Journal of Urgent Care Medicine

Don’t Forget Your Flu Vaccine Information Statements

This should be prime time for recommending flu shots to patients, ideally offering to give one on the spot if medically appropriate for the patient’s condition at the time of service. The Centers for Disease Control and Prevention recommends everyone 6 months of age or older receive an influenza vaccine every year, preferably by the end of October. Just as important from an administrative (and legal) perspective is remembering to provide an official Vaccine Information …

Don’t Be Too Quick to Blame Doctors for the Opioid Crisis

Physicians, including urgent care providers, may be taking more than their share of the blame for the ongoing opioid crisis in the U.S., according to a report by The New York Times and ProPublica. While some public officials and media outlets have accused doctors of, essentially, enabling opioid addiction by prescribing narcotic pain medications too liberally, data show that prices set by insurers may be steering doctors and patients alike away from less-addictive alternatives. Opioid …

Is There a Communication Gap Between Patients and Primary Care Physicians?

The upside of patients continuing to flock to urgent care is obvious: They get the care they need when they need it, instead of having to choose between waiting for days to see their primary care provider or heading to the emergency room with a complaint that isn’t actually emergent (meaning they’re clogging up the works there, and incurring higher healthcare costs to do so). The downside of this evolution is that sometimes PCPs are …

Smartphone Diagnostics Could Make Telemedicine, Lab Testing More Accessible

Telemedicine is gaining traction in many walks of medicine, though some providers still may be concerned they don’t know how to get started. In addition, many practices are looking at ways to offer more tests on site. The next wave of smartphone capabilities could be the next step forward in both respects. Researchers at the University of Illinois have developed a device capable of processing samples of blood, saliva, or urine remotely using the light …

Express Scripts Is on the Same Page with the White House on Opioids

President Trump recently declared the epidemic of opioid addiction and related deaths to be a national emergency, pledging the federal government would spending more money and pay more attention to stemming the crisis. While details are still to come, theoretically future actions could include mandatory education for prescribers nationally and increasing funds to treatment and prevention programs. Coinciding with that, Express Scripts, the nation’s largest pharmacy benefit manager, is trying to restrict access to opioids. …

Marketing of Home STD Tests Misses the Mark—at What Cost to the Patient?

Rates of infection with sexually transmitted disease are up. If you practice in urgent care, you probably don’t need statistics to know that, as many patients concerned about possibly having an STD find comfort in the relative anonymity of the urgent care center, and opt to get tested there instead of in their “regular” doctor’s office. Now the makers of “home tests” are taking aim at these same prospective patients with marketing messages that promote …

Eclipse Tourism Sparks Urgent Care Staffing Changes

Citizens from coast to coast will have a rare opportunity to witness a total solar eclipse on August 21. States directly in its 70-mile-wide path—Oregon, Idaho, Wyoming, Nebraska, Kansas, Missouri, Illinois, Kentucky, Tennessee, Georgia, North Carolina, and South Carolina—are bracing for a massive influx of sky watchers intent on witnessing the phenomenon. Urgent care centers are shoring up their staffing in response. For example, Oregon’s St. Charles Health System is bringing in extra staff from …

CDC Advises: Be Vigilant for Cyclospora cayetanensis Infection

Cases of Cyclospora cayetanensis infections have more than doubled in 2017 compared with the same period in 2016, according to the Centers for Disease Control and Prevention. Cases are not geographically centered, either: 27 states have confirmed the diagnosis, which is marked by watery diarrhea, anorexia, fatigue, weight loss, nausea, flatulence, abdominal cramping, and myalgia. Cyclospora infection can spread via food or water contaminated with the parasite; however, it is not transmitted directly from one …

CDC Update on Antibiotics Embraces Role of Urgent Care

The Centers for Disease Control and Prevention’s 2017 report Antibiotic Use in the United States: Progress and Opportunities embraces urgent care as an active participant in both healthcare delivery and antibiotic stewardship more than ever before. The CDC notes that urgent care has experienced “tremendous growth” and that continuing to incorporate antibiotic stewardship as a core value “will be an important factor in optimizing antibiotic use.” To support those efforts, the CDC put together The …

Consider What Else Might Be Going on with Sunburn Patients

Patients who seek care for sunburn in emergency rooms and urgent care centers often have complicating concerns—some of which have little directly to do with the sunburn, according to a new report published in JAMA Dermatology. Psychiatric illness (9.3% of cases), alcohol use (6.4%), and homelessness (6.4%) were among the more common, according to researchers from Brigham & Women’s Hospital, Massachusetts General Hospital, and associated urgent care clinics. More closely linked with sunburn were blistering …