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The New Standard: Access

  • Writer: Dr. John Hayes Jr.
    Dr. John Hayes Jr.
  • 4 days ago
  • 3 min read
The New Standard: Access
The New Standard: Access

In January, patients aren’t just “setting health goals.” They’re quietly deciding whether the healthcare system is worth trusting this year.

And increasingly, what they’re craving isn’t a new medication, a bigger workup, or another specialist referral.

They’re craving access.

Not “access” as a buzzword—access as a lived experience:

  • Can I reach my doctor when I’m worried?

  • Will someone respond quickly and clearly?

  • Can I get a plan without waiting weeks?

  • Do I feel like a person…or a ticket in a queue?

For many physicians, this is both validating and frustrating because we didn’t create the system that makes access so hard. But patients don’t separate “the system” from “their care.” They feel the friction, delays, and runaround as the care.

Radiant Health Month is a perfect time to acknowledge a shift that’s already here:

Access is no longer a bonus feature. It’s becoming the standard of quality.


Why Access Is a Clinical Intervention

Faster access doesn’t just improve satisfaction—it improves outcomes.

When access is strong, you get:

  • earlier intervention (less progression)

  • fewer ER/urgent care detours

  • better medication adherence

  • better follow-up on abnormal labs

  • more opportunity for lifestyle counseling and course correction

  • stronger trust (which drives behavior change)

When access is weak, care becomes fragmented:

  • patients delay until symptoms worsen

  • they seek quick fixes elsewhere

  • the story gets retold, misinterpreted, and duplicated

  • problems become harder—and more expensive—to solve

Access doesn’t replace excellence. It enables it.


The Modern Patient Expectation (Whether We Like It or Not)

Patients compare healthcare to every other service in their life:

  • Same-day answers

  • Clear next steps

  • Easy scheduling

  • Transparent pricing

  • “Talk to a real human” options

Even when expectations are unrealistic, the underlying need is legitimate:

They want to feel safe. And safety, in a modern context, often means responsiveness.


The Physician Reality: Access Requires Design, Not Heroics

Many physicians try to “be accessible” by working harder:

  • more messages at night

  • more charting on weekends

  • more emotional labor with no system support

That’s not sustainable.

Real access comes from boundaries + structure + workflow.

Here are practical access upgrades that don’t require martyrdom:

1) Create a Response Promise (and keep it)

Patients don’t need instant replies—they need predictable ones.

  • “Same business day response”

  • “Within 24 hours”

  • “Urgent messages triaged within 2 hours”

Clarity reduces anxiety and reduces message volume.

2) Batch Communication Windows

Access doesn’t mean constant interruption.

  • 2–3 daily “communication blocks”

  • templated responses for common issues

  • team triage where appropriate

You stay responsive without losing your brain all day.

3) Upgrade Scheduling for Real Life

January brings flares, infections, anxiety, meds questions, and chronic issues that need course correction.If your schedule can’t accommodate that, patients will go elsewhere.

  • keep a few same/next-day slots

  • offer quick 10–15 minute “course correction” visits

  • allow virtual touchpoints when appropriate

4) Simplify the Path to “Next Steps”

Patients get stuck when they don’t know what to do next.A simple framework helps:

  • “Here’s what we’re watching”

  • “Here’s what would change the plan”

  • “Here’s when I want to hear from you”

This reduces “random” messages because now patients understand thresholds.

The Bigger Point: Model of Care Shapes Access

Many physicians are realizing something uncomfortable but freeing:

You can’t provide modern access inside a model that punishes time and rewards volume.

That’s why we’re seeing growth in:

  • DPC and membership practices

  • smaller panels

  • hybrid models

  • more team-based care and better triage systems

  • transparent pricing and fewer billing obstacles

This isn’t about trends—it’s about physics:

  • more time per patient = better access

  • fewer administrative barriers = faster care

  • continuity = less chaos


Radiant Health Month Challenge

Access doesn’t have to mean “always on.” It means thoughtfully available.

CTA: This week, choose one access upgrade:

  • define a response promise

  • create a daily message block

  • add 2–3 rapid-access slots per week

  • write a simple “when to contact us” guideline for patients

Small access improvements create disproportionate results—for patients and for physician sanity.

 
 
 

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