One of the most important jobs the AAFP has is to analyze innovations in an effort to influence the future of health care delivery and its financing structure. Currently, there is not an issue more difficult to analyze than retail-based clinics.
The emergence of retail clinics can easily be viewed as innovative and responsive to consumer demand and, simultaneously, disruptive to a well-established health care market and the high quality of care that comes from longitudinal care models.
During the past few years, the AAFP has been engaged in meaningful conversations with the large companies that offer retail clinics about how family physicians and such clinics can, potentially, work together to improve access to health care for individuals in their communities.
To be clear, not all retail clinics are the same, and the AAFP does not view them as a homogenous industry. There are clear differences between the various business models. The challenge for each of us is to ensure we do not view every retail-based clinic through the same prism. The AAFP’s policy on retail clinics makes it clear that we do not support retail clinics providing continuous care to patients with chronic conditions. The policy also expresses, rightfully so, concerns that retail clinics may further fragment care delivery. However, our policy also expresses some belief that there is a potential role for retail clinics in the health care team or neighborhood, and this is what needs greater analysis.
Again, not all retail clinics are the same. There are clinics that are solely attempting to create a disruption in the marketplace and sell consumer products, but there also are companies that are serious about partnering with family physicians to create community delivery models. We need to identify the latter for collaboration and communicate with the former to better influence their business models.
Our motivations are multiple, but here are three primary reasons we are seeking potential collaborations:
Although we can’t say with certainty that this scenario is achievable in all occasions, we do agree with Accenture that retail clinics, working with family physicians, can improve care delivery models in communities where they collaborate.
Since the concept first emerged onto the national scene in the late 1990s and early 2000s, retail clinics have been a source of controversy in many communities and a source of improved access and quality in others. Physician organizations were slow to acknowledge and analyze the economic and demographic drivers fueling the expansion of retail clinics. From a market perspective, retail clinics identified a gap in service and created a product to fill that gap. In blunt terms, they noticed that the delivery system was not always patient-centric and, in many cases, was unavailable to certain individuals.
The resistance to retail clinics expressed by the AAFP and other physician organizations during the past 15 years was appropriate. However, it has not impacted their rapid expansion. Is it time for a change? Can retail clinics contribute to the continuum of care for patients? These are important questions, and the AAFP is pursuing answers.
Stephanie Quinn, AAFP Senior Vice President of Advocacy, Practice Advancement and Policy. Read author bio »