Patients' view of retail clinics as a source of primary care: Boon for nurse practitioners?

Autor:	Ahmed, Arif, Fincham, Jack E.
Předmět:	OUTPATIENT medical care ANALYSIS of variance ATTITUDE (Psychology) AUTOMATIC data collection systems CASE method (Teaching) CHI-squared test CONFIDENCE intervals COST control DECISION making INTERVIEWING RESEARCH methodology MEDICAL appointments METROPOLITAN areas PATIENT satisfaction PATIENTS PRIMARY health care PUBLIC spaces STATISTICAL sampling TELEPHONES TIME LOGISTIC regression analysis
Zdroj:	Journal of the American Academy of Nurse Practitioners; Apr2011, Vol. 23 Issue 4, p193-199, 7p
Abstrakt:	To estimate consumer utilities associated with major attributes of retail clinics (RCs). A discrete choice experiment (DCE) with 383 adult residents of the metropolitan statistical areas in Georgia conducted via Random Digit Dial survey of households. The DCE had two levels each of four attributes: price ($59; $75), appointment wait time (same day; 1 day or more), care setting-provider combination (nurse practitioner [NP]-RC; physician-private office), and acute illness (urinary tract infection; influenza), resulting in 16 choice scenarios. The respondents indicated whether they would seek care under each scenario. Cost savings and convenience offered by RCs are attractive to urban patients, and given sufficient cost savings they are likely to seek care there. All else equal, one would require cost savings of at least $30.21 to seek care from an NP at RC rather than a physician at private office, and $83.20 to wait one day or more. Appointment wait time is a major determinant of careseeking decisions for minor illnesses. The size of the consumer utility associated with the convenience feature of RCs indicates that there is likely to be further growth and employment opportunities for NPs in these clinics. [ABSTRACT FROM AUTHOR]
Databáze:	Complementary Index
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