Outpatient Services

Research conducted by: RAND Health

All Items (40)

Journal Article

Evidence About Whether Retail Medical Clinics Disrupt Doctor-Patient Relationships Is Mixed — Oct 31, 2012

People who visit retail medical clinics are less likely to return to a primary care physician for future illnesses and have less continuity of care. However, no evidence suggests that retail medical clinics disrupt preventive care or management of diabetes, two important measures of quality of primary care.

News Release

Use of Retail Medical Clinics Continues to Grow; Older Patients and Preventive Services on Rise — Aug 15, 2012

Visits to retail medical clinics increased four-fold from 2007 to 2009, with the proportion of patients over age 65 growing from 8 to 19 percent of all visits during this period. More than 44 percent of visits occurred on the weekend or other hours when physician offices typically are closed.

Journal Article

Use of Retail Medical Clinics Continues to Grow; Older Patients and Preventive Services on Rise — Aug 15, 2012

Visits to retail medical clinics increased four-fold from 2007 to 2009, with the proportion of patients over age 65 growing from 8 to 19 percent of all visits during this period. More than 44 percent of visits occurred on the weekend or other hours when physician offices typically are closed.

Journal Article

Treating Depression and Substance Use: A Randomized Controlled Trial — Jan 1, 2012

To meet the call for more "transportable" interventions, the authors conducted a pilot study to test a group cognitive–behavioral therapy (CBT) for depression and substance use that was designed for delivery by outpatient substance abuse treatment counselors.

Journal Article

Trends in Retail Clinic Use Among the Commercially Insured — Nov 1, 2011

Retail clinic use increased 10-fold from 2007 to 2009. By 2009, roughly 7 percent of all visits by commercially insured patients for 11 common acute-care conditions were to a retail clinic. Increased use was especially dramatic among young, healthy, and higher-income individuals.

Report

Policy Implications of the Use of Retail Clinics — Aug 10, 2010

Retail clinics' quality of care appears comparable to that of other provider types, but we know little about the effects of clinic use on preventive services, care coordination, and care continuity.

Journal Article

Barriers to the Collaborative Care of Patients with Orofacial Injury — May 1, 2010

Collaborative care could integrate the physical and mental health needs of patients after facial surgery, but both patients and physicians report barriers to such care.

Journal Article

Why Do Patients Seek Care at Retail Clinics, and What Alternatives Did They Consider? — Jan 1, 2010

This study found that patients were satisfied with the overall experience and were attracted to retail clinics because of their convenient locations and fixed, transparent pricing.

Journal Article

Sociodemographic Characteristics of Communities Served By Retail Clinics — Jan 1, 2010

To better understand the potential for retail clinics, the authors describe the sociodemographic characteristics of the communities in which they operate.

Journal Article

The Growth of Retail Clinics and the Medical Home: Two Trends in Concert or in Conflict? — Jan 1, 2010

There has been growing interest in the patient-centered medical home as a way to provide coordinated, high-quality primary care.

Journal Article

Factors Associated with Clinician Intention to Address Diverse Aspects of Pain in Seriously Ill Outpatients — Jan 1, 2010

This study of the factors associated with clinician's intention to treat pain symptoms suggests that useful targets for improving pain management include bolstering clinicians? confidence in their own pain management skills and improving their trust in pain ratings.

Journal Article

Nursing Staff, Patient, and Environmental Factors Associated with Accurate Pain Assessment — Jan 1, 2010

Although pain is a common reason for seeking medical care, pain screening at intake is often inaccurate.

Journal Article

The Search for the Urgent Care Center — Jan 1, 2009

Our quest to provide accurate, scientifically rigorous benchmarking data for urgent care centers began with the decision to conduct a survey.

Journal Article

The Quality of Care at Urgent Care Centers — Jan 1, 2009

Discusses approaches to assessing quality of care in urgent care centers.

Journal Article

Off-label Prescribing to Children in the United States Outpatient Setting — Jan 1, 2009

The aim of this study was to determine the frequency of off-label prescribing to children at United States outpatient visits and to determine how drug class, patient age, and physician specialty relate to off-label prescribing.

Journal Article

Urgent Care Centers in the U.S.: Findings from a National Survey — Jan 1, 2009

Urgent care centers are open beyond typical office hours, and their scope of services is broader than that of many primary care offices. While these characteristics are similar to hospital emergency departments, such centers employ significant numbers of family physicians. The payer distribution is similar to that of primary care, and physicians' average salaries are comparable to those for family physicians overall.

Journal Article

Using Health Information Technology-Related Performance Measures and Tools to Improve Chronic Care — Jan 1, 2009

The RAND Corporation conducted an assessment of an American Medical Association's collaborative initiative to explore opportunities for improving the quality of outpatient chronic care.

Journal Article

Access to Appointments Based on Insurance Status in Washington, D.C. — Aug 1, 2008

Using a hypothetical emergency patient requiring close follow-up, D.C. providers were queried by phone to evaluate accessibility. The rate of privately insured receiving appointments was 71%, with Medicaid fee-for-service 36.6% and uninsured 13%.

News Release

RAND Study Finds Women with Heart Disease and Diabetes Less Likely than Men to Receive Appropriate Outpatient Care — May 14, 2007

May 14, 2007 news release: RAND Study Finds Women with Heart Disease and Diabetes Less Likely than Men to Receive Appropriate Outpatient Care.

News Release

RAND Study Shows That Chronically Ill Patients Have Better Outcomes When They Receive Higher Quality Outpatient Medical Care — Jan 31, 2007

January 31, 2007 News Release: RAND Study Shows That Chronically Ill Patients Have Better Outcomes When They Receive Higher Quality Outpatient Medical Care.

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