Showing posts with label specialists. Show all posts
Showing posts with label specialists. Show all posts

"The Clinic" at Walmart - Operated by "Family Medicine Specialists"



Medical clinics debut at Walmart stores and the photos from one Chicago location are included in this blog post (click to enlarge the images to see the details such as pricing, etc.).

Walmart has been adding health clinics to its stores during the last 3 years as part of its drive for "one-stop shopping." There were 100 in-store clinics in 21 states in 2010.

The clinics are staffed by nurse practitioners. Does that fit the description of "Family Medicine Specialists"?

Services include $14 for a pregnancy test, $29 for a flu vaccine, and $49 for treatment of a sinus infection or physical examination. The most expensive services cost $75, for treatment of bladder infections and ear wax removal.



CVS Pharmacy is not too far behind with their own model for in-store clinics called the "Minute Clinic". In fact, Minute Clinic is the largest retail clinic chain in the country, with 600 clinics in CVS stores in 24 states. Almost half of Minute Clinic's clientele don't have a primary-care doctor of their own.

A patient's mother: "The beauty of it is we're maybe 30 feet from diagnosis to pharmacy. I'm very busy and this is one-stop shopping."

References:

Medical clinic debuts at city's Walmart store
Medical clinics in retail settings are booming - USA Today.
Number of patients receiving care at retail clinics (Target, Walmart, etc.) increases http://goo.gl/9B74c
"The Family Doctor, Minus the M.D." - NYTimes keeps pushing the idea of "The Nurse as Family Doctor" http://buff.ly/R1rbn9

Comments from Twitter:

@langdon: False advertising. That would actually be sanctioned here in Ontario as per recent guidance about specialty titles from our College.

@napernurse: Pharm son works for #Walgreens. Costs them $5 to be seen by NP for whatever :) Can just walk-in & now WAG on "Blue Button" campaign.

Reinaldo B. @basanezrx: at least they are clear about the pricing, same as the clinics in Walgreens. I’d love to see specific prices for hospitals.
How primary care doctors choose the specialists to refer their patients

How primary care doctors choose the specialists to refer their patients

Dr. Kirsch, a blogging gastroenterologist lists some of the reasons why certain medical specialists are chosen:

- Reciprocity - patients are referred in both directions
- Personal relationships
- Corporate enforcement keeping consultations within the network
- Economic pressure exerted by consultants to maintain referrals. I have seen this happen.
- Specialist willingness to do tests and procedures on request
- Habit
- Patient or family request

References:
How doctors choose which specialists they refer to. KevinMD.com
Image source: OpenClipArt.org, public domain.
Only 62% of referring PCPs received consultation results from
specialists

Only 62% of referring PCPs received consultation results from specialists

Communication between primary care physicians (PCPs) and specialists regarding referrals and consultations is often inadequate, with negative consequences for patients.

A study found that perceptions of communication regarding referrals and consultations differed.

For example, 69% of PCPs reported "always" or "most of the time" sending notification of a patient's history and reason for consultation to specialists, but only 34.8% of specialists said they "always" or "most of the time" received such notification.

Similarly, 80.6% of specialists said they "always" or "most of the time" send consultation results to the referring PCP, but only 62% of PCPs said they received such information.

The 3 practice characteristics associated with PCPs and specialists reporting good communication regarding referrals and consultations were:

- "adequate" visit time with patients
- receipt of quality reports regarding patients with chronic conditions
- nurse support for monitoring patients with chronic conditions

Twitter comments:

@westr: Case for EHRs...

@Kind4Kids: but then the inpatient and outpatient EHR need to "communicate".

@GruntDoc: 0% of ED docs... -- Only 62% of referring PCPs received consultation results from specialists

References:

Referral and Consultation Communication Between Primary Care and Specialist Physicians. Arch Intern Med. 2011;171(1):56-65. doi:10.1001/archinternmed.2010.480