“We have learned that people are willing to receive their health care from the front of a store or the back of a drugstore,” said Dr. John Agwunobi, a medical doctor who is a Wal-Mart senior vice president. “But customers also have said they would rather it be delivered by a trusted name, a local health care practice, a trusted local provider of care.”
Thankfully there are still some people who are actually thinking straight regarding these “trends”:
Medical societies are inclined to be skeptical of the clinics. The American Academy of Pediatrics opposes them, saying they add to fragmentation in the health care system.
The American Academy of Family Physicians and the American Medical Association have set forth principles for clinics to observe, including sending patients’ medical record to their doctors and finding doctors for patients who do not already have them.
It’s a rather interesting read overall, stating that many clinics have yet to even break even and there are a few that have closed down, leaving NPs and patients alike without much to show for it.
What I would like to know is whether people actually think these are the “way of the future” or a “fix to primary care medicine” as often touted. Yes, it increases a patient's ability to get seen that day, but it also increases the amount of interactions, reduces the medical record keeping by spreading it out over many providers, and runs the risk of patients receiving medications that will interact with drugs they're already taking. When I think about how hard it is to just get a hospital to send over the records from a patient's stay or ER visit, I can't even fathom what places like these will do - regardless of their claim to be connected with your doc. I'm not buying.
We keep dumbing down our healthcare delivery systems all for the sake of convenience, reducing costs, and providing more access. The problem is, when you pay peanuts, you get monkeys.
If I were a physician and the hospital or clinic I was considering working for showed this level of concern related to medical care, I’d walk right out the door. They're getting ready to take you out behind the dumpsters and shoot you in the head...just as soon as you're not beneficial.