The Geographic Distribution, Ownership, Prices, and Scope of Practice at Retail Clinics

Rudavsky, Rena; Pollack, Craig Evan; Mehrotra, Ateev

doi:10.7326/0003-4819-151-5-200909010-00005

Cited by 69 publications

(65 citation statements)

References 10 publications

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“…15 Most RBCs are owned by for-profit companies, many with a national presence. 14 Most RBCs are not profitable as standalone entities and rely on location within a retail store for financial support. Some large companies have indicated plans to aggressively add RBCs to their stores and possibly expand their scope of services.…”

Section: Growth Acceptance and Direction Of Rbcsmentioning

confidence: 99%

“…Hospital and health care systems are increasingly partnering with or establishing their own RBCs to capture or increase market share and provide other avenues of accessibility for their patients because of increasing shortages of primary care physicians in their networks and service areas. 14,16 Insurance companies have also started expanding into opening their own full primary care centers with referral arrangements to specialists for identified problems. 17 Many RBCs have protocols in place to refer patients who do not have primary care physicians or medical homes to a physician and provide correspondence of the patient' s visit to those who have identified a primary care physician.…”

Section: Growth Acceptance and Direction Of Rbcsmentioning

confidence: 99%

“…Average driving time for patients is less than 5 minutes, and average income and education for communities with RBCs are above average nationwide. 5,14 More than 70% of patients report having a primary care physician. Demographic data to date do not indicate that expansion of RBCs has improved access to care in areas shown to have a shortage of primary care physicians.…”

Section: Growth Acceptance and Direction Of Rbcsmentioning

confidence: 99%

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AAP Principles Concerning Retail-Based Clinics

Laughlin¹,

Simon²,

Barden³

et al. 2014

Pediatrics

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The American Academy of Pediatrics views retail-based clinics (RBCs) as an inappropriate source of primary care for pediatric patients, as they fragment medical care and are detrimental to the medical home concept of longitudinal and coordinated care. This statement updates the original 2006 American Academy of Pediatrics statement on RBCs, which flatly opposed these sites as appropriate for pediatric care, discussing the shift in RBC focus and comparing attributes of RBCs with those of the pediatric medical home.

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Section: Growth Acceptance and Direction Of Rbcsmentioning

confidence: 99%

Section: Growth Acceptance and Direction Of Rbcsmentioning

confidence: 99%

Section: Growth Acceptance and Direction Of Rbcsmentioning

confidence: 99%

See 1 more Smart Citation

AAP Principles Concerning Retail-Based Clinics

Laughlin¹,

Simon²,

Barden³

et al. 2014

Pediatrics

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show abstract

“…The care provided is very convenient as the clinics are located in settings already visited multiple times per week by patients, and no appointments are necessary. '' A menu of services is offered, with average fees of about $78 per visit [4].…”

Section: Introductionmentioning

confidence: 99%

Hospital-Owned Retail Clinics in the United States: Operations, Patients and Marketing

Kaissi¹

2013

Primary Health Care

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Retail clinics are walk-in clinics located in grocery stores and retail pharmacies and providing care for minor conditions. Hospital systems have recently started owning and operating them. No studies have to our knowledge described hospital-owned clinics. In this paper, we assess the operational issues, types of conditions treated and types of marketing approaches used by hospital-owned retail clinics. Data on 19 health systems that own and operate retail clinics was collected by Merchant Medicine. Only 4 out of 19 hospital systems reported that their first owned retail clinic was operating at breakeven. About one third of the patients treated are cash-pay patients while half are covered by private health insurance plans. The clinics tend to focus on a few limited conditions such as upper respiratory infections, allergies, minor skin conditions, and physical exams and shots. A small minority of the patient population is very young (under 5) or very old (over 65), with the other age segments almost equally represented. Patients that visit the clinics seem to have heard about it especially through word of mouth. The health systems invest modestly in some marketing media such as print, radio and billboard advertising, Internet, direct mail and sponsoring of community events. Retail clinics can play an important role for hospital systems in the future, especially as part of a larger primary care strategy.

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“…Retail or "minute" clinics have recently increased in number and have been proposed as a solution to the long waits and high costs associated with Emergency Department evaluation. [16][17][18][19] Retail clinics typically use standardized algorithms for the diagnosis and treatment of common conditions such as sinusitis or urinary tract infection (UTI), and do not evaluate patients with potentially complex diagnostic needs (such as chest pain). 16 , 17 This algorithmic care can prove limited when a rare disease such as CEP presents with symptoms similar to a common condition such as asthma.…”

mentioning

confidence: 99%

Diagnosis in Just Over a Minute: a Case of Chronic Eosinophilic Pneumonia

2013

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Chronic eosinophilic pneumonia (CEP) is a rare interstitial lung disease characterized by subacute dyspnea, peripheral infiltrates on imaging, and pulmonary eosinophilia. We report a case of a 48-year-old man who presented to a "minute clinic" with cough and dyspnea. After improvement on a short course of steroids for a presumptive diagnosis of bronchospasm, he presented to our hospital with symptom recurrence. Computed tomography (CT) imaging revealed peripheral infiltrates and bronchoscopy confirmed pulmonary eosinophilia. In this clinical vignette, we review the typical presentation of chronic eosinophilic pneumonia, the differential diagnosis of pulmonary infiltrates with eosinophilia, and the challenges of diagnosing a rare condition that may mimic more common causes of dyspnea, especially in a "minute clinic" setting.

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The Geographic Distribution, Ownership, Prices, and Scope of Practice at Retail Clinics

Abstract: BACKGROUND-As a new model of care in the United States (US), retail clinics have generated much interest. Located physically within a retail store, they provide simple acute and preventive care services for a fixed price and without an appointment.

Cited by 69 publications

References 10 publications

AAP Principles Concerning Retail-Based Clinics

AAP Principles Concerning Retail-Based Clinics

Hospital-Owned Retail Clinics in the United States: Operations, Patients and Marketing

Diagnosis in Just Over a Minute: a Case of Chronic Eosinophilic Pneumonia

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