Journal of Urgent Care Medicine

Cleveland Clinic Adjusts Its Prepayment Policy

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 …

Patients Wait Average of 31 Days For Appointments in Metro Areas

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 …

Plenty of Clinicians Looking to Make Career Moves Within 2 Years

A recent analysis shows that job satisfaction no longer guarantees retention of clinical workers, and compensation is not the sole reason why clinicians might leave their jobs. Of the more than 730 physicians and advanced practice providers who answered a survey conducted in March 2025 by LocumTenens.com and Advisory Board, 41% say they are considering switching jobs within the next 2 years. About two-thirds say they’re satisfied with their current role, but 28% of the …

Wristband Helps Clinicians Care For New Moms

In California, Loma Linda University Medical Center-Murrieta is gaining benefits from a simple program launched late last year in partnership with the Hear Her campaign from the Centers for Disease Control and Prevention to support the care of new mothers. Each mother leaves the hospital with a wristband that says “I gave birth” to wear in the days and weeks after delivery so all clinicians are reminded of the need for specialized treatment should the …

Some Patients Feel Disrespected in Healthcare Settings

A surprising number of women—nearly 1 in 4—say they have experienced unfair or disrespectful treatment in healthcare settings within the past 2 years, according to survey results from KFF. The survey of 5,055 women and 1,191 men showed 23% of women reported recent negative interactions with providers, and 18% of men reported the same. Weight was the most commonly cited reason (15%) for perceiving disrespect or unfairness, followed by age, gender, and race. Black and …

Evidence-Based Medicine Will Influence Malpractice Case Evaluation

The American Law Institute (ALI) has introduced a new medical malpractice standard that integrates evidence-based medicine, marking a departure from the prevailing reliance on customary medical practice. This change encourages courts to consider modern medical guidelines when evaluating negligence claims, offering a more structured approach to assessing legal liability. Individual states may adopt the new standard with their own interpretation to refine legal evaluation of malpractice cases. Historically, malpractice cases have relied on whether a …

UNC Opens Separate Campus Clinic For Test-and-Treat

On the campus of the University of North Carolina-Chapel Hill, a walk-in health clinic operated by Campus Health opened just in time for a new school year. Open 9AM to 4:30PM Monday through Friday, students can access care at the “mini” clinic for mild illness, injury or infection for $30 per visit. Another separate clinic on the campus offers same-day care for more acute concerns, primary care, gynecology, and sports medicine with points of access to …

ED Boarding Costs Hospitals Twice as Much as Inpatient Care

Emergency department (ED) boarding has negative financial implications, according to a study in the Annals of Emergency Medicine. Researchers considered observational data for acute stroke patients admitted between January and February 2022 and found that the daily cost of ED boarding was nearly twice that of daily inpatient costs, even before considering the opportunity cost of keeping an ED bed occupied. For example, the total daily cost per patient with acute stroke who experienced ED …

Electronic Nudges Improve Flu Vaccine Rates

A new study in JAMA found that sending electronic reminders (or “nudges”) significantly improved influenza vaccination rates among people with chronic diseases compared to standard care. During the 2022–2023 flu season in Denmark, researchers found only 40.7% of patients with diabetes and 44.6% with heart failure received flu shots. After sending electronic letters with tailored messages to 299,881 patients aged 18 to 64 in 6 different randomized groups, the overall vaccination rate was higher for …

Oral Antibiotic Prescriptions Trending Down

From 2011 to 2019, the rate of oral antibiotic prescriptions filled at U.S. outpatient pharmacies declined by 13%. The number of prescriptions dropped from 877 per 1,000 people in 2011 to 765 per 1,000 people in 2018 and 2019. According to a Centers for Disease Control and Prevention (CDC) study published in the American Journal of Epidemiology, a total of 2.4 billion oral antibiotic prescriptions were dispensed over this time period. The most significant reduction (-25%) …

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