More Walk-In Clinics Affiliated With Hospitals, Medical Centers
Main Category: Public HealthArticle Date: 13 May 2009 - 3:00 PDT
'More Walk-In Clinics Affiliated With Hospitals, Medical Centers'
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The number of hospitals in the U.S. that are affiliated with walk-in clinics in large retail chains, such as Wal-Mart or CVS, is rising, as hospitals view the collaborations as a means of expanding their business, the New York Times reports. There currently are more than 1,000 such clinics in the U.S. Although few of the clinics, which began appearing in 2005, were initially affiliated with hospitals or medical centers, one in 10 now holds connections to such facilities, according to Merchant Medicine. According to the Times, many more of the clinics are planned. The Times reports that more than 25 Wal-Mart clinics currently are affiliated with hospitals, including the Christus Medical Group in Texas, Aurora Health Care in Wisconsin and CoxHealth in Missouri. The Cleveland Clinic and the Mayo Clinic also have joined with similar retail clinics, after employees and patients expressed an interest in expedient treatment for minor medical conditions.
Clinics' Value
Hospital retail clinics typically are staffed by nurse practitioners or physician assistants and supervised by physicians remotely. The clinics often operate at a relatively low cost compared with primary care doctors' offices or emergency departments, according to the Times. The clinics typically only serve insured patients or those who can fully pay for the service, unlike EDs, where it is illegal to turn away patients based on their ability to pay. In addition, the clinics help clear hospital EDs of people seeking basic medical care. Retail clinics also offer marketing opportunities for hospitals, helping to create relationships with customers who eventually might need more profitable in-hospital care. The Times reports that while many primary care physicians still consider retail clinics as "cheap, unworthy competitors," hospitals say they provide a vital public service during the current economic recession. Hospitals also say that the clinics provide access for patients amid a decline in the number of primary care physicians in the U.S. (Freudenheim [1], New York Times, 5/12).
Wal-Mart Rebuilding Clinic Business With Hospitals
In related news, Wal-Mart currently is attempting to rebuild its medical clinic business after 51 of its 78 clinics closed by the end of 2008, the Times reports. Wal-Mart had said it planned to have 400 walk-in clinics in operation by 2010, but the plan "went into reverse" in December 2008 when RediClinic -- a privately held company tasked with "a big role" in the project -- unexpectedly closed its 15 Wal-Mart centers, the Times reports. Wal-Mart now is looking to reopen many of its clinics with affiliations to hospitals and medical centers. Wal-Mart currently has 33 clinics in the U.S., 26 of which are affiliated with hospitals (Freudenheim [2], New York Times, 5/12).
Reprinted with kind permission from http://www.kaisernetwork.org. You can view the entire Kaiser Daily Health Policy Report, search the archives, or sign up for email delivery at http://www.kaisernetwork.org/dailyreports/healthpolicy. The Kaiser Daily Health Policy Report is published for kaisernetwork.org, a free service of The Henry J. Kaiser Family Foundation.
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Visitor Opinions (latest shown first)
Urgent Care Light
posted by Dan on 13 May 2009 at 4:07 amOne possible solution to the occasional lack of access to, or shortage of, primary care doctors is what are known as retail care clinics, or convenience care clinics. The popularity of these clinics continues to increase progressively for a variety of reasons.
Of particular note is that most of these types of clinics is that are normally staffed with nurse practitioners or physician assistant. Both are health care providers and are actually favored by many as treatment providers progressively.
Surveys reveal that over half of all people prefer seeing a nurse practitioner at a convenience clinic because the visits do not take up so much of their time, as well as the visits being less expensive than traditional doctor visits.
The growth of such clinics, and the patient volume of each clinic, may slow at times, but the unique benefits of such urgent care light clinics do in fact exist and are desirable for many.
While the first retail clinic began in the year 2000, presently, there are over 700 of these convenience care clinics, and that number is speculated by some to increase to thousands within the next few years.
First, I’ll offer a definition of a retail clinic:
A retail clinic is a medical treatment facility that is usually located in a convenient location, such as a shopping area, and is smaller than most doctors’ offices in regards to geographical space. Again, these types of clinics are staffed with a physician assistant or nurse practitioner.
Both types of these health care providers have the ability and authority to provide the same quality care as a primary care physician, and do so with the same if not superior standards regarding accountability and autonomy.
If you happen to go to one for what may be considered a mild ailment, for example, for such conditions as allergies or the flu, you will notice a unique and pleasant experience regarding your medical care at such a clinic in comparison with many other doctor’s offices that often appear to be possibly demoralized if not largely apathetic, in regards to their disposition.
These urgent care light clinics are normally and amazingly quick for a patients who are medically treated at such locations. You as a patient are normally in and out of there within a half hour or so. This includes a thorough assessment and treatment regimen offered by the health care providers at such clinics.
Unlike typical doctor offices, these clinics are walk-in clinics, so there is no over-booking of patients, which is what typically occurs at current offices of doctors. Many are focused on the daily volume of patients for a variety of reasons.
With these convenience care clinics, you as a patient actually dialog with your health care provider more so than you may have experienced in a traditional doctor’s office due to possibly other doctor offices often being incredibly busy from seeing too many patients during a typical day for reasons described above.
And this is not to imply that the health care providers at typical doctor offices do not care about you and your particular health issues, yet possibly is a result of having limited resources related to patient care. As a result, they may be unable to do so.
The cost of going to such a retail clinic typically is about 25 percent less expensive than a normal doctor visit, others have said. Yet you will likely notice no decline in the quality of care that you receive. In fact, likely you will experience greater quality on many different levels, both from a personal level and treatment level if a patient at such a clinic as a retail clinic, others have said.
Critics of such convenient care clinics include the American Medical Association, and various medical societies. Yet in my opinion, such critics may be simply vexed because of the invasion of these other clinics on their turf and their infiltration into their typical medical practice paradigm without being invited, perhaps.
Or maybe such groups and associations do not see NPs and PAs as having the ability to provide quality medical care as they do as medical doctors. Regardless, most patients seem pleased with the retail clinics and the treatment providers who care for them at these convenience care clinics.
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If it is discovered that you need greater medical care or attention than the retail clinic can provide for you during your visit at a urgent care light clinic, you will most likely be referred to a nearby location that can provide the care you are determined to need by the clinic’s heath care provider.
The clinic’s health care provider likely has some familiarity as well as some relationships with the hospitals and others in the medical community for which they serve. It should be noted that both NPs and PAs are quite capable of determining the severity of your illness, and will act accordingly.
So most patients of these retail clinics are pleased with the care they receive from them, which is why such clinics continue to grow in number under different names, as they have become franchises, yet the concept of this ‘pay as you go’ health care is fairly new.
So only the future will tell if this method is preferred by those seeking minor restoration of their health. It seems to be preferred by many presently, once again. And presently, Take Care Health Clinics, owned and located inside Walgreen’s pharmacies, are the market leader with retail clinics. Walgreens plans to add more clinics next year.
These retail clinics are in a way a response to the shortage of PCPs that exist presently, and delays others experience in our health care system when they seek restoration of their health on occasion. In other words, retail clinics are quick when you are sick, yet quality and assessment of your medical condition are not compromised.
One could conclude that the retail clinics seem in a way more authentic than the dominant system, and may be more beneficial ultimately for the public health, with exceptions, of course, depending on the individual circumstances of the patient.
Dan Abshear
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