Inexpensive Urgent Care Clinics Don't Lower the Costs of Healthcare—They Lead to Additional Medical Visits

2021 ◽  
Vol 27 (11) ◽  
pp. 130-130
Keyword(s):  
Urgent Care ◽  
Medical Visits

scholarly journals Influence of insurance type on rate and type of initial concussion-related medical visits among youth

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Chris Radlicz ◽  
Kenneth Jackson ◽  
Amanda Hautmann ◽  
Junxin Shi ◽  
Jingzhen Yang
Keyword(s):  
Sports Medicine ◽  
Private Insurance ◽  
Urgent Care ◽  
Care Utilization ◽  
Care Seeking ◽  
Medical Visits ◽  
Insurance Type ◽  
Publicly Insured ◽  
Efficient Care ◽  
Privately Insured

Abstract Background A growing number of studies report increased concussion-related health care utilization in recent years, but factors impacting care-seeking behaviors among youth following a concussion are not well described. This study aimed to evaluate the influence of insurance type on the rate and type of initial concussion visits and the time from injury to the initial visit in youth. Methods We extracted and analyzed initial concussion-related medical visits for youth ages 10 to 17 from electronic health records. Patients must have visited Nationwide Children’s Hospital’s (NCH) concussion clinic at least once between 7/1/2012 and 12/31/2017. We evaluated the trends and patterns of initial concussion visits across the study period using regression analyses. Results Of 4955 unique concussion visits included, 60.1% were males, 80.5% were white, and 69.5% were paid by private insurance. Patients’ average age was 13.9 years (SD = 3.7). The rate of the initial concussion visits per 10,000 NCH visits was consistently higher in privately insured than publicly insured youth throughout the study period (P < .0001). Privately insured youth had greater odds of initial concussion visits to sports medicine clinics (AOR = 1.45, 95% CI = 1.20, 1.76) but lower odds of initial concussion visits to the ED/urgent care (AOR = 0.74, 95% CI = 0.60, 0.90) than publicly insured youth. Days from injury to initial concussion visit significantly decreased among both insurance types throughout the study (P < .0001), with a greater decrease observed in publicly insured than privately insured youth (P = .011). Conclusions Results on the differences in the rate, type, and time of initial concussion-related visits may help inform more efficient care of concussion among youth with different types of insurance.

scholarly journals Smoking is Associated with a Higher Risk of Unplanned Medical Visits among Adult Patients with Diabetes, using Retrospective Electronic Medical Record Data from 2014-2016

2020 ◽  
Author(s):  
Arielle Selya ◽  
Eric L Johnson ◽  
Tess L Weber ◽  
Jaymi Russo ◽  
Cheryl Stansbury ◽  
...  
Keyword(s):  
Smoking Status ◽  
Fold Increase ◽  
Emergency Department Visits ◽  
Urgent Care ◽  
Medical Visit ◽  
Old Patients ◽  
Medical Visits ◽  
Patients With Diabetes ◽  
Never Smokers ◽  
Unplanned Visit

Abstract Background Smoking exacerbates the complications of diabetes, but little is known about whether patients with diabetes who smoke have more unplanned medical visits than those who do not smoke. This study examines the association between smoking status and unplanned medical visits among patients with diabetes. Methods Data were drawn from electronic medical records (EMR’s) from a large healthcare provider in the Northern Plains region of the US, from adult (≥18 years old) patients with type 1 or type 2 diabetes who received care at least once during 2014-16 ( N =62,149). The association between smoking status (current, former, or never smoker) and having ≥1 unplanned visit (comprised of emergency department visits, hospitalizations, hospital observations, and urgent care) was examined after adjusting for age, race/ethnicity, and body mass index (BMI). The top ten most common diagnoses for unplanned visits were examined by smoking status. Results Both current and former smoking were associated with an approximately 1.2-fold increase in the odds of having at least one unplanned medical visit in the 3-year period (OR=1.22, 95% CI=1.16-129; OR=1.23, 95% CI=1.19-1.28, respectively), relative to never-smokers. Most common diagnoses for all patients were pain-related. However, diagnoses related to musculoskeletal system and connective tissue disorders were more common among smokers. Smoking is associated with a higher rate of unplanned medical visits among patients with diabetes in this regional healthcare system. Conclusions Results from this study reveal higher rates of unplanned visits among smokers and former smokers, as well as increased frequencies of unplanned medical visits among current smokers.

scholarly journals Smoking is Associated with a Higher Risk of Unplanned Medical Visits among Adult Patients with Diabetes

2019 ◽  
Author(s):  
Arielle Selya ◽  
Eric L Johnson ◽  
Tess L Weber ◽  
Jaymi Russo ◽  
Cheryl Stansbury ◽  
...  
Keyword(s):  
Healthcare System ◽  
Smoking Status ◽  
Fold Increase ◽  
Emergency Department Visits ◽  
Urgent Care ◽  
Medical Visit ◽  
Old Patients ◽  
Medical Visits ◽  
Patients With Diabetes ◽  
Unplanned Visit

Abstract Background Smoking exacerbates the complications of diabetes, but little is known about whether patients with diabetes have more unplanned medical visits. This study examines the association between smoking status and unplanned medical visits among patients with diabetes. Methods Data were drawn from electronic medical records (EMR’s) from a large healthcare provider in the Northern Plains region of the US, from adult (≥18 years old) patients with type 1 or type 2 diabetes who received care within this healthcare system at least once during the 3-year period spanning 2014-16 (N=62,149). The association between smoking status (current, former, or never smoker) and having ≥1 unplanned visit (comprised of emergency department visits, hospitalizations, hospital observations, and urgent care) was examined after adjusting for age, race/ethnicity, and body mass index (BMI). The top ten most common diagnoses for unplanned visits were examined by smoking status. Results Both current and former smoking were associated with an approximately 1.2-fold increase in the odds of having at least one unplanned medical visit in the 3-year period (OR=1.22, 95% CI=1.16-129; OR=1.23, 95% CI=1.19-1.28, respectively), relative to never-smokers. Most common diagnoses for all patients were pain-related. However, diagnoses related to musculoskeletal system and connective tissue disorders were more common among smokers. Smoking is associated with a higher rate of unplanned medical visits among patients with diabetes in this regional healthcare system. Conclusions Results from this study reveal higher rates of unplanned visits among smokers and former smokers, as well as increased frequencies of unplanned medical visits among current smokers.

scholarly journals Smoking is Associated with a Higher Risk of Unplanned Medical Visits among Adult Patients with Diabetes, using Retrospective Electronic Medical Record Data from 2014-2016

2020 ◽  
Author(s):  
Arielle Selya ◽  
Eric L Johnson ◽  
Tess L Weber ◽  
Jaymi Russo ◽  
Cheryl Stansbury ◽  
...  
Keyword(s):  
Smoking Status ◽  
Fold Increase ◽  
Emergency Department Visits ◽  
Urgent Care ◽  
Medical Visit ◽  
Old Patients ◽  
Medical Visits ◽  
Patients With Diabetes ◽  
Never Smokers ◽  
Unplanned Visit

Abstract Background Smoking exacerbates the complications of diabetes, but little is known about whether patients with diabetes who smoke have more unplanned medical visits than those who do not smoke. This study examines the association between smoking status and unplanned medical visits among patients with diabetes. Methods Data were drawn from electronic medical records (EMR’s) from a large healthcare provider in the Northern Plains region of the US, from adult (≥18 years old) patients with type 1 or type 2 diabetes who received care at least once during 2014-16 (N=62,149). The association between smoking status (current, former, or never smoker) and having ≥1 unplanned visit (comprised of emergency department visits, hospitalizations, hospital observations, and urgent care) was examined after adjusting for age, race/ethnicity, and body mass index (BMI). The top ten most common diagnoses for unplanned visits were examined by smoking status. Results Both current and former smoking were associated with an approximately 1.2-fold increase in the odds of having at least one unplanned medical visit in the 3-year period (OR=1.22, 95% CI=1.16-129; OR=1.23, 95% CI=1.19-1.28, respectively), relative to never-smokers. Most common diagnoses for all patients were pain-related. However, diagnoses related to musculoskeletal system and connective tissue disorders were more common among smokers. Smoking is associated with a higher rate of unplanned medical visits among patients with diabetes in this regional healthcare system. Conclusions Results from this study reveal higher rates of unplanned visits among smokers and former smokers, as well as increased frequencies of unplanned medical visits among current smokers.

scholarly journals For What Illnesses Do Asylum Seekers and Undocumented Migrant Workers in Israel Seek Healthcare? An Analysis of Medical Visits at a Large Urgent Care Clinic for the Uninsured in Tel Aviv

2019 ◽  
Vol 16 (2) ◽  
pp. 252 ◽  
Author(s):  
Elizabeth B. Moran ◽  
Mark A. Katz ◽  
Orel-Ben Ari ◽  
Nadav Davidovitch ◽  
Oren Zwang
Keyword(s):  
Migrant Workers ◽  
Asylum Seekers ◽  
Respiratory Infections ◽  
Musculoskeletal Diseases ◽  
Urgent Care ◽  
Undocumented Migrant ◽  
Care Clinic ◽  
Tel Aviv ◽  
Medical Visits ◽  
Chi Squared

In 2017, there were nearly 80,000 asylum seekers and undocumented migrant workers in Israel, most of whom did not have health insurance. We evaluated trends in medical visits of asylum seekers and undocumented migrant workers who presented to Terem Refugee Clinic (TRC), a large clinic in Tel Aviv available only to uninsured residents of Israel. Data were collected from electronic medical records at TRC from 2013–2017. Diagnoses were grouped into categories using ICD-10-equivalent diagnosis codes. We used a chi-squared test for trends to test the significance of trends 2013 to 2017. There were 99,569 medical visits from 2013 to 2017 at TRC. Visits were lowest in 2013 (11,112), and relatively stable from 2014–2017 (range: 19,712–23,172). Most visits were among adults aged 18–35 (41.2%) and children <2 years old (23.7%). Only 3% of visits were from patients aged >50. The percentage of infectious disease diagnoses decreased over the study period, from 9.4% of all diagnoses in adults in 2014 to 5.2% in 2017, and from 32.0% of all diagnoses in children in 2013 to 19.4% in 2017. The annual percentage of respiratory diagnoses in children and adults 18–35 years of age, musculoskeletal in all adults, and digestive in adults except women ≥35 years old increased. Over time, asylum seekers and undocumented migrant workers visited TRC with fewer infectious diseases diagnoses overall but more respiratory diseases, including acute respiratory infections and more musculoskeletal diseases.

scholarly journals Influence of Insurance Type on Rate and Type of Initial Concussion-Related Medical Visits among Youth

2020 ◽  
Author(s):  
Chris Radlicz ◽  
Kenneth Jackson ◽  
Amanda Hautmann ◽  
Junxin Shi ◽  
Jingzhen (Ginger) Yang
Keyword(s):  
Sports Medicine ◽  
Private Insurance ◽  
Urgent Care ◽  
Care Utilization ◽  
Care Seeking ◽  
Medical Visits ◽  
Insurance Type ◽  
Publicly Insured ◽  
Efficient Care ◽  
Privately Insured

Abstract Background: A growing number of studies report increased concussion-related health care utilization in recent years, but factors impacting care-seeking behaviors among youth following a concussion are not well described. This study aimed to evaluate the influence of insurance type on the rate and type of initial concussion visits and the time from injury to the initial visit in youth. Methods: We extracted and analyzed initial concussion-related medical visits for youth ages 10 to 17 from electronic health records. Patients must have visited Nationwide Children’s Hospital’s (NCH) concussion clinic at least once between 7/1/2012 and 12/31/2017. We evaluated the trends and patterns of initial concussion visits across the study period using regression analyses.Results: Of 4,955 unique concussion visits included, 60.1% were males, 80.5% were white, and 69.5% were paid by private insurance. Patients’ average age was 13.9 years (SD=3.7). The rate of the initial concussion visits per 10,000 NCH visits was consistently higher in privately insured than publicly insured youth throughout the study period (P < .0001). Privately insured youth had greater odds of initial concussion visits to sports medicine clinics (AOR = 1.45, 95% CI = 1.20, 1.76) but lower odds of initial concussion visits to the ED/urgent care (AOR = 0.74, 95% CI = 0.60, 0.90) than publicly insured youth. Days from injury to initial concussion visit significantly decreased among both insurance types throughout the study (P < .0001), with a greater decrease observed in publicly insured than privately insured youth (P = .011).Conclusions: Results on the differences in the rate, type, and time of initial concussion-related visits may help inform more efficient care of concussion among youth with different types of insurance.

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