Pediatric Urgent Care—Specialized Medicine on the Front Lines

Pediatric Urgent Care—Specialized Medicine on the Front Lines

David Mathison, MD, MBA   Thirty years ago, there was widespread concern that specialty medicine was “a problem.” Consumers were self-selecting specialty (vs primary) care for routine ailments, thus driving up the cost of healthcare. Without restrictions, consumers could choose neurologists for headaches, orthopedists for ankle sprains, and dermatologists for acne—all very appropriate with complexity, but unnecessary and costly for routine problems. Hence came the dawn of managed care armed with gatekeepers, referral requirements, and …

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