Mon, Jun 26, 2017 | updated 06:00 AM IST

Retail clinics fail to cut emergency department visits

Updated: Nov 14, 2016 16:50 IST      
Retail clinics fail to cut emergency department visits

Washington D.C. [USA], Nov.14 (ANI): A recent study has found that retail clinics are unsuccessful in reducing emergency department visits.

An accompanying editorial suggests that the primary effect of opening retail clinics is to increase health care use, not substitute for emergency department visits.

"Retail clinics may emerge as a way to satisfy the growing demand for health care created by people newly insured under the Affordable Care Act, but contrary to our expectations, they do not appear to be leading to meaningful reductions in low-acuity emergency department visits," said lead study author Grant Martsolf.

"Although the growth in retail clinics has been significant in recent years, the only decrease in low-acuity visits to emergency departments was seen among patients with private insurance, and that decrease was very small."

The number of retail clinics grew from 130 in 2006 to nearly 1,400 in 2012. The rate of retail clinic penetration - in other words, the proportion of the emergency department catchment area that overlaps with a 10-minute drive radius of a retail clinic - more than doubled (8.1 to 16.4) between 2007 and 2012 among states in the study sample. One-third of the urban population in the United States lives within a 10-minute drive of a retail clinic.

During the same period, low-acuity visits among emergency departments with significant increase in retail clinic penetration (10 percent per quarter) decreased by 0.03 percent per quarter and only among patients with private insurance. This is equivalent to approximately 17 fewer emergency department visits among privately insured patients over the course of the year for the average emergency department if the retail clinic penetration rate increased by 40 percent in that year.

The accompanying editorial offers three theories as to why retail clinics (described as "convenience settings") increase health care use: 1. They meet unmet demands for care; 2. Motivations for seeking care differ in emergency departments and convenience settings; and 3. Groups of people who are more likely to use emergency departments for low-acuity conditions do so because they have little access to other types of care, including convenience settings.

"Given that convenience settings don't prevent ER visits, what can be done in an era where looming government reforms may soon restrict the very payments that support them?" said Jesse Pines, MD, FACEP, of the George Washington University School of Medicine and Health Sciences in Washington D.C., the editorial's author. "The answer is not to build more convenience settings, but to improve the value of existing settings by increasing the connectivity among providers and with longitudinal care."?

The study has been published in Annals of Emergency Medicine ("Association Between the Opening of Retail Clinics and Low-Acuity Emergency Department Visits"). (ANI)

Paracetamol during pregnancy can put unborn boys at risk

Updated: Jun 25, 2017 14:45 IST     

New Delhi [India] June 24, (ANI): Pregnant? You may want to rethink popping those paracetamol pills as a recent study has suggested that doing so can harm the masculinity of your unborn son.

Full Story >>

Excessive texting is bad for your wrists

Updated: Jun 25, 2017 11:48 IST     

New York [US], June 25 (ANI): Texting, the thing we do most with our phones, takes a toll on our health.

Full Story >>

Ozone exposure ups autism odds in at-risk people

Updated: Jun 24, 2017 19:47 IST     

Washington D.C. [USA], Jun 24 (ANI): Elevated exposure to ozone can put individuals with high levels of genetic variation at an even higher risk for developing autism than would be expected by adding the two risk factors together, according to a recent analysis.

Full Story >>

Washington D.C. [USA], June 24 (ANI): People suffering from advanced kidney cancer, we have some good news for you.

Full Story >>

Washington D.C. [USA], June 24 (ANI): In a recent study, leisure activities like going for a walk outside, reading, listening to music and other fun activities can reduce blood pressure for elderly caregivers of spouses with Alzheimer's disease.

Full Story >>

Anti-epilepsy drug to treat Alzheimer's disease?

Updated: Jun 24, 2017 10:09 IST     

Washington D.C. [USA], June 24 (ANI): According to a recent study, the scientists have tested an anti-epileptic drug for its potential impact on the brain activity of patients with mild Alzheimer's disease.

Full Story >>

Take these measures to keep oral cancer at bay

Updated: Jun 23, 2017 16:04 IST     

New Delhi [India], June 23 (ANI): Oral Cancer is one of the most prevalent forms of cancer in India. Evidence suggests that India bears the largest burden of oral cancers in the world, with an incidence of around 11.28 percent in Indian men.

Full Story >>

Don't eat but sleep, to beat office blues!

Updated: Jun 23, 2017 10:59 IST     

Washington D.C. [USA], June 23 (ANI): Stressful day at work leads to binge-eating at night. A new study suggests a good night's sleep can serve as a protecting factor between job stress and unhealthy eating in the evening.

Full Story >>

Washington D.C. [USA], June 23 (ANI): According to a recent clinical trial, intensive blood pressure lowering benefits patients with chronic kidney disease.

Full Story >>

New Delhi, [India], June 22 (ANI): J K Organization, in collaboration with Pushpawati Singhania Hospital and Research Institute Multispecialty Hospital, organized a two-day blood donation camp in New Delhi to collect 4043 units of blood.

Full Story >>

Can your blood group predict heart attack risk?

Updated: Jun 22, 2017 13:12 IST     

New Delhi [India], June 22 (ANI): India is presently witnessing nearly two million heart attacks annually. A heart attack (clinically known as myocardial infarction) is the permanent damage or death of the heart muscles due to lack of oxygen-rich blood. According to reports, heart attack kills one person in every 33 seconds in our country.

Full Story >>

Deficits in attention linked to increased alcohol use

Updated: Jun 22, 2017 13:02 IST     

Washington D.C. [USA], June 22 (ANI): Finding it hard to multi-task? Your frequency of alcohol use could be a reason.

Full Story >>

Healing garden at your place: Homoeopathy speaks

Updated: Jun 22, 2017 13:01 IST     

New Delhi [India], June 22 (ANI): One always aspires to be fit and healthy without taking any medicine. If there will be no stress, infections or any other disturbances, there will be no chance of getting ill. But the real world is exactly opposite. There is no life without challenges.

Full Story >>

Looking for stone removal procedure?

Updated: Jun 22, 2017 11:48 IST     

New Delhi [India], June 22 (ANI): Kidneys help in detoxifying and filtering impurities from the blood. They help us excrete excess toxins and excess water through urine.

Full Story >>

Lack Vitamin D? Your job could be a reason

Updated: Jun 22, 2017 09:35 IST     

Washington D.C. [USA], June 22 (ANI): Stuck behind your office desk for most part of the day? Your nine-to-five job could be a major factor that puts you at high risk of Vitamin D deficiency.

Full Story >>

New Delhi [India], Jun 21 (ANI): In a major breakthrough in kidney transplant, a team of doctors has conducted an ABO incompatible kidney transplant on the youngest child in SAARC region.

Full Story >>

Washington D.C. [USA], June 21 (ANI): The proverb early to bed and early to rise makes man healthy, wealthy and wise, rightly explains a recent study, as it suggests people who sleep after 3 a.m. at night have lower perceived control of obsessive thoughts.

Full Story >>

Exhaustion of immune cells linked to irritable bowel syndrome

Updated: Jun 21, 2017 12:50 IST     

Washington D.C. [USA], June 21 (ANI): Australian researchers have recently discovered that exhaustion of the immune system is linked to a specific type of an intestinal disorder causing pain in the stomach, wind, diarrhea and constipation.

Full Story >>

Nerves from foot used to restore vision of 60-year-old

Updated: Jun 19, 2017 19:58 IST     

New Delhi [India], June 19 (ANI): In a first of its kind surgery, a hospital in Mumbai used nerves from the foot of a partially blind 60-year-old woman to help her restore her vision.

Full Story >>

Now, it's easier to blunt sickle cell disease

Updated: Jun 19, 2017 16:28 IST     

New Delhi [India], June 19 (ANI): As population of sickle cell poses a formidable challenge, odds have dramatically lessened in its treatment.

Full Story >>