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Why Retail Clinics Do Not Substitute for Emergency Department Visits and What This Means for Value-Based Care

  • Jesse M. Pines
    Correspondence
    Corresponding Author.
    Affiliations
    Departments of Emergency Medicine and Health Policy and Management, and the Center for Healthcare Innovation and Policy Research, the George Washington University, Washington, DC
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      SEE RELATED ARTICLE, P. 397.
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      References

        • Martsolf G.
        • Fingar K.R.
        • Coffey R.
        • et al.
        Association between the opening of retail clinics and low-acuity emergency department visits.
        Ann Emerg Med. 2017; 69: 397-403
        • Pines J.M.
        • Lotrecchiano G.R.
        • Zocchi M.S.
        • et al.
        A conceptual model for episodes of acute, unscheduled care.
        Ann Emerg Med. 2016; 68: 484-491
        • Weinick R.M.
        • Burns R.M.
        • Mehrotra A.
        Many emergency department visits could be managed at urgent care centers and retail clinics.
        Health Aff (Millwood). 2010; 29: 1630-1636
        • Ashwood J.S.
        • Gaynor M.
        • Setodji C.M.
        • et al.
        Retail clinic visits for low-acuity conditions increase utilization and spending.
        Health Aff (Millwood). 2016; 35: 449-455
      1. The Dartmouth Atlas of Healthcare. Supply-sensitive care. Available at: http://www.dartmouthatlas.org/keyissues/issue.aspx?con=2937. Accessed September 22, 2016.

        • Ragin D.F.
        • Hwang U.
        • Cydulka R.K.
        • et al.
        Reasons for using the emergency department: results of the EMPATH study.
        Acad Emerg Med. 2005; 12: 1158-1166
        • Uscher-Pines L.
        • Pines J.
        • Kellermann A.
        • et al.
        Emergency department visits for nonurgent conditions: systematic literature review.
        Am J Manag Care. 2013; 19: 47-59
        • Raven M.C.
        • Lowe R.A.
        • Maselli J.
        • et al.
        Comparison of presenting complaint vs discharge diagnosis for identifying “nonemergency” emergency department visits.
        JAMA. 2013; 309: 1145-1153
      2. Sommers A, Boukus ER, Carrier E. Dispelling myths about emergency department use: majority of Medicaid visits are for urgent or more serious symptoms. 2012. HSC research brief No. 23. Available at: http://www.hschange.com/CONTENT/1302/#ib1. Accessed September 27, 2016.

        • Ku B.S.
        • Fields J.M.
        • Santana A.
        • et al.
        The urban homeless: super-users of the emergency department.
        Popul Health Manag. 2014; 17: 366-371
        • Pollack C.E.
        • Armstrong K.
        The geographic accessibility of retail clinics for underserved populations.
        Arch Intern Med. 2009; 169: 945-953
        • Pines J.M.
        • Asplin B.R.
        • Kaji A.H.
        • et al.
        Frequent users of emergency department services: gaps in knowledge and a proposed research agenda.
        Acad Emerg Med. 2011; 18: e64-e69
        • Colligan E.M.
        • Pines J.M.
        • Colantuoni E.
        • et al.
        Risk factors for persistent frequent emergency department use in Medicare beneficiaries.
        Ann Emerg Med. 2016; 67: 721-729
        • Pines J.M.
        • McStay F.
        • George M.
        • et al.
        Aligning payment reform and delivery innovation in emergency care.
        Am J Manag Care. 2016; 22: 515-518
        • Selevan J.
        • Kindermann D.
        • Pines J.M.
        • et al.
        What accountable care organizations can learn from Kaiser Permanente California's acute care strategy.
        Popul Health Manag. 2015; 18: 233-236
        • Pines J.M.
        • Selevan J.
        • McStay F.
        • et al.
        Kaiser Permanente–California: A Model for Integrated Care for the Ill and Injured.
        Brookings Institution, 2015 (Available at:) (Accessed September 27, 2016)
        • Hardin G.
        The tragedy of the commons. The population problem has no technical solution; it requires a fundamental extension in morality.
        Science. 1968; 162: 1243-1248
        • Kocher K.E.
        • Ayanian J.Z.
        Flipping the script—a patient-centered approach to fixing acute care.
        N Engl J Med. 2016; 375: 915-917

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