Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking

Going to a walk-in clinic? 6 essential things you must know before you visit

Peter Ubel, MD
Physician
January 2, 2017
Share
Tweet
Share

A friend of mine recently had a very sore throat. She knew how to manage her symptoms — lozenges, warm tea and the like. But she was worried she might have strep and would, therefore, need antibiotics. That should be a simple question to answer with a quick trip to the primary care clinic. Except that her primary care physician was booked, and if she wanted an unscheduled appointment with someone else in the clinic, she was told that she would probably wait a couple of hours.

So she went to a “doc-in-the-box,” which according to the Urban Dictionary is “any doctor at a walk-in clinic.” She paid a modest fee and in a short time received a throat swab. The swab didn’t detect any strep, so she was soon back at home, with a tea kettle brewing and no fear of serious illness.

Primary care clinicians have a new competitor. Minute clinics, retail health clinics and other convenient alternatives are rapidly popping up in many parts of the country, meeting an unmet demand for timely, affordable care for minor complaints. The biggest players in this field include companies like CVS. These minute-like clinics are a real growth industry.

However, some physicians are critical of these clinics, for skimming off uncomplicated care, for not having longstanding relationships with their patients and for not being skilled enough to recognize when people need more advanced care.

But the American College of Physicians (ACP) disagrees. The ACP is one of the most respected professional organizations in the country, famous for the rigor of how it weighs medical evidence. The ACP recognizes physicians’ concerns about retail health clinics but believes that these clinics deserve a place in the U.S. health care system. Here’s a quick summary of their position, which should give you a guide in deciding when and whether to receive care at such clinics:

1. For selected, “low-acuity conditions,” the quality of care at retail clinics is similar to traditional doctors’ offices. Poison ivy? Sore throat? It’s probably OK to go to a retail health clinic. Chest pain? Fainting spells? Definitely, not such a good idea.

2. Retail health clinics are an acceptable alternative “for relatively healthy patients without a complex medical history.” So if you suffer from diabetes, coronary artery disease and a touch of emphysema, you should go to your own doctor rather than a retail clinic that doesn’t know your medical history and that may not be equipped to evaluate how your current symptoms relate to your other problems.

3. You should make sure the clinic clearly discloses its “scope of clinical services.” The clinics need to know what they can and cannot do. If they aren’t clear about this scope of services, it’s probably best to go elsewhere.

4. If you do go to a retail health clinic, make sure to let your primary care physician know.

5. Don’t accept referrals to sub-specialists from retail clinics. If the clinicians there think you need more advanced care, you should contact your primary care physician first.

6. Don’t use retail clinics for long-term management of chronic diseases. If you need your blood sugar lowered or your blood pressure controlled, get in to see a primary care clinician who can follow you over time.

Until and unless traditional primary care clinics start providing more timely care to their patients, doc-in-the-boxes will continue to proliferate. Consumers should keep these six tips in mind, so they make better use of such clinics.

Peter Ubel is a physician and behavioral scientist who blogs at his self-titled site, Peter Ubel and can be reached on Twitter @PeterUbel. He is the author of Critical Decisions: How You and Your Doctor Can Make the Right Medical Choices Together. This article originally appeared in Forbes.

ADVERTISEMENT

Image credit: Shutterstock.com

Prev

Disclaimer! Caution: There’s too much information

January 2, 2017 Kevin 2
…
Next

Cancer makes couples grow closer or tears them apart

January 2, 2017 Kevin 5
…

Tagged as: Emergency Medicine

Post navigation

< Previous Post
Disclaimer! Caution: There’s too much information
Next Post >
Cancer makes couples grow closer or tears them apart

ADVERTISEMENT

More by Peter Ubel, MD

  • Clinicians shouldn’t be punished for taking care of needy populations

    Peter Ubel, MD
  • Patients alone cannot combat high health care prices

    Peter Ubel, MD
  • Is the FDA too slow to handle the pandemic?

    Peter Ubel, MD

Related Posts

  • Essential health messaging tips for physicians [PODCAST]

    The Podcast by KevinMD
  • A physician’s addiction to social media

    Amanda Xi, MD
  • Why positive role models are essential in medical education

    Robert Centor, MD
  • Why medical writing is essential to medicine

    Steven Zhang, MD
  • A student’s volunteer experience at a mobile outreach clinic

    Juan Arnoletti
  • A shortage of Kayexalate leads to an ER visit

    Hans Duvefelt, MD

More in Physician

  • Love, birds, and fries: a story of innocence and connection

    Dr. Damane Zehra
  • The overlooked power of billing in primary care

    Jerina Gani, MD, MPH
  • Why pain doctors face unfair scrutiny and harsh penalties in California

    Kayvan Haddadan, MD
  • Why physicians need a place to fall apart

    Annia Raja, PhD
  • The joy of teaching medicine through life’s toughest challenges

    John F. McGeehan, MD
  • Why health care can’t survive on no-fail missions alone

    Wendy Schofer, MD
  • Most Popular

  • Past Week

    • Why transgender health care needs urgent reform and inclusive practices

      Angela Rodriguez, MD | Conditions
    • New student loan caps could shut low-income students out of medicine

      Tom Phan, MD | Physician
    • Why pain doctors face unfair scrutiny and harsh penalties in California

      Kayvan Haddadan, MD | Physician
    • mRNA post vaccination syndrome: Is it real?

      Harry Oken, MD | Conditions
    • What street medicine taught me about healing

      Alina Kang | Education
    • The silent cost of choosing personalization over privacy in health care

      Dr. Giriraj Tosh Purohit | Tech
  • Past 6 Months

    • Why transgender health care needs urgent reform and inclusive practices

      Angela Rodriguez, MD | Conditions
    • Why primary care doctors are drowning in debt despite saving lives

      John Wei, MD | Physician
    • Confessions of a lipidologist in recovery: the infection we’ve ignored for 40 years

      Larry Kaskel, MD | Conditions
    • A physician employment agreement term that often tricks physicians

      Dennis Hursh, Esq | Finance
    • Why taxing remittances harms families and global health care

      Dalia Saha, MD | Finance
    • mRNA post vaccination syndrome: Is it real?

      Harry Oken, MD | Conditions
  • Recent Posts

    • Love, birds, and fries: a story of innocence and connection

      Dr. Damane Zehra | Physician
    • Why the future of cancer prevention starts from within

      Raphael E. Cuomo, PhD | Conditions
    • A new approach to South Asian heart health [PODCAST]

      The Podcast by KevinMD | Podcast
    • Private practice employment agreements: What happens if private equity swoops in?

      Dennis Hursh, Esq | Conditions
    • Inside the final hours of a failed lung transplant

      Jonathan Friedman, RN | Conditions
    • Why South Asians in the U.S. face a silent heart disease crisis

      Monzur Morshed, MD and Kaysan Morshed | Conditions

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

View 17 Comments >

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

ADVERTISEMENT

  • Most Popular

  • Past Week

    • Why transgender health care needs urgent reform and inclusive practices

      Angela Rodriguez, MD | Conditions
    • New student loan caps could shut low-income students out of medicine

      Tom Phan, MD | Physician
    • Why pain doctors face unfair scrutiny and harsh penalties in California

      Kayvan Haddadan, MD | Physician
    • mRNA post vaccination syndrome: Is it real?

      Harry Oken, MD | Conditions
    • What street medicine taught me about healing

      Alina Kang | Education
    • The silent cost of choosing personalization over privacy in health care

      Dr. Giriraj Tosh Purohit | Tech
  • Past 6 Months

    • Why transgender health care needs urgent reform and inclusive practices

      Angela Rodriguez, MD | Conditions
    • Why primary care doctors are drowning in debt despite saving lives

      John Wei, MD | Physician
    • Confessions of a lipidologist in recovery: the infection we’ve ignored for 40 years

      Larry Kaskel, MD | Conditions
    • A physician employment agreement term that often tricks physicians

      Dennis Hursh, Esq | Finance
    • Why taxing remittances harms families and global health care

      Dalia Saha, MD | Finance
    • mRNA post vaccination syndrome: Is it real?

      Harry Oken, MD | Conditions
  • Recent Posts

    • Love, birds, and fries: a story of innocence and connection

      Dr. Damane Zehra | Physician
    • Why the future of cancer prevention starts from within

      Raphael E. Cuomo, PhD | Conditions
    • A new approach to South Asian heart health [PODCAST]

      The Podcast by KevinMD | Podcast
    • Private practice employment agreements: What happens if private equity swoops in?

      Dennis Hursh, Esq | Conditions
    • Inside the final hours of a failed lung transplant

      Jonathan Friedman, RN | Conditions
    • Why South Asians in the U.S. face a silent heart disease crisis

      Monzur Morshed, MD and Kaysan Morshed | Conditions

MedPage Today Professional

An Everyday Health Property Medpage Today
  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

Going to a walk-in clinic? 6 essential things you must know before you visit
17 comments

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...