Group Health Cooperative begins to deal with its major appointment-availability problem on September 1, 1976.

See Additional Media
On September 1, 1976, a consultant team for Group Health Cooperative delivers a report titled "Problems of Appointment Availability." Group Health commissioned this study after consumer problems in making appointments had become notorious. The report begins the process of overhauling procedures that will change the situation and solve the problem.

Rapid growth had been a mixed blessing for Group Health that contributed to the difficulty consumers had in obtaining appointments with their physicians or other health care providers. This difficulty experienced by many of the 208,000 enrollees became notorious in the mid-1970s, so much so that KING TV News did an investigation. Reporter Don McGaffin told viewers that it took him 78 calls to arrange a visit to his Group Health physician. The Board of Trustees was not amused, and commissioned a study.

The consultant team comprised Dr. Robert Rushmer and Dr. Steve Yarnell. Their report noted that the difficulties "permeated the entire organization, one which is inherently set up to bring about encounters between physicians and enrollees. Therefore, appointment availability could not be regarded as a problem that could be studied in isolation" (Crowley, 153).

The report observed that at the Cooperative's current rate of grown and turnover, half of Group Health's current enrollment would be replaced within three years. The report noted that "these people must be educated" because there was "great confusion and uncertainty as to how to use the system" (Crowley, 153).

According to Dr. John Gilson, head of staff education, the impact of the report was to force Group Health to "take an ongoing look at how the Cooperative is delivering health care" and to "engage in self-examination and self-renewal from now on" (Crowley, 154).


Sources: Walt Crowley, To Serve the Greatest Number: A History of Group Health Cooperative of Seattle (Seattle: GHC/University of Washington Press, 1995), 147, 153-154.

Licensing: This essay is licensed under a Creative Commons license that encourages reproduction with attribution. Credit should be given to both HistoryLink.org and to the author, and sources must be included with any reproduction. Click the icon for more info. Please note that this Creative Commons license applies to text only, and not to images. For more information regarding individual photos or images, please contact the source noted in the image credit.
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License
Major Support for HistoryLink.org Provided By: The State of Washington | Patsy Bullitt Collins | Paul G. Allen Family Foundation | Museum Of History & Industry | 4Culture (King County Lodging Tax Revenue) | City of Seattle | City of Bellevue | City of Tacoma | King County | The Peach Foundation | Microsoft Corporation, Other Public and Private Sponsors and Visitors Like You