Featured Research

from universities, journals, and other organizations

On Demand Doctor's Appointments Do Not Improve Diabetes Care

Date:
March 23, 2009
Source:
Indiana University
Summary:
Same-day medical scheduling, also known as on demand scheduling, does not improve care of chronically ill individuals, according to a study of 4,060 adult patients with diabetes.

Same-day medical scheduling, also known as on demand scheduling, does not improve care of chronically ill individuals, according to a study of 4,060 adult patients with diabetes.

The Indiana University School of Medicine study is the first to report that individuals with diabetes who utilized on demand (or open access) scheduling, a system growing in popularity in which patients can call and receive same or next day follow-up medical appointments, had significantly poorer outcomes than diabetic patients who followed the traditional model and were scheduled for follow-up medical visits in advance.

The study, conducted in six open access clinics and six control clinics, appears in the March 2009 issue of the Journal of General Internal Medicine.

Traditionally, return check-ups are scheduled at the end of the previous visit. Patients select an appointment time months ahead without knowing their availability. With on demand scheduling, the patient is told to return within a specific time frame and is asked to call on the day of or the day before they would like to have their appointment.

"In what is to our knowledge the first evaluation of the impact of the open access scheduling system on diabetes processes and outcomes, we were surprised and concerned to find that with open access scheduling, patients did less well with their blood pressure. Control of blood pressure is probably the single most important medical intervention to improve survival and reduce health-care costs for those with diabetes," said Usha Subramanian, M.D., assistant professor of medicine and a Regenstrief Institute affiliated scientist, the first author of the new study.

"It appears that timely follow-up for chronic disease management may be compromised if patients are required to remember and schedule their appointment at a suggested interval as opposed to putting a previously scheduled appointment on the calendar and remembering to get to the doctor's office," said Dr. Subramanian, who is an internist.

The study found that there was no difference in ED visits or hospitalization rates between the open access and traditional scheduling groups

Previous small studies had found that open access scheduling improves patient satisfaction; but none of these studies looked at patients with chronic disease such as diabetes. Dr. Subramanian and colleagues are currently looking at patient satisfaction and no-show rates with open access scheduling among individuals with diabetes.

This new JGIM study was funded by the Centers for Disease Control and Prevention and by the National Institute of Diabetes and Digestive and Kidney Diseases.

Co-authors are Ronald T. Ackermann, M.D., Marc Rosenman, M.D., and David G. Marrero, Ph.D., all of the IU School of Medicine and the Regenstrief Institute; Edward J. Brizendine, M.S., Chandan Saha, Ph.D., and Deanna R. Willis, M.D., of the IU School of Medicine.


Story Source:

The above story is based on materials provided by Indiana University. Note: Materials may be edited for content and length.


Cite This Page:

Indiana University. "On Demand Doctor's Appointments Do Not Improve Diabetes Care." ScienceDaily. ScienceDaily, 23 March 2009. <www.sciencedaily.com/releases/2009/03/090323154351.htm>.
Indiana University. (2009, March 23). On Demand Doctor's Appointments Do Not Improve Diabetes Care. ScienceDaily. Retrieved August 22, 2014 from www.sciencedaily.com/releases/2009/03/090323154351.htm
Indiana University. "On Demand Doctor's Appointments Do Not Improve Diabetes Care." ScienceDaily. www.sciencedaily.com/releases/2009/03/090323154351.htm (accessed August 22, 2014).

Share This




More Health & Medicine News

Friday, August 22, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Drug Used To Treat 'Ebola's Cousin' Shows Promise

Drug Used To Treat 'Ebola's Cousin' Shows Promise

Newsy (Aug. 21, 2014) An experimental drug used to treat Marburg virus in rhesus monkeys could give new insight into a similar treatment for Ebola. Video provided by Newsy
Powered by NewsLook.com
Two US Ebola Patients Leave Hospital Free of the Disease

Two US Ebola Patients Leave Hospital Free of the Disease

AFP (Aug. 21, 2014) Two American missionaries who were sickened with Ebola while working in Liberia and were treated with an experimental drug are doing better and have left the hospital, doctors say on August 21, 2014. Duration: 01:05 Video provided by AFP
Powered by NewsLook.com
Cadavers, a Teen, and a Medical School Dream

Cadavers, a Teen, and a Medical School Dream

AP (Aug. 21, 2014) Contains graphic content. He's only 17. But Johntrell Bowles has wanted to be a doctor from a young age, despite the odds against him. He was recently the youngest participant in a cadaver program at the Indiana University NW medical school. (Aug. 21) Video provided by AP
Powered by NewsLook.com
American Ebola Patients Released: What Cured Them?

American Ebola Patients Released: What Cured Them?

Newsy (Aug. 21, 2014) It's unclear whether the American Ebola patients' recoveries can be attributed to an experimental drug or early detection and good medical care. Video provided by Newsy
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:
from the past week

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins