Can the use of urgent care clinics improve access to care without undermining continuity in primary care?
OBJECTIVE
There is a niche for urgent care clinics as an alternate source of health care in the United States. This systematic review examines whether the use of urgent care clinics can improve access to care or if these facilities undermine continuity of primary care.


METHODS
Databases used were Cumulative Index for Nursing and Allied Health (CINAHL) and Medical Literature Analysis and Retrieval System Online (MEDLINE). Articles from 2004 to 2014 were searched using keywords-access, barriers, continuity of care, nurse practitioner (NP), urgent care, retail clinic, emergency, and primary care.


CONCLUSIONS
Urgent care clinics can improve access to care, but may also negatively impact continuity of care, preventative services, and ongoing management of chronic conditions. Barriers to primary care and benefits of urgent care are inversely related. Insufficient knowledge regarding navigation of the healthcare system, perceived urgency of medical need, and deflection of care contribute to use of urgent care over primary care.


CONCLUSIONS
NPs are frontline healthcare providers essential to developing and maintaining successful communication and collaboration among providers across healthcare settings. In both primary care and urgent care facilities, NPs can ensure continuity of care, decreased healthcare costs, and optimized health outcomes for patients.
College of Nursing, Wayne State University, Detroit, Michigan.|Emergency Physician's Medical Group (EPMG), Ann Arbor, Michigan.
Sally
S
Villaseñor
College of Nursing, Wayne State University, Detroit, Michigan.
Helene J
HJ
Krouse
D000554:Ambulatory Care Facilities / Q000706:statistics & numerical data*; D003266:Continuity of Patient Care / Q000592:standards*; D007722:Health Knowledge, Attitudes, Practice; D006297:Health Services Accessibility / Q000592:standards*; D006801:Humans; D011320:Primary Health Care / Q000379:methods; D014481:United States
Urgent care; collaboration; communication; continuing care; healthcare-seeking behaviors; nurse practitioners; primary care