A physician commenting on the indications for surgery in Crohn's disease must first establish his credentials. An appointment in a combined medical and surgical gastroenterology unit where more than 1500 patients with inflammatory bowel disease have been treated in close collaboration with surgeons having unrivalled experience in the surgical treatment of Crohn's disease may perhaps suffice. Si...

Abstract Aims Core Surgical Training (CST) and Improving ST (IST) programmes are in flux their design controversial. This study aimed to evaluate the relative performance of a single Statutory Education Board’s (SEB) CST IST related rotation design, theme, protocol engagement. Methods Individual rotations numbering 181 were analysed prospectively over six-years (2014 2020). Primary outcome meas...

OBJECTIVE To test if appointment reminders blinded to immunization status improve kept-appointment and vaccination coverage rates. Design. Controlled trial. SETTING Pediatric clinic serving a low-income community in New York City. INTERVENTION Children ages 4 through 18 months (n = 1273) scheduled sequentially for clinic appointments were systematically assigned to 1 of 4 study groups: cont...

BACKGROUND Arkansas and Iowa received waivers from the federal government in 2014 to use federal Medicaid expansion funding to enroll beneficiaries in commercial insurance plans on the Marketplaces. One key hypothesis of these "private option" or "premium assistance" programs was that Medicaid beneficiaries would experience increased access to care. In this study, we compare new patient primary...

OBJECTIVES The factors that influence postoperative pain after root canal treatment are not completely understood. The purpose of this prospective clinical study was to evaluate postoperative pain after root canal therapy performed in 1 appointment versus 2 appointments. STUDY DESIGN Seventy-two patients requiring root canal therapy on permanent molars were included in this study. Patients we...

Specialty clinics provide specialized care for patients referred by primary care physicians, emergency departments, or other specialists. Urgent patients must often be seen on the referral day, while non-urgent referrals are typically booked an appointment for the future. To deliver a balanced performance, the clinics must know how much ‘appointment capacity’ is needed for achieving a reasonabl...

BACKGROUND The aim of this study was to investigate whether planning a dental appointment is a predictor of actual dental visits over a one-year period when controlling for past attendance, demographic factors, and dental health beliefs. In addition, the planning-attendance association was explored to determine whether dental anxiety and educational status moderated this relationship. METHODS...

Appointment scheduling systems are used by primary and specialty care clinics to manage access to service providers, as well as by hospitals to schedule elective surgeries. Many factors affect the performance of appointment systems including arrival and service time variability, patient and provider preferences, available information technology and the experience level of the scheduling staff. ...