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You know the routine up early, make breakfast, pack kids' lunches, telephone the carpool mom, dash to work, run out at lunch to pick up a few groceries, back for afternoon meetings, make a fast getaway to pick up the kids from soccer, arrive at home in [url=http://www.ilyav.com/uggsoldes.php]boots ugg pas cher[/url] time to make dinner while helping kids with homework. You finally get home, exchange a few words with your other half, check [url=http://www.gotprintsigns.com/abercrombiepascher/‎]abercrombie soldes[/url] a few emails then off to bed. Tomorrow, the cycle starts again.
And then it happens. You wake up with a headache, a fever of 101, a severe sore throat that's red, swollen and speckled with white patches. Now what? How do you fit in being sick? If we're being honest with ourselves, we know that it's just not possible to be sick, so we take some acetaminophen and drag ourselves through the day because we have to.
You probably have a common viral infection but you may have a strep throat. Untreated strep can result in much more serious problems such as rheumatic fever or subacute bacterial endocarditis. Okay, so you need to have your throat evaluated. How are you going to get an appointment with your medical provider? If you do manage to get an appointment today, will it work in with the cannot-not-be-cancelled parts of your day?
Enter [url=http://www.mnfruit.com/louboutinpascher.php]louboutin[/url] the retail medical clinic, a medical office conveniently located in a retail setting, possibly in a major pharmacy chain or big box store, and maybe sandwiched in between the nail salon, photo studio and optical shop. And, surpisely, providing convenient, quick and affordable medical care - three adjectives which are not in the medical vocabulary!
(1) Convenient - No appointment necessary, open early morning, evenings and weekends, these medical facilities are specifically designed to respond to your need for same day, quick and convenient care.
(2) Quick - The retail clinic offers a very [url=http://www.mnfruit.com/doudounemoncler.php]moncler pas cher[/url] limited number of rapid turnaround services so visits are very brief. Typical services available include treatment of minor infections, such as sore throat, cough and minor skin conditions, immunizations, preventive screening, such as cholesterol and pregnancy testing or even diabetes screening.
(3) Affordable - Strictly speaking, retail clinics are significantly less expensive than other alternatives for urgent care such as emergency departments and doctors' offices. In a study by HealthPartners, the average cost for an urgent care visit was $72 in the retail setting vs $91 or $106 in other non-acute settings. However, if you have to pay out of pocket for services, $72 is much greater than the standard co-pay for most insurances. This [url=http://www.ilyav.com/uggsoldes.php]ugg pas cher[/url] problem should be disappearing as more and more clinics accept insurances. The California Health Foundation in 2006 reported that 40% of clinics accepted insurance; a 2009 article in the Annals of Internal Medicine reported that 97% of clinics sampled accept insurance. Of course, if you are uninsured, [url=http://www.achbanker.com/hollister.php]hollister[/url] the retail [url=http://www.sandvikfw.net/shopuk.php]hollister sale[/url] clinic is a bargain compared to the price you will pay anywhere else in the system.
Consumers really like retail clinic care although usage has not yet become widespread. In fact 90% according to Harris Interactive, who have used a retail clinic are pleased with the services received. People appreciate the easy access and rapid turnaround that helps rather than worsens the daily pressures of an active life.
However, at the same time, retail medical clinics continue to remain controversial. So, what are the downsides? The medical establishment cites the following concerns about the quality and continuity of retail clinics. But, let's not forget that lurking in the shadows is the tired old issue of competition.
(1) Staffed by non-MDs - Clinics are generally staffed by mid level practitioners, such as nurse practioners and physician assistants, rather [url=http://www.mnfruit.com/doudounemoncler.php]moncler[/url] than by medical doctors. They are licensed to diagnose, treat and prescribe medications for common medical conditions, as well as administer preventive care. They are not, on the other hand, trained to sort through the complex web of medical symptoms that some people may possess.
(2) Minor Ailments Can't Always be Treated in Isolation - Many people, especially as they age, are afflicted with a number of chronic disorders that can be made worse by minor problems that are treated without understanding the larger medical picture. Treating an infection like a strep throat in a diabetic without considering the larger system effects can be unwise. They argue that mid level practitioners were meant [url=http://www.rtnagel.com/airjordan.php]nike air jordan pas cher[/url] to make the process of receiving medical care more efficient by handling minor problems but not meant to substitute for MD expertise differentiating between apparent minor illness and more serious medical problems.
(3) Violation of the Medical Home Concept of Care -Health experts and insurers have stressed the importance and effectiveness of a "medical home" - a place where patients have a personal physician who oversees and coordinates their care. This approach dismisses the strategy of viewing a person in terms of isolated symptoms on an episodic basis and supports a model of whole person care coordinated by a skilled practitioner. When people are treated by a variety of professionals, care and medical history can become fragmented, making it more difficult to form an overall picture of an individual's healthcare status.
For example, if a person has a urinary tract infection diagnosed once at her doctor's office, once at a retail clinic near her home and once at a clinic near her job, no one sees the emerging picture of an ongoing problem that could mean resistant kidney infection or other problems. Doctors use every contact opportunity to check on related health issues and provide counsel and direction. The retail clinic removes that interaction.
(4) Standards of Care - There are currently no overall regulations or licensing requirements specific to this new delivery system. Given that many retail clinics have been retrofitted into spaces that were originally designed as retail space, there are often insufficient bathrooms and hand washing facilities available. Furthermore, the antagonists argue that 'retail clinics' should be held to a higher standard of care than what's required for a typical doctor's office. However, the National Convenient Care Association, in a [url=http://www.rtnagel.com/louboutin.php]louboutin pas cher[/url] study of their membership found that mid level practitioners followed established guidelines more often than doctors.
(5) Conflict of Interest - Over half of retail clinics are located in pharmacies, which is convenient for the patient who needs a prescription filled and a convenient source of revenue for the pharmacy. Retailers of course hope that clinic users will shop at the same time and fill their prescriptions on-site. MinuteClinic, one of the earliest retail clinic operations, notes that its clinics see 25-30 patients a day. Approximately 70% of those [url=http://www.mxitcms.com/abercrombie/]abercrombie milano[/url] patients become new pharmacy users, 38% will make an over the counter medicine purchases while there and 80% will make a general merchandise purchase during the same visit. Target clinic customers report similar results with 95% of users filling their prescription at a Target pharmacy. [url=http://www.mnfruit.com/louboutinpascher.php]louboutin pas cher[/url] Plus, although 90% of Target clinic users came for the medical care, they bought retail merchandise as well.
(6) Fragmented Medical Care - When you receive your care in many different provider locations without a common medical record, the responsibility for communicating information falls back to you as the consumer. Many people simply aren't good at managing or communicating that information. As a result, it's difficult for your primary physician to get a complete picture of your health.
(7) Substituting Convenience Care for Primary Care - When convenience care is available, some people choose to simply react to urgent problems as they arise but fail to establish a relationship with a primary care doctor who can manage overall care. This strategy may work for young people who have do not have long term problems but as you age, there is a need for a more comprehensive approach to care.
(8) Overuse - Some healthcare analysts argue that many minor problems that are seem in retail clinics do not require treatment. When appointments are somewhat less available, people make better choices about when to get medical care. Retail clinics may encourage unnecessary visits that are underwritten by insurance companies, adding to the cost of care.
However despite the controversy, as retail clinics become more and more available to help with the minor problems that beset all of us, it makes perfectly good sense to use a retail clinic to get your sore throat evaluated, have your child's ears checked for infection or have that rash looked at.
But, don't let the retail clinic become your primary source of medical care. Be sure that you keep your overall medical care in the hands of a competent medical provider. Ask the retail clinic to either forward a summary of your care to your doctor or give you a copy that you can bring to the office to be placed in your medical record. Retailers and physicians may be fighting for your business and that's just fine. It's about time consumers had some control in the healthcare process.
Retail clinics have done what the healthcare industry has been unable or unwilling to do - give consumers what they want - fast, convenient, affordable care for minor problems. Healthcare has finally gone retail!

The article 'Milk, Bread and... Medical Care? Healthcare goes Retail' may be found in its entirety including references at
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