This paper examines urgent care facilities as a rapidly growing segment of the U.S. healthcare system. It describes the outpatient services urgent care centers provide, distinguishes urgent care from emergency and primary care, and identifies the patient populations served. The paper also discusses how facilities like the Palo Alto Medical Foundation have responded to shifting healthcare trends, including cost-driven patient referrals from managed care organizations and the need to coordinate effectively with primary care physicians. Key benefits highlighted include shorter wait times and estimated cost savings of 50–70% compared to hospital emergency rooms.
The facility type examined in this paper is the urgent care center — a relatively new but rapidly growing segment of the U.S. healthcare system. Research shows that urgent care provides relatively inexpensive ambulatory care for certain types of medical issues. The cost savings inherent in using urgent care, along with its increasing ability to treat patients of all types and ages, have contributed to its widespread and growing adoption.
Urgent care facilities are relatively young in the U.S. healthcare industry, first appearing approximately 40 years ago in response to the need for less expensive care for conditions that do not rise to the level of a true emergency or require inpatient admission. Urgent care facilities do not provide inpatient care; rather, they provide outpatient treatment for urgent medical issues. The Palo Alto Medical Foundation (PAMF), a network of urgent care facilities, carefully distinguishes between an "emergency" — which can threaten life or cause lasting impairment — and an "urgent medical issue," which requires care within 24 hours. Examples of urgent medical issues include accidents or falls, sprains, fractures, back problems, breathing difficulties, abdominal pain, cuts requiring stitches, fever, vomiting, diarrhea, dehydration, sore throat, coughs, and non-severe asthma (Palo Alto Medical Foundation, 2012).
According to the American Academy of Urgent Care Medicine (AAUCM), urgent care does not replace a primary care physician or hospital emergency room; rather, it is a convenient alternative that many managed healthcare payers are encouraging patients to use due to estimated cost savings of 50–70% compared to emergency room treatment (Urgent Care News, 2011). The AAUCM also notes that wait times at urgent care facilities tend to be significantly shorter than the hours-long waits typical of a hospital emergency room (American Academy of Urgent Care Medicine, 2012). In fact, two urgent care facilities in San Bernardino, California that received awards from the AAUCM reported that "on average, patients see a health care professional within 4.4 minutes of walking into the door of either site" (Steinberg, 2012).
According to the Palo Alto Medical Foundation, its networked urgent care facilities treat patients of all ages and types, provided the medical issue qualifies as an urgent medical issue rather than a life-threatening emergency (Palo Alto Medical Foundation, 2012).
"Staffing upgrades and PCP coordination strategies"
The urgent care segment of the U.S. health care system is merely 40 years old, yet it has so efficiently filled a gap in patient care that urgent care facilities are rapidly becoming a preferred provider for specific urgent medical issues. The significant cost savings — estimated at 50–70% compared to hospital emergency room costs — have clearly encouraged managed healthcare organizations to direct patients toward urgent care.
You’re 53% through this paper. Sign up to read the remaining 1 section.
Sign Up Now — Instant Access Already a member? Log inAlways verify citation format against your institution’s current style guide requirements.