scholarly journals Urgent Care Center and Retail Health Clinic Utilization Among Adults: United States, 2019

2021 ◽  
Author(s):  
Lindsey Black ◽  
Dzifa Adjaye-Gbewonyo
Keyword(s):  
United States ◽  
Care Center ◽  
Urgent Care ◽  
Health Clinic ◽  
Urgent Care Center ◽  
The Past ◽  
Clinic Visits

This report examines urgent care center or retail health clinic visits among adults in the past 12 months by sex and selected characteristics.

scholarly journals Increase in Urgent Care Center Visits for Sexually Transmitted Infections, United States, 2010–2014

2017 ◽  
Vol 23 (2) ◽  
pp. 367-369 ◽  
Author(s):  
William S. Pearson ◽  
Guoyu Tao ◽  
Karen Kroeger ◽  
Thomas A. Peterman
Keyword(s):  
United States ◽  
Sexually Transmitted Infections ◽  
Care Center ◽  
Urgent Care ◽  
Urgent Care Center ◽  
Sexually Transmitted

scholarly journals Association of a Clinician’s Antibiotic-Prescribing Rate With Patients’ Future Likelihood of Seeking Care and Receipt of Antibiotics

2020 ◽  
Author(s):  
Zhuo Shi ◽  
Michael L Barnett ◽  
Anupam B Jena ◽  
Kristin N Ray ◽  
Kathe P Fox ◽  
...  
Keyword(s):  
United States ◽  
Clinical Improvement ◽  
Care Center ◽  
Family Members ◽  
Patient Characteristics ◽  
Urgent Care ◽  
Antibiotic Prescribing ◽  
Random Assignment ◽  
Urgent Care Center ◽  
Respiratory Illnesses

Abstract Background One underexplored driver of inappropriate antibiotic prescribing for acute respiratory illnesses (ARI) is patients’ prior care experiences. When patients receive antibiotics for an ARI, patients may attribute their clinical improvement to the antibiotics, regardless of their true benefit. These experiences, and experiences of family members, may drive whether patients seek care or request antibiotics for subsequent ARIs. Methods Using encounter data from a national United States insurer, we identified patients <65 years old with an index ARI urgent care center (UCC) visit. We categorized clinicians within each UCC into quartiles based on their ARI antibiotic prescribing rate. Exploiting the quasi-random assignment of patients to a clinician within an UCC, we examined the association between the clinician’s antibiotic prescribing rate to the patients’ and their spouses’ rates of ARI antibiotic receipt in the subsequent year. Results Across 232,256 visits at 736 UCCs, ARI antibiotic prescribing rates were 42.1% and 80.2% in the lowest and highest quartile of clinicians, respectively. Patient characteristics were similar across the four quartiles. In the year after the index ARI visit, patients seen by the highest-prescribing clinicians received more ARI antibiotics (+3.0 fills/100 patients (a 14.6% difference), 95% CI 2.2–3.8, P < 0.001,) versus those seen by the lowest-prescribing clinicians. The increase in antibiotics was also observed among the patients’ spouses. The increase in patient ARI antibiotic prescriptions was largely driven by an increased number of ARI visits (+5.6 ARI visits/100 patients, 95% CI 3.6–7.7, P < 0.001), rather than a higher antibiotic prescribing rate during those subsequent ARI visits. Conclusions Receipt of antibiotics for an ARI increases the likelihood that patients and their spouses will receive antibiotics for future ARIs.

91 EMF Brief Screen for Patient Prescription Drug Misuse in an Emergency Department and Urgent Care Center

2012 ◽  
Vol 60 (4) ◽  
pp. S34
Author(s):  
B. Kaplan ◽  
M. Cohen ◽  
L. Kranker ◽  
M. Richmond ◽  
J. Fagan ◽  
...  
Keyword(s):  
Emergency Department ◽  
Prescription Drug ◽  
Care Center ◽  
Urgent Care ◽  
Drug Misuse ◽  
Prescription Drug Misuse ◽  
Urgent Care Center

Capacity Rationing in Primary Care: Provider Availability Shocks and Channel Diversion

2021 ◽  
Author(s):  
Hessam Bavafa ◽  
Anne Canamucio ◽  
Steven C. Marcus ◽  
Christian Terwiesch ◽  
Rachel M. Werner
Keyword(s):  
Operations Management ◽  
Care Center ◽  
Urgent Care ◽  
Veterans Health ◽  
Health Administration ◽  
Urgent Care Center ◽  
Standard Deviations ◽  
Using Data ◽  
Capacity Constrained

We study capacity rationing by servers facing differentiated customer classes using data from the Veterans Health Administration, which is the largest integrated healthcare system in the U.S. Using more than 11 million health encounters over two years in which the system was capacity constrained, our study provides a comprehensive analysis of the impacts of provider availability shocks on care channel diversion and delays. The outcomes studied include emergency room (ER) visits broken down by type, urgent care center visits, office and phone visits with one’s own versus another provider, post-ER follow-up visits, and ER readmissions. Availability shocks in our analysis are a residualized measure characterizing weeks in which the provider has fewer (or more) office appointments than expected based on typical patterns. The main finding is that moving from two standard deviations above to two standard deviations below in availability shocks increases ER visits by 2.4%, or about 20,000 yearly ER visits. Interestingly, the increase in ER visits is only present for the non-emergent category, indicating differentiated service to emergent and non-emergent care requests; capacity-constrained providers still tend to the patients in most need. Another finding is that provider availability shocks delay and divert post-ER follow-up care. Yet there is no effect on ER readmissions, a severe outcome of delayed or foregone follow-up, indicating that providers ration by priority these follow-up appointments. This paper was accepted by Vishal Gaur, operations management.

scholarly journals Comparison of Quidel Sofia SARS FIA Test to Hologic Aptima SARS-CoV-2 TMA Test for Diagnosis of COVID-19 in Symptomatic Outpatients

2020 ◽  
Author(s):  
Eric T. Beck ◽  
Wendy Paar ◽  
Lara Fojut ◽  
Jordan Serwe ◽  
Renee R. Jahnke
Keyword(s):  
Symptom Onset ◽  
Care Center ◽  
Urgent Care ◽  
Molecular Diagnostic ◽  
Nasopharyngeal Swab ◽  
Urgent Care Center ◽  
Ct Value ◽  
High Prevalence ◽  
Nasal Swabs ◽  
Molecular Diagnostic Test

The Quidel Sofia SARS FIA test (SOFIA) is a rapid antigen immunoassay for detection of SARS-CoV-2 viral proteins from nasal or nasopharyngeal swab specimens. The purpose of this study was to compare the results of the SOFIA test to the Hologic Aptima SARS-CoV-2 TMA test (APTIMA TMA), a high-throughput molecular diagnostic test that uses transcription mediated amplification for detection of SARS-CoV-2 nucleic acid from upper respiratory specimens. Three hundred and 40-seven symptomatic patients, from an urgent care center in an area with a high prevalence of SARS-CoV-2 infections, were tested in parallel using nasal swabs on the SOFIA test and nasopharyngeal swabs on the APTIMA TMA test. The SOFIA test demonstrated an 82.0% positive percent agreement (PPA) compared to the APTIMA TMA test for symptomatic patients tested ≤ 5 days from symptom onset and a 54.5% PPA for symptomatic patients > 5 days from symptom onset. The Cepheid Xpert Xpress SARS-CoV-2 RT-PCR test was used to determine the cycle threshold (Ct) value from any specimens that were discrepant between the SOFIA and APTIMA TMA tests. Using a Ct value of ≤ 35 as a surrogate for SARS-CoV-2 culture positivity, we estimate that the SOFIA test detected 87.2% of symptomatic patients tested ≤ 5 days from symptom onset that were likely to be culture positive.

Improving patient satisfaction at a rural urgent care center

Nursing ◽  
2019 ◽  
Vol 49 (3) ◽  
pp. 18-20
Author(s):  
Amber J. Irwin
Keyword(s):  
Patient Satisfaction ◽  
Care Center ◽  
Urgent Care ◽  
Urgent Care Center
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