The Future

In this chapter, the author evaluates the convenient care models on convenience, costs, access, and quality. The models studied receive high scores on convenience, costs, and quality when compared to hospital emergency rooms and primary care physician offices, despite issues related to possible fragmentation of care. However, improving access to care, especially among uninsured and underserved populations, does not seem to be an advantage offered by convenient care. The author posits that the American healthcare system appears to be at a tipping point, with rising consumerism, demands for price and quality transparency, and regulatory forces that are forcing providers to focus on value over quantity. He envisages that the race between hospital systems under legislative pressures and giant retailers spotting strategic opportunities will accelerate innovations and enable convenient care models to move from the margins to become the mainstream way of providing preventative services, treating minor conditions, and managing some chronic conditions.

Author(s):  
Rishi Manchanda

This chapter looks at the issue of advances in public health and efforts with collaboration from the perspective of a primary care physician at a community health center. It specifically looks at how much has evolved in a ten-year span. Thanks to increasing payer commitment to value-based care, the concept of moving forwards to address social determinants of health appears to be entering the mainstream in US health care. If the last decade was about health care's awakening to the realities of social determinants of health and why they matter, the next ten years will hopefully focus on how to address them as clinicians, as organizations, and as partners to the civic, public health, and social sector peers.


2017 ◽  
Vol 197 (4S) ◽  
Author(s):  
Ryan Hutchinson ◽  
Nirmish Singla ◽  
Solomon Woldu ◽  
Abdulhadi Akhtar ◽  
Justin Haridas ◽  
...  

In this chapter, the author addresses the degree of involvement of large hospital systems in convenient care models. These systems are not known for being nimble and innovative, as many are inhibited by fixed budgets and low tolerance for risk. However, they have recently joined the trends and developed their own retail clinics, urgent care centers, and online clinics. In fact, several hospital systems now have a “convenient care strategy” to reduce demand on their overwhelmed emergency rooms and better serve their patients. These strategies also help the systems better position themselves to deal with recent regulatory provisions. Implications of the Patient Protection and Affordable Care Act (PPACA), such as value-based purchasing and bundled payments are discussed in depth. The authors propose that hospital-based convenient care models that are appropriately aligned and integrated with the new arrangements will embody excellent opportunities for hospital systems to provide easy-access entry-points for new patients, to substitute expensive traditional care settings with less costly alternatives, and to deliver high quality and expedient care that will keep patients in their network.


1988 ◽  
Vol 6 (4) ◽  
pp. 483-487
Author(s):  
Richard P. McQuellon ◽  
Guyton J. Winker

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