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• W2289643728 abstract "“Consistency is contrary to nature.” 1 Huxley A. Do What You Will (Collected Works of Aldous Huxley). Chatto & Windus (Random House), London1949 Google Scholar Aldous Huxley's premise holds true in medicine like few other fields. Recently, a health policy report published in a leading medical journal provided a well-balanced overview of the expanding role for community-based “retail clinics.” 2 Chang J.E. Brundage S.C. Chokshi D.A. Convenient ambulatory care—promise, pitfalls and policy. N Engl J Med. 2015; 373: 382-388 Crossref PubMed Scopus (25) Google Scholar (Use of “retail” instead of “pharmacy-based” reminds pharmacists how much further we have to go.) The manuscript gives a generally favorable perspective on the provision of care for “10 simple medical conditions.” Positively, the authors noted that not only were quality and patient satisfaction notably above 90%, but also 61% of retail clinic location patients engaged were without a dedicated primary care provider. It alludes to how these clinics could serve as a novel portal to larger health care systems capable of managing complex conditions for patients who have fallen out of care. The legitimate concern for impact on continuity of care was tempered by an intriguing divergence of “continuity” into “relational” and “informational.” “Relational continuity” focuses on the therapeutics. “Informational continuity” reflects the medical provider currently seeing the patient having access to and using data captured by all of that patient's health care providers when making decisions. The authors even hypothesize that with advancements in electronic medical record keeping, when the patient presents to the “traditional” care facility, these community-based, promising, and vital partners' information would be made available. The journal's accompanying editorial offers an “optimistic” outlook that “retail” clinics can “connect” patients (did they mean “refer”?) to primary care physicians, foreshadowing the closing statement that “the (retail health clinic) train has definitely left the station.” 3 Iglehard J.K. The expansion of retail clinics—corporate titans vs. organized medicine. N Engl J Med. 2015; 373: 301-303 Crossref PubMed Scopus (11) Google Scholar Patrick G. Clay, PharmD, AAHIVP, FCCP, CCTI, Professor of Pharmacotherapy, College of Pharmacy, University of North Texas System, Fort Worth, TX; and APhA Science Officer" @default.
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• W2289643728 date "2016-01-01" @default.
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• W2289643728 title "Pharmacists entering “a brave new world”" @default.
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• W2289643728 doi "https://doi.org/10.1016/j.japh.2015.12.002" @default.
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