Journal of Urgent Care Medicine

Study Shows Doxy PEP Did Not Reduce STIs

A study published in the New England Journal of Medicine represents the first clinical trial to test whether doxycycline postexposure prophylaxis (PEP) would prevent sexually transmitted infections (STIs) among cisgender women. Researchers considered 224 subjects assigned to a doxycycline-PEP group and 225 to a standard-care group over 12 months. A total of 109 incident STIs occurred: 50 in the doxycycline-PEP group and 59 in the standard-care group. Chlamydia accounted for 85 of the STIs (78%) with 35 …

Military Reinstates ECG Screenings For Recruits

Starting next year, the U.S. military plans to launch a cardiac screening program for all potential recruits, according to Military.com. Proposed federal legislation mandates the Department of Defense (DoD) begin a pilot program by October 2024, providing electrocardiograms (ECGs) to military recruits. This initiative follows the extension of current ECG screening programs used by the Naval Academy, the Air Force Academy, and West Point, which began after 2 Naval Academy student deaths resulted from cardiac …

Rural Residents More Likely to Seek Emergency Migraine Treatment

Rural patients were more likely to present at the emergency department (ED) for migraine than those who live in non-rural areas, an epidemiologic study of 810,388 visits showed. Rural patients were more likely to receive opioid analgesics in the ED as well. Med Page Today reported on the study results from the American Society of Health-System Pharmacists midyear meeting. In rural areas in 2019, the rate of ED utilization for migraine was 41.8 per 10,000 …

ET3 Program Ends After Low Participation, Clunky Logistics

The Centers for Medicare and Medicaid Services (CMS) announced that on December 31, 2023, it would end its 5-year pilot of the Emergency Triage, Treat And Transport program known as “ET3.” ET3 enabled ambulance service providers to transport a patient to an alternative destination and/or provide treatment on the scene by paramedics or via telemedicine. CMS is ending the program because of disappointing participation and intervention numbers. According to CMS data, there were 151 total …

Patients Less Likely to Follow Up After Telehealth Visits

Your follow-up recommendation for a patient seen with a telehealth visit is often a diagnostic test or specialty referral. Completion of those follow-up recommendations—“diagnostic loop closure”—seems to be lacking, according to a study in JAMA Network Open. The study involved 4,133 diagnostic tests and referrals (colonoscopies, cardiac stress tests, and dermatology referrals) from March 2020 through December 2021 at 2 primary care sites. Results showed that 58% of in-person visit orders were completed within the …

Statins Reduce Risks for Women Using Hormone Therapy

When physicians prescribe hormone therapy (HT) for perimenopausal women, many warn their patients of the increased risk for venous thromboembolism (VTE). However, knowing that a large number of patients also take statin medications to prevent cardiovascular issues, it would make sense to study the effect statins may have on the risk of VTE for women using HT. A new study in JAMA Network Open did that very thing and found the risk of VTE was …

Arkansas UC Centers Anticipate Ambulance Arrivals

In Arkansas, a new rule will begin January 1, 2024, allowing ambulance services to triage, treat, and transport patients to alternative destinations, including urgent care centers, physician offices, and behavioral health facilities. However, the ambulance service will be on-task to first coordinate the patient’s care with a physician or a behavioral health specialist via telemedicine. Insurers will also be required to cover 911-initiated ambulance dispatch resulting in telemedicine triage, transportation to the alternative destination, and/or treatment …

Positive Perception of Urgent Care Rises

A new poll from Gallup found that Americans have a more favorable perception of the care and attention they receive at urgent care compared to many other provider types. Among the list of 9 healthcare players in the 2023 Health and Healthcare survey, urgent care ranks just above the middle at number 4. Here’s how respondents rated urgent care: “Excellent/Good”: 56%; “Only Fair”: 32%; “Poor”: 10%. Nurses receive the best rating from consumers with 82% …

CVS Adds Large In-Store Clinic Space for Carbon Health

In January 2023, pharmacy chain CVS made an investment of $100 million in Carbon Health—a primary care and urgent care operation—presumably to augment the limited scope of CVS’ existing MinuteClinic business. Now, CVS retail stores in the Northeast are starting to show signs of Carbon Health’s entrance. According to Salem News (Massachusetts), locations in the cities of Beverly and Swampscott are planning to open new in-store clinics that will replace and significantly expand on the …

Patients More Likely to Stick With Semaglutide Treatment

Patients taking the GLP-1 weight loss drug semaglutide were 3 times more likely to maintain adherence to their medication regimens a year later when compared to other drug options, according to a Cleveland Clinic study. As described in Obesity, researchers examined health records of 1,911 adults in two states and found 40% of semaglutide patients were still filling their prescriptions 12 months after the initiation of treatment. Patients using other anti-obesity drugs, such as orlistat, liraglutide, …

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