Injury Care Trends – Occupational Medicine Clinics vs. Physician Specialist Clinics

Mike Schimdt

The marketplace for the care of work injuries in the ’90s and 2000s underwent a significant shift from Family Practice Clinics (FPC) to Occupational Medicine Clinics (OMC). This transition made sense because FPC providers, trained to address the basic health needs of families, often struggled with the specialized care required for injured workers. They lacked knowledge about work environments, the circumstances of injuries, company policies, and other factors related to workplace health and safety.

FPC providers frequently resorted to recommending time off from work for injured employees, as they were not equipped to handle the intricacies of occupational health. Under pressure from employers, payers, and increasing litigation, FPC providers began referring injury care to OMCs. Occupational medicine and urgent care injury clinics, with their expertise in workplace-related health issues, thrived and became the preferred choice for injury care referrals.

However, in recent years, there has been a trend toward Physician Specialist Clinics (PSCs) for injury care. These clinics, staffed by physician specialists in areas such as orthopedics, general surgery, foot and ankle, knee, shoulders, back, spine, and pain management, have gained popularity. PSCs typically operate six days a week, offering extended hours for convenience. Physicians are accessible by phone, and some clinics provide virtual consultations for initial assessments.

PSCs offer a more specialized and efficient approach to injury care. Physicians at these clinics are available to assess injuries promptly, provide expert advice, and determine the need for immediate care or follow-up. Some PSCs also offer drug testing services if required by the company.

The trend toward PSCs in injury care is driven by the desire for efficiency, immediate access to specialists, cost reduction, and improved outcomes. Employers find value in dealing directly with specialists, streamlining the care process, and potentially reducing overall costs. While both OMCs and PSCs have their advantages, the choice often depends on the specific circumstances and requirements of the situation.

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