AAP still opposes retail-based clinics for pediatric primary care

(HealthDay)—The American Academy of Pediatrics (AAP) continues to oppose retail-based clinics (RBCs) as a source of pediatric primary care, according to a policy statement published online Feb. 24 in Pediatrics.

James J. Laughlin, M.D., and colleagues from the AAP Committee on Practice and Ambulatory Medicine have updated the AAP's 2006 statement on RBCs and provided recommendations relating to RBCs.

The authors note that RBCs offer more convenient and less expensive care than the concept, but that care is fragmented, episodic, and not coordinated. The AAP continues to oppose RBCs as a source of because they are detrimental to the medical home concept of longitudinal and coordinated care that the AAP and other medical associations support. Furthermore, the AAP is opposed to payers offering lower copays or financial incentives for receiving care at RBCs rather than their pediatrician or . The AAP believes that the optimal standard of care is the medical home, and RBCs do not satisfy this definition. In the case of a pediatrician or pediatric medical home wishing to use the services of an RBC as a means to increasing access for acute care, the medical home and RBC should develop a formal collaborative relationship, including use of evidence-based pediatric protocols and standards, referral of all patients to their pediatric medical home, and formal arrangements for after-hours coverage or emergency protocols.

"As the RBC model continues to evolve, traditional RBCs, health systems, and insurance companies alike must recognize the critical role of the medical home in providing optimal health care for children," the authors write.

More information: Abstract
Full Text

add to favorites email to friend print save as pdf

Related Stories

AAP updates medicaid policy statement with ACA changes

Apr 01, 2013

(HealthDay)—The implications of the expansion of Medicaid resulting from implementation of the Affordable Care Act (ACA) on children are discussed in a policy statement from the American Academy of Pediatrics ...

AAP issues guidelines for care of infants born at home

Apr 29, 2013

(HealthDay)—Every newborn infant, including those born at home, is entitled to appropriate care, according to a policy statement issued by the American Academy of Pediatrics (AAP) and published online April ...

Pediatricians key in rural emergency medical services

Oct 29, 2012

(HealthDay)—In rural areas, pediatricians can play a key role in the development, implementation, and ongoing supervision of emergency medical services for children (EMSC), according to a policy statement ...

Recommended for you

Helping babies survive

Nov 21, 2014

A healthy baby is born in the Haydom Lutheran Hospital in Tanzania. She is given the name Precious and her proud mother is ready to take her back to the village. Many children born in the same hospital, or ...

Unstable child care can affect children by age four

Nov 20, 2014

A new study from UNC's Frank Porter Graham Child Development Institute (FPG) reveals that disruptions in child care negatively affect children's social development as early as age 4. However, the study also ...

Parental involvement still essential in secondary school

Nov 20, 2014

Although students become more independent as they rise through grade levels and parent-teacher interactions typically lessen as students age, parental involvement in a child's education during the secondary ...

User comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.