Urgent care as an industry began taking shape in the early
seventies as a cost effective alternative to emergency room (ER) facilities.
This model works as they are designed to serve only the acute medical needs of
patients. These clinics are more convenient than a general practitioner (GP)
in so far as working hours are concerned and the fact that these clinics qualify
as walk-in clinics. One of the primary objectives of urgent care clinics is to
ease the burden ERs and accommodate and attend to more people in need of
medical attention. Therefore, they can distribute efforts and contain costs.
Features of Urgent Care Centers.
Factors like working hours, the scope of available services
and the doctor – patient relationship play an important role in distinguishing
the functions of an urgent care clinic from that of the emergency room.
• Unlike
your family GP, urgent care centers do not require an appointment. Patients can
simply walk-in unscheduled.
• Typically,
urgent care clinics are open from 9 to 5 on weekdays. Some open earlier, some
stay open later, and some also offer limited hours over weekends and holidays.
There are also a small number of clinics that are open 24/7.
• The model
assures lower overhead costs by the virtue of their size, scope and staffing
policies, which means the centers can then pass these savings along to
patients.
• The
centers are a boon for people who are away from home and who are not in
position to reach his or her primary GP.
• Most
insurance companies have listed these centers as approved service providers and
even offer lower co-pays, thus making it easier for their customers to receive
treatment.
• There are
more urgent care clinics in the United States than hospitals and ERs, making it
more likely that one will be close and convenient.
• Urgent
care is where a patient can go for temporary medical assistance that is
non-life-threatening; or to seek transitory relief until they can consult with
their primary GP.
However, urgent care centers are not recommended, nor
intended, to treat critical trauma, life endangering issues or conditions that
threaten permanent disability. Those issues must be attended to at a hospital’s
Emergency Room, which is the only option fully equipped to deal with
emergencies. What people usually fail to comprehend is that urgent care is not
a full alternative to the Emergency Room. Also patients should not attempt to
manage chronic diseases at an urgent care facility. Any condition that requires
constant physical examination or follow-up are better treated with a GP.
Urgent care clinics are extraordinarily useful for when you
find yourself with a runny nose and your GP gives you an appointment two weeks
away. They are meant to provide outpatient diagnosis and treatment of non-life
threatening conditions and can attend to minor lacerations, provide intravenous
hydration, or even offer certain therapies. Some of these centers offer
advanced imaging services and pathological testing labs but it is a good idea
to confirm these services with the center before making the trip. If a patient
arrives with a condition beyond the treatment capabilities of the urgent care
clinic, the clinic is prepared with transfer or referral protocols to help the
patient get the care they need at the proper facility.
Other limitations of Urgent Care:
• Larger
clinics that offer a wide coverage of various ailments and specialty services
may have higher costs which get passed on to patients without health
insurance.
• Patient
confusion about whether an urgent care center or ER can best treat their
condition can lead to longer wait times.
• Urgent
care clinics are not staffed nor equipped to treat severe chronic underlying
conditions.
• Unlike an
Emergency Room, most urgent care centers do not offer 24/7 availability. Which
means even if a condition is best treated at an urgent care center, a patient
will either have to wait or seek treatment at an ER if they must be seen
quickly when an urgent care clinic is closed.
• Unlike at
an ER, urgent care physicians do not have the luxury of retaining you until you
are fully recovered. They can do no more than examine you, prescribe medication
and release you.
• It would
be a wasted trip and wasted time if you end up being referred to the ER by your
Urgent Care center.
• ERs are
equipped for with all manner of life saving equipment and are usually attached
to a hospital so getting any immediate follow up tests is easy. Urgent care
centers typically will not be able to offer the same level of service.
Though the list above provides some examples of the
limitations of the urgent care model, they certainly shouldn’t cast a pall on
the entire industry. Every system has its own limitations or is meant to
address certain issues with great care. Urgent care centers are just a part of
the wider health care system, intended to help tackle the wait time and
overcrowding problems found in the ER.
The growth rate of urgent care clinics throughout the
country and even in other nations over all these years reflects the marvelous
achievement of the industry in retaining the faith of patients and providing
quality care at the right price.