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AAP PRINCIPLES CONCERNING RETAIL-BASED CLINICS
The American Academy of Pediatrics (AAP) opposes retail-based clinics (RBCs) as an appropriate source of medical care for infants, children, and adolescents and strongly discourages their use, because the AAP is committed to the medical home model. The medical home model provides accessible, family-centered, comprehensive, continuous, coordinated, compassionate, and culturally effective care for which the pediatrician and the family share responsibility. Given that the RBC is not a medical home model, the AAP is particularly concerned with the effects of the following attributes of an RBC on health care for children and adolescents: 1. Fragmentation of care. 2. The possible effects on quality of care. 3. Provision of episodic care to children with special health care needs and chronic diseases, who may not be readily identifiable. 4. Lack of access to and maintenance of a complete, accessible, central health record that contains all pertinent patient information. 5. The use of tests for the purposes of diagnosis without proper follow-up. Source: AAP Policy Statement http://www.aap.org/
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