George Washington University School of Medicine, Washington, DC, USA.
Health Aff (Millwood). 2010 May;29(5):998-1003. doi: 10.1377/hlthaff.2010.0089.
There has been growing interest in the patient-centered medical home as a way to provide coordinated, high-quality primary care. At the same time, the number of retail clinics has increased dramatically. Many are concerned that retail clinics undermine the medical home by fragmenting care. In this article we explore the juxtaposition of these trends, highlighting shared characteristics and sources of tension. We describe three types of relationships between retail clinics and primary care providers. We argue that for some relationships there is no conflict, and we describe areas of potential concern for others.
人们对以患者为中心的医疗之家越来越感兴趣，认为这是提供协调、高质量初级保健的一种方式。与此同时，零售诊所的数量也大幅增加。许多人担心零售诊所会破坏医疗保健的整体性，从而导致医疗服务碎片化。本文探讨了这两种趋势的并置，重点介绍了它们的共同特征和紧张关系的来源。我们描述了零售诊所和初级保健提供者之间的三种关系类型。我们认为，对于某些关系来说，并不存在冲突，而对于其他关系，我们则描述了一些潜在的关注点。
