Abstracts in Urgent Care: March, 2010
Consequences of Increasing Copayments for Ambulatory Care Key point: Even small increases in cost-sharing were associated with fewer outpatient visits and more inpatient admissions among elders. Citation: Trivedi AN, Moloo H, Mor V. Increased ambulatory care copayments and hospitalizations among the elderly. N Engl J Med. 2010; 62: 320-328. Recently, many health plans have increased copayments for outpatient visits. Although the rationale, presumably, is to minimize unnecessary ambulatory care, the strategy could backfire if higher …
Read MoreAbstracts in Urgent Care: February, 2010
Management of Forearm Fractures in Adults Key point: Primary care evaluation and management of forearm fracture in adults is presented. Citation: Black WS, Becker JA. Common forearm fractures in adults. Am Fam Physician. 2009; 15: 80(10): 1096-1102. Upper extremity fractures are often evaluated by primary care physicians at the patient’s initial presentation or at follow-up after the initial presentation to urgent care or the emergency department. These fractures account for approximately 2 million visits to …
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February 2010
Abstracts in Urgent Care: January, 2010
CAP Treatment Recommendations: Guided in the Right Direction Key point: Results of two large cohort studies indicate that adherence to guidelines for treating community-acquired pneumonia is a good thing. Citations: Arnold FW, LaJoie S, Brock GN, et al. Improving outcomes in elderly patients with community-acquired pneumonia by adhering to national guidelines: Community-Acquired Pneumonia Organization International Cohort Study results. Arch InternMed. 2009;169:1515-1524. McCabe C, Kirchner C, Zhang H, et al. Guideline-concordant therapy and reduced mortality and …
Read MoreAbstracts in Urgent Care: December, 2009
Clinical Predictors of Pneumonia Among Children with Wheezing Key point: The routine use of chest radiography for children with wheezing but without fever should be discouraged. Citation: Mathews B, Shah S, Cleveland RH, et al. Clinical predictors of pneumonia among children with wheezing. Pediatrics. 2009; 124(1): e29-e36. A prospective cohort study was performed with children < 21 year of age who were evaluated in the ED, were found to have wheezing on examination, and had …
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December 2009
November 2009
October 2009
