Open Access model as an intervention to improve outpatient waiting time management

This study analyzes Azienda Ospedaliero-Universitaria Pisana's implementation of the Open Access model for managing outpatient waiting lists. The Open Access model aims at guaranteeing services within three days and works by daily progressive opening of scheduling slots. The analysis focuses on policies that rule the access to specialist visits and diagnostic tests, revealing significant increase in the percentage of visits within national times standards.Waiting times for first availability drastically decreased with the introduction of the Open Access model.Effective management of waiting lists is essential for timely access to healthcare services. Digital tools and proper monitoring structures are crucial in detecting anomalies and ensuring a well-functioning decision support system.

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Publication Details

Journal
MECOSAN
Published
2025-05-01
DOI
https://doi.org/10.3280/mesa2024-130oa18959
Primary Topic
Healthcare Operations and Scheduling Optimization
Type
article
Field-Weighted Citation Impact
0.00
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Open Access model as an intervention to improve outpatient waiting time management

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Open Access model as an intervention to improve outpatient waiting time management

Jacopo Guercini, Silvia Briani, Alberto Tulipani, Francesca Di Serafino, Nunzio Zotti, Grazia Luchini, Angelo Baggiani
article en

Abstract

This study analyzes Azienda Ospedaliero-Universitaria Pisana's implementation of the Open Access model for managing outpatient waiting lists. The Open Access model aims at guaranteeing services within three days and works by daily progressive opening of scheduling slots. The analysis focuses on policies that rule the access to specialist visits and diagnostic tests, revealing significant increase in the percentage of visits within national times standards.Waiting times for first availability drastically decreased with the introduction of the Open Access model.Effective management of waiting lists is essential for timely access to healthcare services. Digital tools and proper monitoring structures are crucial in detecting anomalies and ensuring a well-functioning decision support system.

MECOSAN(130)
Openalex Percentile: Top 81%
Healthcare Operations and Scheduling Optimization
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