A friend of mine recently had a very sore throat. She knew how to manage her symptoms–lozenges, warm tea and the like. But she was worried she might have strep and would, therefore, need antibiotics. That should be a simple question to answer with a quick trip to the primary care clinic. Except that her primary care physician was booked, and if she wanted an unscheduled appointment with someone else in the clinic, she was told that she would probably wait a couple of hours.
So she went to a “doc-in-the-box,” which according to the Urban Dictionary is “any doctor at a walk-in clinic.” She paid a modest fee and in a short time received a throat swab. The swab didn’t detect any strep, so she was soon back at home, with a tea kettle brewing and no fear of serious illness.
Primary care clinicians have a new competitor. Minute clinics, retail health clinics and other convenient alternatives are rapidly arising in many parts of the country, meeting unmet demand for timely, affordable care for minor complaints. The biggest players in this field include companies like CVS. These minute-like clinics are a real growth industry.
However, some physicians are critical of these clinics, for skimming off uncomplicated care, for not having longstanding relationships with their patients and for not being skilled enough to recognize when people need more advanced care.
But the American College of Physicians (or ACP) disagrees. The ACP is one of the most respected professional organizations in the country, famous for the rigor of how it weighs medical evidence. The ACP recognizes physicians’ concerns about retail health clinics, but believes that these clinics deserve a place in the U.S. healthcare system. Here’s a quick summary of their position, which should give you a guide in deciding when and whether to receive care at such clinics:
Until and unless traditional primary care clinics start providing more timely care to their patients, doc-in-the-boxes will continue to proliferate. Consumers should keep these 6 tips in mind so they make better use of such clinics.
*Previously Published in Forbes*