tag:blogger.com,1999:blog-9551150.post8844053435630450489..comments2024-03-28T01:27:23.408-04:00Comments on Health Care Renewal: The Business-Think Rationale for In-Store ClinicsRoy M. Poses MDhttp://www.blogger.com/profile/00497209843184497847noreply@blogger.comBlogger7125tag:blogger.com,1999:blog-9551150.post-19811721378840051712008-01-26T17:56:00.000-05:002008-01-26T17:56:00.000-05:00We aren't the bad guys here and it's sad how other...<I>We aren't the bad guys here and it's sad how other professionals look to smear or slander our hard work.</I><BR/><BR/>Well I'm not so sure about that, they do play a role.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-9551150.post-20346080992680361412008-01-25T11:20:00.000-05:002008-01-25T11:20:00.000-05:00I have tried to focus my comments on the business ...I have tried to focus my comments on the business models of in-store clinics. I intended no disrespect of NPs and PAs who staff them.<BR/><BR/>I agree that NPs and PAs can provide good quality care, but have limits, and need to practice within a framework that compensates for these limits. My concern is that the framework provided by in-store clinics may not compensate so well, because of lack ofRoy M. Poses MDhttps://www.blogger.com/profile/00497209843184497847noreply@blogger.comtag:blogger.com,1999:blog-9551150.post-62204330826519577242008-01-23T22:08:00.000-05:002008-01-23T22:08:00.000-05:00Since I am a nurse practitioner and NP-driven care...Since I am a nurse practitioner and NP-driven care is always the underlying tone of such opposition to retail clinics, I think it would be fair to have a comment from one. With all due respect, I do have research evidence that talks about high-quality care given by nurse practitioners. You can look here, http://www.cochrane.org/reviews/en/ab001271.html, here http://jama.ama-assn.org/cgi/content/Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-9551150.post-6119462810727947672008-01-21T15:06:00.000-05:002008-01-21T15:06:00.000-05:00With all due respect, Matt, I don't think I am the...With all due respect, Matt, I don't think I am the one being simplistic here. I may be a bit defensive, but if we don't start defending primary care adequately, there won't be any primary care left, at least in the US.<BR/><BR/>In-store clinics are at best a partial answer for a very limited sub-set of patients. To get an idea how limited, simply look at:<BR/>http://www.minuteclinic.com/en/USA/Roy M. Poses MDhttps://www.blogger.com/profile/00497209843184497847noreply@blogger.comtag:blogger.com,1999:blog-9551150.post-87413559870490032882008-01-21T12:46:00.000-05:002008-01-21T12:46:00.000-05:00hmm, I've had a go at Christensen blong before you...hmm, I've had a go at Christensen blong before you made it trendy Roy, but you're being overly simplistic and overly defensive here.<BR/><BR/>For a bunch of reasons (that we agree on) primary care has become very user unfriendly. Instore clinics are answering that problem. And the better ones are trying to link to the rest of the system in using the continuity of care record, etc. This is NOT Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-9551150.post-242459893615938312008-01-18T21:20:00.000-05:002008-01-18T21:20:00.000-05:00But the regulations haven't caught up with the sci...<I>But the regulations haven't caught up with the science, they say. Today, the diagnoses for a host of illnesses - from sore throats to ear infections to the flu - are precise and the therapies predictably effective.</I><BR/><BR/>Abraham Flexner must be rolling in his grave.InformaticsMDhttps://www.blogger.com/profile/03994321680366572701noreply@blogger.comtag:blogger.com,1999:blog-9551150.post-44719583974065181782008-01-18T17:14:00.000-05:002008-01-18T17:14:00.000-05:00Good, fast and cheap-pick any two.Good, fast and cheap-pick any two.Anonymousnoreply@blogger.com