Many emergency department visits could be managed at urgent care centers and retail clinics.
Americans seek a large amount of nonemergency care in emergency departments, where they often encounter long waits to be seen. Urgent care centers and retail clinics have emerged as alternatives to the emergency department for nonemergency care. We estimate that 13.7-27.1 percent of all emergency department visits could take place at one of these alternative sites, with a potential cost savings of approximately $4.4 billion annually. The primary conditions that could be treated at these sites include minor acute illnesses, strains, and fractures. There is some evidence that patients can safely direct themselves to these alternative sites. However, more research is needed to ensure that care of equivalent quality is provided at urgent care centers and retail clinics compared to emergency departments.
Weinick
Robin M
RM
RAND Corporation, Arlington, VA, USA. rweinick@rand.org
Burns
Rachel M
RM
Mehrotra
Ateev
A
D000554:Ambulatory Care Facilities / Q000191:economics / Q000706:statistics & numerical data*; D003132:Commerce; D017046:Cost Savings; D004636:Emergency Service, Hospital / Q000706:statistics & numerical data* / Q000639:trends; D006801:Humans; D010044:Outpatient Clinics, Hospital / Q000191:economics / Q000706:statistics & numerical data; D017751:Safety Management / Q000592:standards
Am J Emerg Med. 1997 Mar;15(2):133-6
9115511
J Emerg Nurs. 2000 Dec;26(6):554-63
11106453
Health Aff (Millwood). 2008 Sep-Oct;27(5):1283-92
18780912
Ann Intern Med. 2009 Sep 1;151(5):321-8
19721020
N Engl J Med. 1996 Mar 7;334(10):642-6
8592529
BMC Health Serv Res. 2009 May 15;9:79
19445656
J Am Board Fam Med. 2008 Sep-Oct;21(5):475-6
18772304
Arch Intern Med. 2009 May 25;169(10):945-9; discussion 950-3
19468086
JAMA. 1996 Aug 14;276(6):460-5
8691553
Health Aff (Millwood). 1994 Winter;13(5):162-71
7868020
J Fam Pract. 1996 May;42(5):491-6
8642367
Ann Intern Med. 2009 Sep 1;151(5):315-20
19721019
Health Aff (Millwood). 2008 Sep-Oct;27(5):1272-82
18780911
Ambul Pediatr. 2008 Nov-Dec;8(6):360-7
19084785
Ann Intern Med. 2002 Nov 5;137(9):707-14
12416944
N Engl J Med. 1996 Mar 7;334(10):635-41
8592528
Ann Emerg Med. 2007 Mar;49(3):257-64, 264.e1
17049408
JAMA. 2009 May 20;301(19):2038-40
19454643
Health Aff (Millwood). 2007 Jan-Feb;26(1):w44-57
17148490
Am J Emerg Med. 1992 May;10(3):263-4
1586440