The Use and Out-of-Pocket Cost of Urgent Care Clinics and Retail-Based Clinics by Adolescents and Young Adults Compared With Children

Wong, Charlene A.; Bain, Alexander M.; Polsky, Daniel; Merchant, Raina M.; Antwi, Yaa Akosa; Slap, Gail B.; Rubin, David M.; Ford, Carol A.

doi:10.1016/j.jadohealth.2016.09.009

Cited by 6 publications

(6 citation statements)

References 30 publications

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“…17 As the number of UCs continues to rise, UCs have become a site of frequent health care access among the youth, 28 especially among adolescents. 29 Our results further substantiate that adolescents, in particular, are more likely to forego primary care and access acute care settings for health care services. These data are consistent with prior findings that adolescents access primary care less often than any other age group.…”

Section: Discussionsupporting

confidence: 70%

Reliance on Acute Care Settings for Health Care Utilization

et al. 2020

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Objective: Because a goal of the Affordable Care Act was to increase preventive care and reduce high-cost care, the objective of this study was to evaluate current health care use and reliance on acute care settings among Medicaid-enrolled children. Methods:This was a retrospective cohort study of the 2015 Truven Marketscan Medicaid claims database among children 0 to 21 years old with at least 11 months of continuous enrollment. We calculated adjusted probabilities of health care use (any health care use and ≥1 health maintenance visit) and high acute care reliance (ratio of emergency department or urgent care visits to all health care visits >0.33) by age and compared use between adolescents and younger children using multivariable logistic regression.Results: Of the 5,182,540 Medicaid-enrolled children, 18.9% had no health care visits and 47.3% had 1 or more health maintenance visit in 2015. Both health care use and health maintenance visits decreased with increasing age (P < 0.001). Compared with younger children (0-10 years old), adolescents were more likely to have no interaction with the health care system [adjusted odds ratio (aOR), 2.20; 95% confidence interval (CI), 2.19-2.21] and less likely to have health maintenance visits (aOR, 0.40; 0.39-0.40). High acute care reliance was associated with increasing age, with adolescents having greater odds of high acute care reliance (aOR, 1.08; 1.08-1.09).Conclusions: Medicaid-enrolled adolescents have low rates of health care use and have high reliance on acute care settings. Further investigation into adolescent-specific barriers to health maintenance care and drivers for acute care is warranted.

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Section: Discussionsupporting

confidence: 70%

Reliance on Acute Care Settings for Health Care Utilization

et al. 2020

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“…Deductible costs and co-pays are a larger percentage of a young adult's income than an adult's income. 3,41 Examining the Andersen construct 36 of consumer satisfaction, this study revealed distinct health-seeking patterns for men in this study. Some men in this study chose to separate sexual healthcare from primary care services.…”

Section: Discussionmentioning

confidence: 64%

“…H ealthcare engagement in the United States is limited due to myriad factors including lack of insurance, 1,2 co-pay costs, 3 time constraints, 4 and proximity to healthcare facilities. 5,6 Young adults between the ages of 18 and 25 face additional barriers to healthcare engagement related to changing providers, 4 navigating the healthcare system, 7 and keeping healthcare services private from family members.…”

Section: Introductionmentioning

confidence: 99%

A Qualitative Investigation of Healthcare Engagement Among Young Adult Gay Men in New York City: A P18 Cohort Substudy

Griffin

Krause

Kapadia³

et al. 2018

LGBT Health

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“…The severity of injuries treated at UCCs is not clear from the literature, given that most of the previously cited studies are not focused on injuries. However, these studies have found that sprains, strains, and superficial contusions were among the top 10 reasons that children and adolescents visit UCCs (Ho et al, 2017; Wong et al, 2017). Some more serious injuries such as open wounds of the head, neck, and throat only appeared at EDs (Ho et al, 2017).…”

Section: Discussionmentioning

confidence: 99%

Changing Care Settings for Injuries

2022

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Tracking injury rates is important for surveillance purposes but little data exist for injuries outside of emergency department visits. We assess the share and type of injuries reported in urgent care centers (UCCs) compared with other settings. We used FAIR Health claims data from 2016 through the first quarter of 2019 to calculate the percent of claims and most common types of injuries. Of the 197 million injury claims, 62% occurred in office settings and 17% in hospital outpatient departments (HOPDs), 5% in inpatient and in ED settings, and less than 2% in UCCs. Injury claims in UCCs increased 6% from 2016 to 2018, whereas injury claims in EDs declined 24%. Overall, physician offices and HOPDs accounted for the largest share of injury care, but UCCs represented the fastest growing setting to treat injuries.

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The Use and Out-of-Pocket Cost of Urgent Care Clinics and Retail-Based Clinics by Adolescents and Young Adults Compared With Children

Abstract: Adolescents and young adults were more likely to visit RBCs and UCCs than children. Understanding of UCC and RBC use, cost, and quality of care is needed to inform policies on their roles in health care.

Cited by 6 publications

References 30 publications

Reliance on Acute Care Settings for Health Care Utilization

Reliance on Acute Care Settings for Health Care Utilization

A Qualitative Investigation of Healthcare Engagement Among Young Adult Gay Men in New York City: A P18 Cohort Substudy

Changing Care Settings for Injuries

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