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Plenty, say physicians associations, whose members warn that clinics - which are typically staffed by nurse practitioners and are positioned in stores that also sell prescriptions - will be inclined to misdiagnose and overprescribe. Worse, they are not built to provide long-term care for chronic conditions such as hypertension, and they threaten the ideal of a lasting doctor-patient relationship, denying consumers a so-called "medical home...

Author: /time Magazine | Title: Drive-Thru Medical: Retail Health Clinics' Good Marks | 9/1/2009 | See Source »

...studies, which took months to compile, were based on the performance of the 982 retail clinics that existed in the U.S. as of August 2008 - a tenfold increase since 2006. While that proliferation is impressive, as with much else in the health-care system it doesn't necessarily mean equal access to care. Clinics exist in only 33 states, and in those that have them, an overwhelming 88.4% are in urban areas. Just 10.6% of the U.S. population lives within a five-minute drive of a clinic, and 28.7% lives 10 minutes away. The South is better served than...

Author: /time Magazine | Title: Drive-Thru Medical: Retail Health Clinics' Good Marks | 9/1/2009 | See Source »

...perhaps the more relevant question is, How good is the care at these stop-and-shop operations? To answer that, the Rand investigators focused on just one state, Minnesota, because clinics are well-established there and because one large health plan has been providing clinic coverage for its members for five years, meaning that there was a rich vein of data to mine. The investigators focused on data on 2,100 patients who had gone to a clinic for one of three common complaints: sore throat, urinary tract infection and earache. These were compared to patients who had visited doctors...

Author: /time Magazine | Title: Drive-Thru Medical: Retail Health Clinics' Good Marks | 9/1/2009 | See Source »

...results are any indication, the next time you have a routine medical need, you should probably make haste to a clinic. On a quality scale of 0% to 100%, the clinics finished first with a 63.6% while urgent-care centers and doctor's offices followed within a couple of points. Habitually overcrowded emergency rooms came in last at a distant 55.1%. When it came to fees, the results were even more dramatic. For the various kinds of services studied, the average visit to a retail clinic cost $110, versus $156 for urgent care and $166 for a family...

Author: /time Magazine | Title: Drive-Thru Medical: Retail Health Clinics' Good Marks | 9/1/2009 | See Source »

Average cost per lab test in the Rand study also differed significantly depending on the provider: $15 at retail clinics, $27 at urgent-care facilities, $33 at doctors' offices and a whopping $113 at the ER. The study did not bear out the fear that retail clinics would be inclined to overprescribe drugs, and when the clinics did write a prescription, the out-of-pocket cost was lower: $21 compared to a high...

Author: /time Magazine | Title: Drive-Thru Medical: Retail Health Clinics' Good Marks | 9/1/2009 | See Source »

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