Practice Management
The United States is witnessing a significant decline in vaccination rates for measles, mumps, and rubella (MMR) as reported across more than 2,000 counties, according to a study published in JAMA . Data covering the years 2019 through 2024 show that the county-level mean vaccination rate fell from 93.92% in the pre-pandemic years to 91.26% after the pandemic with 78% of counties reporting declining rates. Only 4 states reported increased rates of MMR vaccination during …
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In Louisiana, North Oaks Health System has acquired 2 new urgent care rooftops. By adding the former Lake After Hours Urgent Care centers to its network, North Oaks now has a total of 4 urgent cares, according to its website. The centers are open every day from 7AM to 8PM and accept most major insurance plans, Medicare, Medicaid, and self-pay. System stats: With more than 3,000 employees, North Oaks is one of the area’s largest …
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The real-world effectiveness of the respiratory syncytial virus (RSV) vaccination among U.S. adults aged 60 years and older during the 2023–2024 RSV season was found to be 75.1% (95% confidence interval, 73.6–76.4%), according to research published in JAMA Network Open. Vaccine effectiveness was evaluated against acute respiratory infection, urgent care or emergency department visits, and hospitalizations. Among those 60 years and younger, the vaccine was 75.8% effective (73.2-78.1%) against urgent care or emergency department visits …
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In response to some public criticism, the Cleveland Clinic last week re-engineered a controversial policy that would have required patients to pay insurance co-pays upfront or risk having their appointments canceled on the spot. Initially set to begin June 1, the policy faced backlash from patient advocates and city officials, who warned the pay-first requirement could limit access to care for low-income families. The original pay-first policy excluded Medicaid and traditional Medicare enrollees as well …
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A recent survey reveals that scheduling a physician appointment now takes an average of 31 days—a 19% increase from 2022 and a 48% rise since 2004. Conducted in early 2025 by AMN Healthcare, the survey included 1,391 physician offices across 15 major U.S. metropolitan cities like New York, Los Angeles, and Miami, focusing on 6 medical specialties. The findings highlight community challenges for patients looking to access timely care. Wait times vary by specialty. For …
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During flu season, many people go out of their way to wash down high-touch surfaces at home, at work, and in schools, hoping to avoid the spread of germs. An experimental laboratory study published in Microbiology and Immunology that evaluated the risk of influenza transmission through contact with contaminated surfaces, however, found the risk of picking up the flu from touching door handles and other objects is actually quite low. Researchers in Japan simulated “artificial …
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The Food and Drug Administration (FDA) is now warning clinicians and healthcare consumers about a rare but severe side effect associated with stopping long-term use of oral allergy medicines cetirizine or levocetirizine. FDA reports that some patients ultimately develop severe pruritus that requires medical attention if they stop taking the medications, and the agency aims to update the prescribing information to raise awareness about the post-discontinuation risk. According to the FDA, pruritus symptoms resolved for …
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The deadly Candida auris fungus was first identified in the United States about 10 years ago and has proven to have strong drug-resistance, at times demonstrating resistance to all 3 main classes of antifungal medicines, including echinocandins. And cases appear to be on the rise. Of the 1,052 cases reported to the Centers for Disease Control and Prevention through April 26, 2025, a disproportionate number are occurring in Texas (241), Michigan (185), and Ohio (125). …
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A vaccine to prevent gonorrhea will soon be introduced in England and Wales as part of a targeted public health initiative—the first of its kind globally, according to health officials. Described as a “landmark moment for sexual health,” the program aims to address the rising rates of gonorrhea with preventive measures. The vaccine, originally developed to protect against meningococcal B disease, will be offered starting in early August at sexual health clinics commissioned by local …
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JUCM is now under the leadership of Lindsey E. Fish, MD, who serves as Editor in Chief and will guide and expand JUCM’s clinical content to advance the practice and professionalism of urgent care medicine worldwide. Fish is the Medical Director of Denver Health’s Peña Urgent Care Clinic in Denver, Colorado, a Federally Qualified Health Center urgent care clinic that delivers more than 27,000 visits per year. In her Medical Director role, she is responsible …
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