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Qual Manag Health Care. 2012 Jan-Mar;21(1):44-7. doi: 10.1097/QMH.0b013e3182418157.

Early return visits by pediatric primary care patients with otitis media: a retail nurse practitioner clinic versus standard medical office care.

Author information

1
Department of Family Medicine, Mayo Clinic, Rochester, Minnesota 55905, USA. rohrer.james@mayo.edu

Abstract

PURPOSE:

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.

DATA SOURCE:

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

SAMPLE:

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

OUTCOME MEASURE:

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).

CONCLUSION:

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.

PMID:
22207018
DOI:
10.1097/QMH.0b013e3182418157
[Indexed for MEDLINE]

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