Improving Continuity of Care With 24-Hour Primary Care Facilities

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One practice arrangement consists of 7 to 15 doctors working rotating shifts in a clinic they own and operate 24/7.
One practice arrangement consists of 7 to 15 doctors working rotating shifts in a clinic they own and operate 24/7.

HealthDay News — A 24-hour primary care clinic with multiple doctors offering round-the-clock care would actualize better and more sustainable care, according to a report published by the American Academy of Family Physicians.

J. Stefan Walker, MD, from Corpus Christi Medical Associates in Texas, discusses the need for 24-hour primary care clinics in the current era, when many specialists see patients during nights and on weekends.

Dr Walker noted that the Triple Aim of health care, which focuses on higher quality of care, reduced cost of care, and expanded access to care remains mostly unrealized, and reported that the elements of personal continuity of care and authentic commitment between the physician and patient could be achieved in the context of a 24-hour clinic.

One practice arrangement suggests that 7 to 15 doctors work rotating shifts in a clinic they own and operate 24/7, 365 days a year. This model would normalize the personal doctor-patient commitment and could offer care for multiple primary care payment models simultaneously. Payers would save money by eliminating unnecessary emergency department visits and hospitalization, and physicians would be able to deliver continuity care as a team, addressing patient needs in real time.

"In stark contrast with the tenuous and frustrating experience in many small practices today, the 24-hour primary care clinic would offer a way for family physicians to achieve success on par with or exceeding that of other contemporary models of care, while simultaneously preserving the autonomy so important to the doctor-patient relationship," Dr Walker wrote.

Reference

Walker JS. Time is right for 24-hour primary care clinics. American Academy of Family Physicians. Guest Editorial. Published January 2018. Accessed January 25, 2017.

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