Rohrer James E, Angstman Kurt B, Garrison Gregory M, Maxson Julie A, Furst Joseph W
J Prim Care Community Health. 2013 Apr 1;4(2):150-3. doi: 10.1177/2150131912471683. Epub 2013 Jan 15.
The purpose of this study was to compare continuity of care for family medicine patients using retail medicine clinics to continuity for patients not using retail clinics. Retail medicine clinics have become popular in some markets. However, their impact on continuity of care has not been studied.
Electronic medical records of adult primary care patients seen in a large group practice in Minnesota in 2011 were analyzed for this study. Two randomly chosen groups of patients were selected (N = 400): those using 1 of 3 retail walk-in clinics staffed by nurse practitioners in addition to standard office care and a comparison group that only used standard office care. Continuity was measured as the percentage of visits that involved the primary care provider. We also compared patients who made zero visits to their primary care providers with those who made some visits to their primary care providers.
Continuity of care was lower for patients who used retail clinics than for patients who did not use retail clinics (0.17 vs 0.44, mean difference 0.27). The percentage of patients who made zero visits to their primary care providers was 54.5 for users of retail clinics versus 31.0 for those who did not use retail clinics.
Continuity of care should be monitored as retail medicine continues to expand.
本研究旨在比较使用零售医疗诊所的家庭医学患者的护理连续性与未使用零售诊所的患者的护理连续性。零售医疗诊所在一些市场已变得很普遍。然而，它们对护理连续性的影响尚未得到研究。
本研究分析了2011年在明尼苏达州一个大型团体诊所就诊的成年初级保健患者的电子病历。随机选择两组患者（N = 400）：一组除了接受标准门诊护理外，还使用由执业护士提供服务的3家零售随诊诊所中的1家；另一组为仅接受标准门诊护理的对照组。连续性以涉及初级保健提供者的就诊百分比来衡量。我们还比较了未去看初级保健提供者的患者与去看过初级保健提供者的患者。
使用零售诊所的患者的护理连续性低于未使用零售诊所的患者（0.17对0.44，平均差异为0.27）。零售诊所使用者中未去看初级保健提供者的患者百分比为54.5，而未使用零售诊所的患者为31.0。
随着零售医疗的不断扩张，应监测护理连续性。
