Early return visits by pediatric primary care patients with otitis media:  a retail nurse practitioner clinic versus standard medical office care.
OBJECTIVE
To compare outpatient return visits within 2 weeks experienced by pediatric patients diagnosed with otitis media using retail nurse practitioner clinics to similar patients using standard medical office clinics.


BACKGROUND
The impact of retail clinics on return visit rates has not been extensively studied.


METHODS
Electronic medical records of pediatric primary care patients seen in a large group practice in Minnesota in 2009 for otitis media.


METHODS
Patients seen in retail walk-in clinics staffed by nurse practitioners (N = 627) or regular office clinics (N = 2353).


METHODS
A return visit to any site within 2 weeks.


RESULTS
The percentage returning was higher in standard care patients than in retail medicine patients (21.0 vs 11.2, P < .001). The odds of a return visit within 2 weeks were higher in standard care patients than in retail medicine patients after adjusting for propensity to use services, age, and gender (odds ratio = 1.54, P < 0.01).


CONCLUSIONS
In this group practice, the odds of return visits within 2 weeks for pediatric patients treated for otitis media were lower in retail medicine clinics than in standard office clinics.
Department of Family Medicine, Mayo Clinic, Rochester, Minnesota 55905, USA. rohrer.james@mayo.edu
James E
JE
Rohrer
Gregory M
GM
Garrison
Kurt B
KB
Angstman
D000293:Adolescent; D000554:Ambulatory Care Facilities / Q000706:statistics & numerical data*; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D016347:Medical Records Systems, Computerized / Q000706:statistics & numerical data; D009722:Nurse Practitioners / Q000706:statistics & numerical data*; D009819:Office Visits / Q000706:statistics & numerical data; D010033:Otitis Media / Q000175:diagnosis* / Q000451:nursing; D010824:Physicians' Offices / Q000706:statistics & numerical data*; D011320:Primary Health Care / Q000706:statistics & numerical data*