By Jessica Hupp
Originally published on Wednesday February 27th , 2008 on RNCentral.com
And originally titled:
20 Surprising Ways Wal-Mart Clinics Will Affect US Healthcare
Re-posted here with permission
Big-box behemoth Wal-Mart has ventured into the healthcare realm, offering low-cost, walk-in clinics in more and more of its stores every day. Although Wal-Mart medicine may not sound like a great idea at first, these clinics can bring good changes to the health care industry, like insurance-free care, eased emergency rooms, and more widespread treatments. Of course, the plan is not without its drawbacks, creating a "Wal-Mart effect" on small practitioners, as well as a race to the bottom. Here, we'll take a good look at some of the implications you might not have thought about.
1. More immunizations: With immunizations available at Wal-Mart, they're much more convenient for those that may not have time to go to the doctor. As a result, more people will be immunized, and the risk of contagious disease will be lowered.
2. Flat fee visits: Most Wal-Marts charge a flat $45 for a "Get Well" visit, which is painstakingly simple when compared with health care's typical insurance, co-pay, and deductible scheme. As Wal-Mart clinics become more popular, other health practitioners may be forced to adopt a similar pay structure in order to compete.
3. Faster care: Wal-Mart offers walk-in visits, offering a refreshing alternative to appointment-based health care. As Wal-Mart's clinics and others like them become more popular, we'll see patients getting care right when they need it.
4. Automated health: At Wal-Mart clinics, practitioners check out patients with the aid of a proprietary computer program that diagnoses illnesses. This sort of automation can help make diagnosis more accurate and efficient, while still allowing for human expert guidance when needed.
5. No insurance necessary: Perhaps the biggest thing to come out of Wal-Mart clinics is that they don't require insurance. Paired with flat-fee service, this simple pricing structure is likely to bring in patients that otherwise would just go without medical care.
6. Race to the bottom: Wal-Mart tends to have this effect on local businesses, creating a situation where quality must be sacrificed for price. In the healthcare world, cheaper isn't always better, and competing with Wal-Mart clinics could result in decreased quality of care.
7. One-stop shopping: Retail clinics like Wal-Mart's open up an opportunity for a place to take care of basic medical needs, combining the clinic with optometry, pharmacy, and over the counter supplies.
8. Primary care providers can narrow their focus: As Wal-Mart takes on all of the sniffles and scratches, doctors can spend more time working with patients who need more professional help. They'll be able to use their time more effectively and appropriately.
9. Automated health care could be problematic: Although automation increases efficiency and reduces human error, that doesn't mean that a computer program is the best way to diagnose a patient. Critics are worried that this type of diagnosis will cause important intricacies to be missed.
10. Eased emergency room crunches: As health care becomes more accessible, the patients that generally clog up emergency rooms unnecessarily will be able to take care of problems before they become worse. Additionally, clinics like Wal-Mart's can take care of ailments that for some without insurance would require a trip to the hospital.
11. More retail pricing information: To compete with Wal-Mart, physicians will start sharing information about how much specific visits and procedures will cost. This can make health care more competitive and consumer-friendly.
12. Better rural medical access: In many rural areas, the nearest health care practitioner isn't so near. However, you can often find a Wal-Mart even in remote parts of the country. This would make it much more convenient for rural citizens to get hassle-free care.
13. Increased medical awareness: With health care right where people shop, it's a lot harder to ignore aches and pains. Plus, as stores run campaigns for prevention services and screening, they'll be able to catch and stop ailments earlier than before.
14. Increased office hours: Wal-Mart's clinics offer evening and weekend hours, while many primary care physicians do not. To compete, these doctors will need to offer extended hours to patients.
15. Mall health clinics: Wal-Mart isn't the only one in the neighborhood clinic game. As their clinics become more successful, we can expect to see this sort of health care facility popping up in more places, like malls and strip centers.
16. Traditional medical offices will feel the crunch: As Wal-Mart's clinics tackle the easy patients, regular health practitioners will be left with more complicated patients that take more time and money. These patients are generally less profitable, and could cause monetary problems for these offices.
17. More referrals: Primary care physicans and specialists will see more referrals as Wal-Mart and others like it determine that some cases are too difficult to be handled by the clinic. This would include finding doctors and sharing medical records.
18. Increased utilization of nurse practitioners: For the most part, Wal-Mart clinics are and will be staffed by nurse practitioners. This is part of a growing trend to use highly skilled and trained nurses instead of doctors.
19. Less red tape for known illnesses: For patients who have recurring or easily-diagnosed illnesses, Wal-Mart clinics will make getting treatment easier. This will help patients avoid the high cost of taking the time to visit a primary care physician.
20. Decreased continuity of care: With traditional doctors, patients have charts and medical records, but at in-store clinics, diagnosis is a one-off deal. Problems that could be caught over multiple visits and diagnosis could go unearthed unless the patient works to inform practitioners.
Doctor opens clinic inside British supermarket, as part of National Health Service (Britain-Supermarket-C)
ReplyDeleteMar 04 11:30
MANCHESTER, England _ Milk? Check. Bread? Check. Check blood pressure? Uh, check.
Busy Britons stopping for groceries at the J. Sainsbury supermarket in this northern England city can now add a doctor's appointment to their shopping list.
Across from the yogurt and fruit juice aisle, Dr. Mohammed Jiva's in-store clinic, the first of its kind in Britain, opened for business Monday.
Although similar services exist in the United States at some Wal-Mart stores and drugstore chain outlets, this compact clinic is different because it is part of Britain's National Health Service _ meaning treatment will be free of charge.
``This is not a commodity off the shelf that you can buy. This is something that the taxpayer has a right to,'' Jiva told The Associated Press.
ASDA Group Ltd., Wal-Mart's British subsidiary, has unveiled proposals in the last week for its own test of in-store clinics, in London and in the Lincolnshire asea of northeastern England.
While the British Medical Association has raised concerns about health care being provided in the same place that patients can stock up on cigarettes and splurge on sweets, Jiva believes his practice might spur some responsible shopping.
``We can assist the public health agenda around obesity and coronary heart disease,'' he said.
While the service at the Sainsbury store is free, the clinic is still subject to National Health Service rules that bar non-locals from using it. Only residents of nearby Middleton can use the doctor _ and they will have to book appointments.
That might discourage business.
``I can't see the point really,'' said Kevin Murphy, who was grocery shopping. ``If I still have to book an appointment I may as well go to my normal surgery (clinic). It would be much easier if I could just turn up.''
Jiva, however, thanks the clinic may attract people who don't find time to get to the doctor during working hours. The clinic _ no bigger than a parking space _ will be open weekdays, two evenings a week and Saturday.
``I'm sure there are a number of patients who would put their own work or personal lives before their own health because of lack of time during the day,'' Jiva said.
Given his own lengthy working hours, Jiva said he finds his location convenient, too.
``At least I can get my shopping done when I've finished a shift,'' he said.
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On the Net:
http://www.doctorsinstore.co.uk