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

Children may be at lower risk for Ebola virus disease

42 minutes ago

(HealthDay)—Children may be at lower risk of Ebola virus disease (EVD), but physicians should be aware of the signs and symptoms, according to a viewpoint piece published online Oct. 17 in JAMA Pediatrics.

Sustained benefit for parental tobacco control program

1 hour ago

(HealthDay)—Practices that are part of a parental tobacco control intervention have higher rates of delivering tobacco control assistance to parents over a one-year follow-up period, according to a study ...

Fresh milk keeps infections at bay

8 hours ago

A study by researchers of Ludwig-Maximilians-Universitaet (LMU) in Munich shows that infants fed on fresh rather than UHT cow's milk are less prone to infection. The authors recommend the use of alternative processing methods ...

Mum's health plays greater part in premmie babies

9 hours ago

An international study on premature babies has found medical conditions such as chronic hypertension and pre-eclampsia play a greater role in the untimely birth and not the mother's sociodemographic status, ...

User comments