AAP still opposes retail-based clinics for pediatric primary care

February 24, 2014

(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.

Explore further: AAP calls for formal planning in HIV care transitions

More information: Abstract
Full Text

Related Stories

AAP updates medicaid policy statement with ACA changes

April 1, 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) published ...

AAP issues guidelines for care of infants born at home

April 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 29 in Pediatrics.

Pediatricians key in rural emergency medical services

October 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 from the American ...

Recommended for you

Diagnosing fetal alcohol disorder more easily

October 17, 2016

Early-childhood clinicians such as pediatricians and child psychologists are often the first to raise the alarm for families with children who exhibit developmental disorders, such as fetal alcohol spectrum disorder (FASD). ...


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.