sciencenewsnet.in

Thinking outside the doctor’s office: Poll looks at older adults’ use of urgent care, retail clinics and more

When today’s older adults were growing up, urgent care centers and clinics inside retail stores didn’t exist. But most of them have now embraced these non-traditional sites for getting medical care, a new national poll finds.  

In the past two years, 60% of people age 50 to 80 have visited an urgent care clinic, or a clinic based in a retail store, workplace or vehicle, according to new findings from the University of Michigan National Poll on Healthy Aging

Urgent care clinics were the most common alternative source of care, with 47% of adults age 50-80 visiting one at least once, and 23% going more than once, in the past two years. 

Many of those who went to any alternative site said they did so to avoid going to the emergency room (44%) or to get a vaccine, a test or an exam (35%). They went for a variety of health reasons, including getting immediate attention for symptoms and injuries, getting vaccinated, and receiving tests or treatments for COVID-19 infections. 

And 75% of those who have gone to such a site recently say they’re likely to go again in the next two years. 

But even as they sought care at these sites, most older adults who also have a primary care provider preferred the quality of care and sense of connection at their regular clinic. Among those who say they’re not likely to go to an alternative site for care in the future, 74% said it’s because they prefer to go to their regular provider.

The poll is based at the U-M Institute for Healthcare Policy and Innovation and supported by AARP and Michigan Medicine, U-M’s academic medical center. Two members of AARP’s Public Policy Institute worked with the poll team on the poll questions and report.  

“The rapid rise in availability of these kinds of clinics, which typically offer walk-in convenience, expanded hours, and self-scheduling of appointments in locations close to home, work or shopping, has transformed the American health care landscape in less than two decades,” said poll director Jeffrey Kullgren, M.D., M.P.H., M.S. “With the nationwide shortage of primary care providers, it’s important to understand how this age group, with generally higher medical needs, views and uses this type of care.” 

Kullgren is a primary care physician at the VA Ann Arbor Healthcare System and associate professor of internal medicine at U-M. 

“Access to timely and convenient care was critical for older adults during the pandemic, and our research shows alternative care options will continue to be in demand for the long-term,” said Susan Reinhard, senior vice president and director of AARP Public Policy Institute. “Policymakers and clinicians must ensure that patients receive high quality care at sites like urgent care clinics that is well-coordinated with their usual health care provider.” 

Other key findings from the poll: 

 The poll report is based on findings from a nationally representative survey conducted by NORC at the University of Chicago for IHPI and administered online and via phone in July and August 2023 among 2,657 adults aged 50 to 80. The sample was subsequently weighted to reflect the U.S. population. Read past National Poll on Healthy Aging reports and about the poll methodology.