Question 2: Primary Care and Same Day Access Appointments: The Pros and Cons of same-day access appointments in Primary care. One of the main drivers for increased (and unnecessary) acute care services (ED and Inpatient) is the lack of patient access to primary care. Below articles review solutions and success stories. Discuss the value proposition of shifting a physician practice to a Same Day Access model. What are the primary barriers of implementing an advanced access/same day scheduling process in a physician office? How does the physician practice operational leader address those barriers?