157,172,190],"than":[158],"target;":[160],"6.":[161],"forward":[164],"appointments":[166],"not":[167],"able":[168],"be":[170],"scheduled":[171],"later":[178,192],"slots;":[179],"7.":[180],"Trial":[181],"different":[182],"until":[186],"difference":[188],"minimized.":[196],"Results":[197],"results":[199],"indicated":[200],"59%":[202],"reduction":[205,211],"RVs":[207,244],"45%":[210],"NPs.":[213],"variation":[217],"reduced":[219],"75%":[221],"both":[223],"types.":[225],"Additionally,":[226],"opportunity":[228],"participating":[231],"achieve":[234],"their":[235],"organization\u2019s":[236],"goal":[237],"two-week":[240],"twoday":[247],"NPs":[251],"discussed":[253],"adjusting":[255],"increase":[258],"one":[259,265],"slot":[260,266],"NP":[262],"reduce":[264],"RV.":[268],"Conclusions":[269],"study":[274],"findings":[275],"may":[276],"help":[277],"clinics":[278],"identify":[279],"times.":[283],"Citation:":[284],"Huang":[285],"Y,":[286],"Bach":[287],"SM.":[288],"Appointment":[289],"policy":[292],"development":[293],"improve":[295],"care.":[299]},"counts_by_year":[{"year":2025,"cited_by_count":1},{"year":2024,"cited_by_count":1},{"year":2022,"cited_by_count":1},{"year":2020,"cited_by_count":2},{"year":2018,"cited_by_count":2}],"updated_date":"2026-03-10T16:38:18.471706","created_date":"2016-10-28T00:00:00"}
