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 calls for formal planning in HIV care transitions

June 24, 2013
(HealthDay)—Successful transitioning from pediatric to adult HIV care requires formal planning, according to a policy statement published online June 24 in Pediatrics.

AAP discusses responsibilities, role of pediatric hospitalists

October 2, 2013
(HealthDay)—Pediatric hospital medicine programs have an established place in pediatric medicine, and the expanded roles and responsibilities of pediatric hospitalists should be recognized, along with their integrated role ...

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 ...

American Academy Of Pediatrics offers second edition of autism toolkit for clinicians

October 20, 2012
To help pediatricians in diagnosing and managing autism spectrum disorders in children, the American Academy of Pediatrics (AAP) is offering an extensively revised and updated second edition of its autism toolkit, "Autism: ...

Recommended for you

Phone-addicted teens are unhappy, study finds

January 22, 2018
Happiness is not a warm phone, according to a new study exploring the link between adolescent life satisfaction and screen time. Teens whose eyes are habitually glued to their smartphones are markedly unhappier, said study ...

Baby brains help infants figure it out before they try it out

January 17, 2018
Babies often amaze their parents when they seemingly learn new skills overnight—how to walk, for example. But their brains were probably prepping for those tasks long before their first steps occurred, according to researchers.

NeuroNext biomarker study explores natural history of infantile-onset SMA

January 9, 2018
Research led by The Ohio State University Wexner Medical Center to define the natural history of infantile-onset spinal muscular atrophy (SMA) has been "critical" to accelerate the development of effective therapies and hasten ...

No link between childhood lead levels, later criminality

December 27, 2017
(HealthDay)— Exposure to higher levels of lead during early childhood can affect neurological development—but does that mean affected kids are doomed to delinquency?

Early puberty in girls may take mental health toll

December 26, 2017
(HealthDay)—A girl who gets her first menstrual period early in life—possibly as young as 7—has a greater risk for developing depression and antisocial behaviors that last at least into her 20s, a new study suggests.

Technology not taking over children's lives despite screen-time increase

December 21, 2017
With children spending increasing amounts of time on screen-based devices, there is a common perception that technology is taking over their lives, to the detriment and exclusion of other activities. However, new Oxford University ...

0 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.