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By definition, retail clinics offer a more narrow range of services (usually limited to 25 - 30 of the most common diagnoses) than are offered in traditional primary care offices. [9] This limited scope of services is seen in both nurse practitioner and physician-staffed retail clinics, and is an integral part of the retail clinic model. [10]
Largely federally and locally funded, some health clinics are modernized with new equipment and electronic medical records. In 2006, the National Association of Community Health Centers implemented a model for offering free, rapid HIV testing to all patients between the ages of 13 and 64 during routine primary medical and dental care visits. [14]
Previously, the clinics did not have the patient's medical record. [8] However, recent advances in medical records systems now allow clinicians to access records from patients’ primary clinic with their permission. In 2014, the American Academy of Pediatrics recommended that parents not use retail-based clinics for their children. [9]
As of 2020, there were 5,250 acute care and critical access hospitals in the United States. In the decade from 2010 to 2020, dozens of hospitals have closed in rural areas of the United States, particularly in the southeast.
Compared with patients who receive care from private providers, CHC patients are almost three times more likely to seek care for serious and chronic conditions. However, with the exception of those with private insurance, CHC patients are also more likely to meet referral obstacles than comparable patients treated by private physicians. [4]
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