RAND in Pittsburgh, Pennsylvania, USA.
Health Aff (Millwood). 2008 Sep-Oct;27(5):1272-82. doi: 10.1377/hlthaff.27.5.1272.
In this study we compared the demographics of and reasons for visits in national samples of visits to retail clinics, primary care physicians (PCPs), and emergency departments (EDs). We found that retail clinics appear to be serving a patient population that is underserved by PCPs. Ten clinical problems such as sinusitis and immunizations encompass more than 90 percent of retail clinic visits. These same ten clinical problems make up 13 percent of adult PCP visits, 30 percent of pediatric PCP visits, and 12 percent of ED visits. Whether there will be a future shift of care from EDs or PCPs to retail clinics is unknown.
在这项研究中,我们比较了在全国范围内,去零售诊所、初级保健医生(PCP)和急诊部(ED)就诊的人群特征和就诊原因。我们发现,零售诊所似乎服务于那些得不到 PCP 充分服务的患者群体。十种临床问题,如鼻窦炎和免疫接种,占零售诊所就诊的 90%以上。这十种相同的临床问题,占成年 PCP 就诊的 13%,儿科 PCP 就诊的 30%,以及 ED 就诊的 12%。未来是否会出现从 ED 或 PCP 向零售诊所转移的情况还不得而知。