TY - JOUR
T1 - Pediatric providers' attitudes toward retail clinics
AU - Garbutt, Jane M.
AU - Mandrell, Kathy M.
AU - Sterkel, Randall
AU - Epstein, Jay
AU - Stahl, Kristin
AU - Kreusser, Katherine
AU - Sitrin, Harold
AU - Ariza, Adolfo
AU - Reis, Evelyn Cohen
AU - Siegel, Robert
AU - Pascoe, John
AU - Strunk, Robert C.
N1 - Funding Information:
Supported by the National Center for Research Resources (NCRR) , a component of the National Institutes of Health (NIH) , and NIH Roadmap for Medical Research ( UL1 RR024992 Washington University in St Louis ] and UL1 TR000005 [ University of Pittsburgh ]). Its contents are solely the responsibility of the authors and do not necessarily represent the official view of NCRR or NIH. The sponsors had no involvement in study design, collection, analysis, interpretation of the data, the writing of the report, or the decision to submit the paper for publication. The authors declare no conflicts of interest.
PY - 2013/11
Y1 - 2013/11
N2 - Objective To describe pediatric primary care providers' attitudes toward retail clinics and their experiences of retail clinics use by their patients. Study design A 51-item, self-administered survey from 4 pediatric practice-based research networks from the midwestern US, which gauged providers' attitudes toward and perceptions of their patients' interactions with retail clinics, and changes to office practice to better compete. Results A total of 226 providers participated (50% response). Providers believed that retail clinics were a business threat (80%) and disrupted continuity of chronic disease management (54%). Few (20%) agreed that retail clinics provided care within recommended clinical guidelines. Most (91%) reported that they provided additional care after a retail clinic visit (median 1-2 times per week), and 37% felt this resulted from suboptimal care at retail clinics "most or all of the time." Few (15%) reported being notified by the retail clinic within 24 hours of a patient visit. Those reporting prompt communication were less likely to report suboptimal retail clinic care (OR 0.20, 95% CI 0.10-0.42) or disruption in continuity of care (OR 0.32, 95% CI 0.15-0.71). Thirty-six percent reported changes to office practice to compete with retail clinics (most commonly adjusting or extending office hours), and change was more likely if retail clinics were perceived as a threat (OR 3.70, 95% CI 1.56-8.76); 30% planned to make changes in the near future. Conclusions Based on the perceived business threat, pediatric providers are making changes to their practice to compete with retail clinics. Improved communication between the clinic and providers may improve collaboration.
AB - Objective To describe pediatric primary care providers' attitudes toward retail clinics and their experiences of retail clinics use by their patients. Study design A 51-item, self-administered survey from 4 pediatric practice-based research networks from the midwestern US, which gauged providers' attitudes toward and perceptions of their patients' interactions with retail clinics, and changes to office practice to better compete. Results A total of 226 providers participated (50% response). Providers believed that retail clinics were a business threat (80%) and disrupted continuity of chronic disease management (54%). Few (20%) agreed that retail clinics provided care within recommended clinical guidelines. Most (91%) reported that they provided additional care after a retail clinic visit (median 1-2 times per week), and 37% felt this resulted from suboptimal care at retail clinics "most or all of the time." Few (15%) reported being notified by the retail clinic within 24 hours of a patient visit. Those reporting prompt communication were less likely to report suboptimal retail clinic care (OR 0.20, 95% CI 0.10-0.42) or disruption in continuity of care (OR 0.32, 95% CI 0.15-0.71). Thirty-six percent reported changes to office practice to compete with retail clinics (most commonly adjusting or extending office hours), and change was more likely if retail clinics were perceived as a threat (OR 3.70, 95% CI 1.56-8.76); 30% planned to make changes in the near future. Conclusions Based on the perceived business threat, pediatric providers are making changes to their practice to compete with retail clinics. Improved communication between the clinic and providers may improve collaboration.
UR - http://www.scopus.com/inward/record.url?scp=84886728893&partnerID=8YFLogxK
U2 - 10.1016/j.jpeds.2013.05.008
DO - 10.1016/j.jpeds.2013.05.008
M3 - Article
C2 - 23810720
AN - SCOPUS:84886728893
VL - 163
SP - 1384-1388.e6
JO - Journal of Pediatrics
JF - Journal of Pediatrics
SN - 0022-3476
IS - 5
ER -