Hardik Patel, S. Hinkes, M. Mathew, M. Castillo, D. Serota, H. Tookes
Background: The student-run Infectious Disease Elimination Act (IDEA) Clinic serves people who inject drugs (PWID) by providing human immunodeficiency virus testing, hepatitis C virus testing, wound care, cutaneous abscess treatment, safe injection education, and basic health screening services. A primary goal of the IDEA Clinic is to prevent the progression of wounds and infections into more severe and costly illnesses. Here, we present the operational model and treatment costs associated with providing these services at the IDEA clinic. Methods: Charts of PWID who received medical care at the IDEA Clinic over a 28-month study period were reviewed and the services provided are reported. Total costs were stratified into the cost of medical equipment, procedures, and medications. Results: From October 2017 to January 2020, the total cost of supplies of the IDEA Clinic totaled $3,491.65. Over this study period, there were 291 distinct patient visits, which gives the clinic an average cost of $12.00 per visit. Conclusions: The IDEA Clinic requires low per-patient operational costs to provide important medical services to a vulnerable population. The results of this study may be used to support the creation of more student-run clinics in other areas with a large population of PWID.
{"title":"Operational Model and Treatment Costs of a Student-Run Free Clinic Serving People Who Inject Drugs","authors":"Hardik Patel, S. Hinkes, M. Mathew, M. Castillo, D. Serota, H. Tookes","doi":"10.59586/jsrc.v8i1.281","DOIUrl":"https://doi.org/10.59586/jsrc.v8i1.281","url":null,"abstract":"Background: The student-run Infectious Disease Elimination Act (IDEA) Clinic serves people who inject drugs (PWID) by providing human immunodeficiency virus testing, hepatitis C virus testing, wound care, cutaneous abscess treatment, safe injection education, and basic health screening services. A primary goal of the IDEA Clinic is to prevent the progression of wounds and infections into more severe and costly illnesses. Here, we present the operational model and treatment costs associated with providing these services at the IDEA clinic. \u0000Methods: Charts of PWID who received medical care at the IDEA Clinic over a 28-month study period were reviewed and the services provided are reported. Total costs were stratified into the cost of medical equipment, procedures, and medications. \u0000Results: From October 2017 to January 2020, the total cost of supplies of the IDEA Clinic totaled $3,491.65. Over this study period, there were 291 distinct patient visits, which gives the clinic an average cost of $12.00 per visit. \u0000Conclusions: The IDEA Clinic requires low per-patient operational costs to provide important medical services to a vulnerable population. The results of this study may be used to support the creation of more student-run clinics in other areas with a large population of PWID.","PeriodicalId":73958,"journal":{"name":"Journal of student-run clinics","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44146211","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Emphasis has been placed on patient-reported outcomes as a means to improve quality in healthcare. Likewise, patient-reported outcomes have the potential to benefit student-run free clinics in several important ways. Unfortunately, student-run free clinics infrequently incorporate patient-reported outcomes into the care process. This perspective article highlights the need for routine collection of patient-reported outcomes in student run free clinics and recommends resources and future directions to promote widespread use of patient-reported outcomes in student-run free clinics.
{"title":"Demonstrating Value, Improving Education and Doing Right by Patients: The Role of Patient-Reported Outcomes in Student-Run Free Clinics and Recommendations for Implementation","authors":"Trevor Staples, Anndee Neuman, Anne Thackeray","doi":"10.59586/jsrc.v8i1.220","DOIUrl":"https://doi.org/10.59586/jsrc.v8i1.220","url":null,"abstract":"Emphasis has been placed on patient-reported outcomes as a means to improve quality in healthcare. Likewise, patient-reported outcomes have the potential to benefit student-run free clinics in several important ways. Unfortunately, student-run free clinics infrequently incorporate patient-reported outcomes into the care process. This perspective article highlights the need for routine collection of patient-reported outcomes in student run free clinics and recommends resources and future directions to promote widespread use of patient-reported outcomes in student-run free clinics.","PeriodicalId":73958,"journal":{"name":"Journal of student-run clinics","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48337323","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sophia M. Foroushani, Andrew Crawford, Alexandra Woodbridge, Dan Frechtling, J. Ali
Background: The Tulane Student-Run Tuberculosis (TB) Program provides TB risk evaluation, skin testing (TST), and referrals at six homeless shelters and rehabilitation facilities. To date, there has been no evaluation of the program’s patient profile. The objective of this study was to determine the symp-toms and risk factors for TB present in the program's clients, calculate follow-up rates for TST reading, and determine factors associated with an increased rate of missing reading appointments. Methods: This retrospective chart review examines the prevalence of risk factors and TB symptoms, evaluates risk stratification, and determines barriers to follow-up for TST over a 33-month period. Rel-ative risks (RR) were calculated to determine the association between risk stratification, positive TST, and loss to follow-up. Z-values were calculated, and p-values were determined as the area of the dis-tribution outside of +/- z. P-values <0.05 were considered statistically significant. Results: Of 6,198 individuals seen, 479 were referred to higher care, 238 received 30-day clearances, 34 deferred testing, and four were sent to the hospital. Of 5,443 TSTs placed, 4,155 were read and 214 were positive. Individuals who had any risk factors were at significantly increased risk of not attending TST reading (RR 2.14, 95% Confidence interval [CI] 1.96-2.34, p<0.01) and, for those who did attend, of having a positive TST (RR 1.52, 95% CI 1.17-1.98, p<0.01). Higher risk of no-show and positive TST was also seen in homeless individuals (RR 3.44, 95% CI 2.92-4.07, p<0.01 and RR 2.10, 95% CI 1.52-2.90, p<0.01, re-spectively) and those with intermediate-risk stratification (RR 1.25, 95% CI 1.11-1.41, p<0.01 and RR 1.32, 95% CI 1.01-1.72, p=0.04, respectively). Conclusions: Individuals experiencing homelessness and those with intermittent TB risk stratification are at increased risk for positive TST. Both homelessness and the presence of any TB risk factors in-crease the risk of loss to follow-up.
{"title":"Evaluating Patient Profile, Follow-Up Rates and Barriers to Follow-Up at a Student-Run, Community-Based Tuberculosis Testing Program","authors":"Sophia M. Foroushani, Andrew Crawford, Alexandra Woodbridge, Dan Frechtling, J. Ali","doi":"10.59586/jsrc.v8i1.263","DOIUrl":"https://doi.org/10.59586/jsrc.v8i1.263","url":null,"abstract":"Background: The Tulane Student-Run Tuberculosis (TB) Program provides TB risk evaluation, skin testing (TST), and referrals at six homeless shelters and rehabilitation facilities. To date, there has been no evaluation of the program’s patient profile. The objective of this study was to determine the symp-toms and risk factors for TB present in the program's clients, calculate follow-up rates for TST reading, and determine factors associated with an increased rate of missing reading appointments. \u0000Methods: This retrospective chart review examines the prevalence of risk factors and TB symptoms, evaluates risk stratification, and determines barriers to follow-up for TST over a 33-month period. Rel-ative risks (RR) were calculated to determine the association between risk stratification, positive TST, and loss to follow-up. Z-values were calculated, and p-values were determined as the area of the dis-tribution outside of +/- z. P-values <0.05 were considered statistically significant. \u0000Results: Of 6,198 individuals seen, 479 were referred to higher care, 238 received 30-day clearances, 34 deferred testing, and four were sent to the hospital. Of 5,443 TSTs placed, 4,155 were read and 214 were positive. Individuals who had any risk factors were at significantly increased risk of not attending TST reading (RR 2.14, 95% Confidence interval [CI] 1.96-2.34, p<0.01) and, for those who did attend, of having a positive TST (RR 1.52, 95% CI 1.17-1.98, p<0.01). Higher risk of no-show and positive TST was also seen in homeless individuals (RR 3.44, 95% CI 2.92-4.07, p<0.01 and RR 2.10, 95% CI 1.52-2.90, p<0.01, re-spectively) and those with intermediate-risk stratification (RR 1.25, 95% CI 1.11-1.41, p<0.01 and RR 1.32, 95% CI 1.01-1.72, p=0.04, respectively). \u0000Conclusions: Individuals experiencing homelessness and those with intermittent TB risk stratification are at increased risk for positive TST. Both homelessness and the presence of any TB risk factors in-crease the risk of loss to follow-up. ","PeriodicalId":73958,"journal":{"name":"Journal of student-run clinics","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49261920","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sara Saymuah Stone, Hailey Heil, Janki K. Vaghasia, Marla Rojas Thaureaux, Victoria Badia, Paige Baal
Student-run free clinics (SRFCs) serve individuals who would not otherwise have access to healthcare. Cass Clinic, a SRFC affiliated with Wayne State University School of Medicine in Detroit, Michigan, serves a predominantly underprivileged population by providing free physical examinations, laboratory testing, medications, and resources such as hand sanitizer and surgical masks. Despite the Coronavirus Disease 2019 (COVID-19) pandemic and Michigan Governor Gretchen Whitmer’s shelter-in-place order from March 24, 2020 through June 12, 2020, Cass Clinic remained open to serve Detroit patients. To assess the utility of SRFCs in meeting patient needs during the Michigan shelter-in-place order, quality assessment surveys were conducted. Patients reported seeking care at Cass Clinic due to lack of resource availability at supply stores and lack of healthcare access at other clinics. All participants reported receiving medication refills for chronic conditions due to a general patient concern of inability to obtain medications through other healthcare services. Surveys demonstrated Cass Clinic provides essential services to underserved individuals by adequately managing chronic conditions such as hypertension and type two diabetes mellitus. Cass Clinic, and SRFCs in general, serve a vital role throughout the Michigan shelter-in-place order by continuing healthcare management for patients who are at a disproportionate risk of adverse health outcomes due to COVID-19.
{"title":"Utility of Student-Run Free Clinics for Underserved Individuals During COVID-19 Michigan Shelter-in-Place Order","authors":"Sara Saymuah Stone, Hailey Heil, Janki K. Vaghasia, Marla Rojas Thaureaux, Victoria Badia, Paige Baal","doi":"10.59586/jsrc.v7i1.279","DOIUrl":"https://doi.org/10.59586/jsrc.v7i1.279","url":null,"abstract":"Student-run free clinics (SRFCs) serve individuals who would not otherwise have access to healthcare. Cass Clinic, a SRFC affiliated with Wayne State University School of Medicine in Detroit, Michigan, serves a predominantly underprivileged population by providing free physical examinations, laboratory testing, medications, and resources such as hand sanitizer and surgical masks. Despite the Coronavirus Disease 2019 (COVID-19) pandemic and Michigan Governor Gretchen Whitmer’s shelter-in-place order from March 24, 2020 through June 12, 2020, Cass Clinic remained open to serve Detroit patients. To assess the utility of SRFCs in meeting patient needs during the Michigan shelter-in-place order, quality assessment surveys were conducted. Patients reported seeking care at Cass Clinic due to lack of resource availability at supply stores and lack of healthcare access at other clinics. All participants reported receiving medication refills for chronic conditions due to a general patient concern of inability to obtain medications through other healthcare services. Surveys demonstrated Cass Clinic provides essential services to underserved individuals by adequately managing chronic conditions such as hypertension and type two diabetes mellitus. Cass Clinic, and SRFCs in general, serve a vital role throughout the Michigan shelter-in-place order by continuing healthcare management for patients who are at a disproportionate risk of adverse health outcomes due to COVID-19.","PeriodicalId":73958,"journal":{"name":"Journal of student-run clinics","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43883646","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Michael Enich, Meagan Hawes, Paul Lavadera, Karen Wei-Ru Lin
Background: Student-run free clinics provide an opportunity to shape medical student practices with and attitudes towards the medically underserved. Previous literature has shown mixed results on how student attitudes change over the course of medical education. The purpose of this mixed-method study is to determine the effect that participation in a student-run free clinic has on medical student attitudes towards the underserved as compared to attitudes of non-participating students. Methods: The validated Medical Attitudes Towards the Underserved (MSATU) survey was administered in cross-sectional study to student participants in a student-run free clinic and to non-participating medical students (n = 122). Additionally, first and fourth year participant students were interviewed via semi-structured interviews about results. Results: There was no statistically significant difference in overall MSATU scores between participant and non-participant medical students using Mann Whitney tests. In sub-score analyses, Mann Whitney tests demonstrated significantly higher scores among participants in the total services score (U = 1344.0, df = 115, p = 0.013) and the expensive procedures services sub-score (U = 1401.0, df = 115, p = 0.019). Interviews revealed that positive attitudes towards the underserved are not specific to student-run free clinic participants. Participants did not describe changes in their attitude from clinic participation, believing all medical students had a baseline positive attitude towards the underserved. They did, however, highlight that witnessing the reality of these patients influenced their perspective and future practice. Conclusions: There were limited significant differences in MSATU survey scores between participant and non-participant students. Interview results suggest that the survey tool was unable to capture changes in the perspectives of participant medical students or the changes in their projected practices but that, participation in a student-run free clinic had an overall positive effect on understanding of the barriers to care and empathy towards the underserved.
{"title":"Impact of Student-Run Free Clinic Participation on Medical Student Attitudes Towards the Underserved: A Mixed-Methods Approach","authors":"Michael Enich, Meagan Hawes, Paul Lavadera, Karen Wei-Ru Lin","doi":"10.59586/jsrc.v7i1.255","DOIUrl":"https://doi.org/10.59586/jsrc.v7i1.255","url":null,"abstract":"Background: Student-run free clinics provide an opportunity to shape medical student practices with and attitudes towards the medically underserved. Previous literature has shown mixed results on how student attitudes change over the course of medical education. The purpose of this mixed-method study is to determine the effect that participation in a student-run free clinic has on medical student attitudes towards the underserved as compared to attitudes of non-participating students. \u0000Methods: The validated Medical Attitudes Towards the Underserved (MSATU) survey was administered in cross-sectional study to student participants in a student-run free clinic and to non-participating medical students (n = 122). Additionally, first and fourth year participant students were interviewed via semi-structured interviews about results. \u0000Results: There was no statistically significant difference in overall MSATU scores between participant and non-participant medical students using Mann Whitney tests. In sub-score analyses, Mann Whitney tests demonstrated significantly higher scores among participants in the total services score (U = 1344.0, df = 115, p = 0.013) and the expensive procedures services sub-score (U = 1401.0, df = 115, p = 0.019). Interviews revealed that positive attitudes towards the underserved are not specific to student-run free clinic participants. Participants did not describe changes in their attitude from clinic participation, believing all medical students had a baseline positive attitude towards the underserved. They did, however, highlight that witnessing the reality of these patients influenced their perspective and future practice. \u0000Conclusions: There were limited significant differences in MSATU survey scores between participant and non-participant students. Interview results suggest that the survey tool was unable to capture changes in the perspectives of participant medical students or the changes in their projected practices but that, participation in a student-run free clinic had an overall positive effect on understanding of the barriers to care and empathy towards the underserved.","PeriodicalId":73958,"journal":{"name":"Journal of student-run clinics","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48300683","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Brittany Glassberg, Kevin J. Weiss, Terence Hughes, J. Meyers, S. Kamat, Jonathan Pan, James Blum, James Carter, Cynthia Luo, Samuel Powell, Hannah L. Krystal, David Thomas, David M. Skovran, Y. Meah
Here we describe the development and implementation of a telehealth model for vulnerable, uninsured residents of East Harlem in New York City during the coronavirus disease 2019 (COVID-19) pandemic at a student-run, physician-supervised free clinic. The East Harlem Health Outreach Partnership completed 43 primary care follow-up and 78 urgent telehealth encounters during a six-week trial period during the COVID-19 outbreak, and 40 patients were managed for either suspected or confirmed COVID-19 diagnoses. Telehealth is a useful tool to provide rapid, high-quality care to a large patient population during a pandemic. Challenges include the lack of access to updated technology among patients of lower socioeconomic status and rapidly evolving management guidelines for COVID-19. Telehealth is essential for supporting vulnerable populations during times of reduced physical contact, including the COVID-19 pandemic, but can be applied broadly to all free clinics to augment access.
{"title":"The Transition to Telehealth: A Pilot Model in a New York City Student-Run Free Clinic During the COVID-19 Pandemic","authors":"Brittany Glassberg, Kevin J. Weiss, Terence Hughes, J. Meyers, S. Kamat, Jonathan Pan, James Blum, James Carter, Cynthia Luo, Samuel Powell, Hannah L. Krystal, David Thomas, David M. Skovran, Y. Meah","doi":"10.59586/jsrc.v7i1.247","DOIUrl":"https://doi.org/10.59586/jsrc.v7i1.247","url":null,"abstract":"Here we describe the development and implementation of a telehealth model for vulnerable, uninsured residents of East Harlem in New York City during the coronavirus disease 2019 (COVID-19) pandemic at a student-run, physician-supervised free clinic. The East Harlem Health Outreach Partnership completed 43 primary care follow-up and 78 urgent telehealth encounters during a six-week trial period during the COVID-19 outbreak, and 40 patients were managed for either suspected or confirmed COVID-19 diagnoses. Telehealth is a useful tool to provide rapid, high-quality care to a large patient population during a pandemic. Challenges include the lack of access to updated technology among patients of lower socioeconomic status and rapidly evolving management guidelines for COVID-19. Telehealth is essential for supporting vulnerable populations during times of reduced physical contact, including the COVID-19 pandemic, but can be applied broadly to all free clinics to augment access.","PeriodicalId":73958,"journal":{"name":"Journal of student-run clinics","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42653665","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ronald Drummond, Cassidy Koziol, Hunter Yeats, Quinn P. Tyminski
Background: Evidence indicates occupational therapy (OT) services can address the unmet needs of individuals experiencing homelessness (IEH) to promote health, engagement in meaningful activities, and independent living skills. Additionally, student-run free clinics (SRFCs) are an effective method for developing clinical skills while providing needed services for the community. Based on the available evidence, a student-run OT clinic was developed in partnership with a local homeless services agency. The objective of this pilot study was to evaluate the services established in an OT SRFC in a homeless population to determine the initial effectiveness of the clinic for students and clients. It was hypothesized that the SRFC would increase student perceived clinical skills and provide mutual benefit to clients. Methods: Participants of this SRFC included 17 OT students (n=10 doctoral students, n=7 masters students) and 70 IEH since its opening in Fall 2018. OT students developed and implemented evidenced-based group and individual interventions designed to address health, wellness, and quality of life for the homeless population. Student skills competency, confidence, and client satisfaction were regularly evaluated through survey. Mann-Whitney U tests were used to determine statistical differences. Results: Results indicate that clients are satisfied with clinic services, students’ engagement, and some positive changes in independent living skills. Students reported statistically significant improvement in competency of professional behaviors (p<0.001) and interventions (p=0.003). Conclusion: Providing OT services through an SRFC is a promising approach to service delivery within the homeless population due to the mutual benefit for students to increase clinical and interpersonal skills and attitudes in preparation for entry-level practice.
{"title":"Occupational Therapy Student-Run Free Clinic: Mutual Benefits in Expanded Homeless and Health Services and Clinical Skills Development","authors":"Ronald Drummond, Cassidy Koziol, Hunter Yeats, Quinn P. Tyminski","doi":"10.59586/jsrc.v7i1.248","DOIUrl":"https://doi.org/10.59586/jsrc.v7i1.248","url":null,"abstract":"Background: Evidence indicates occupational therapy (OT) services can address the unmet needs of individuals experiencing homelessness (IEH) to promote health, engagement in meaningful activities, and independent living skills. Additionally, student-run free clinics (SRFCs) are an effective method for developing clinical skills while providing needed services for the community. Based on the available evidence, a student-run OT clinic was developed in partnership with a local homeless services agency. The objective of this pilot study was to evaluate the services established in an OT SRFC in a homeless population to determine the initial effectiveness of the clinic for students and clients. It was hypothesized that the SRFC would increase student perceived clinical skills and provide mutual benefit to clients. \u0000Methods: Participants of this SRFC included 17 OT students (n=10 doctoral students, n=7 masters students) and 70 IEH since its opening in Fall 2018. OT students developed and implemented evidenced-based group and individual interventions designed to address health, wellness, and quality of life for the homeless population. Student skills competency, confidence, and client satisfaction were regularly evaluated through survey. Mann-Whitney U tests were used to determine statistical differences. \u0000Results: Results indicate that clients are satisfied with clinic services, students’ engagement, and some positive changes in independent living skills. Students reported statistically significant improvement in competency of professional behaviors (p<0.001) and interventions (p=0.003). \u0000Conclusion: Providing OT services through an SRFC is a promising approach to service delivery within the homeless population due to the mutual benefit for students to increase clinical and interpersonal skills and attitudes in preparation for entry-level practice.","PeriodicalId":73958,"journal":{"name":"Journal of student-run clinics","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71135839","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pranaya Chilukuri, Collier Williams, Shima A. Dowla, Shejuti Paul, Lindsay Sheets, A. Zinski, Nicholas J. Van Wagoner
Background: Student-run free clinics (SRFCs) are becoming increasingly common across the United States. To better understand clientele and improve these organizations, it is important to assess patient feedback about SRFC services. This study is based on Equal Access Birmingham (EAB), a SRFC that aims to provide and improve quality healthcare for underserved populations in central Alabama. A qualitative needs assessment of patients receiving care at EAB has not yet been performed. The purpose of this study was to identify and explore EAB clients’ perceived health needs, health-related behaviors, and access to healthcare. Methods: Clients were recruited to participate in semi-structured qualitative interviews at EAB. Major themes included barriers to healthcare, primary health concerns, individual health behaviors, and patterns of clinic utilization. Results: The study analyzed 16 patient interviews. Participants stated that cost, transportation, and housing were barriers to healthcare. Their main health concerns were hypertension (cited by 21% of participants), diabetes (21%), pain (21%), and mental health management (21%). Ninety-four percent of study participants reported relying on EAB to obtain medication refills. Respondents also reported accessing the clinic for mental health issues, and many used EAB as their primary care provider. Conclusions: Despite numerous barriers, EAB was the source of primary healthcare and medications for many respondents. This qualitative investigation identified specific concerns and noteworthy strengths that may extend to other SRFCs.
{"title":"Findings from a Qualitative Needs Assessment of Equal Access Birmingham, a Student-Run Free Clinic in the Southern United States","authors":"Pranaya Chilukuri, Collier Williams, Shima A. Dowla, Shejuti Paul, Lindsay Sheets, A. Zinski, Nicholas J. Van Wagoner","doi":"10.59586/jsrc.v7i1.226","DOIUrl":"https://doi.org/10.59586/jsrc.v7i1.226","url":null,"abstract":"Background: Student-run free clinics (SRFCs) are becoming increasingly common across the United States. To better understand clientele and improve these organizations, it is important to assess patient feedback about SRFC services. This study is based on Equal Access Birmingham (EAB), a SRFC that aims to provide and improve quality healthcare for underserved populations in central Alabama. A qualitative needs assessment of patients receiving care at EAB has not yet been performed. The purpose of this study was to identify and explore EAB clients’ perceived health needs, health-related behaviors, and access to healthcare. \u0000Methods: Clients were recruited to participate in semi-structured qualitative interviews at EAB. Major themes included barriers to healthcare, primary health concerns, individual health behaviors, and patterns of clinic utilization. \u0000Results: The study analyzed 16 patient interviews. Participants stated that cost, transportation, and housing were barriers to healthcare. Their main health concerns were hypertension (cited by 21% of participants), diabetes (21%), pain (21%), and mental health management (21%). Ninety-four percent of study participants reported relying on EAB to obtain medication refills. Respondents also reported accessing the clinic for mental health issues, and many used EAB as their primary care provider. \u0000Conclusions: Despite numerous barriers, EAB was the source of primary healthcare and medications for many respondents. This qualitative investigation identified specific concerns and noteworthy strengths that may extend to other SRFCs.","PeriodicalId":73958,"journal":{"name":"Journal of student-run clinics","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44559418","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Elizabeth Nguyen, Heather Stewart, Marissa Maldonado, Elizabeth Cook, Bianca L Arboleda, Elizabeth Simoneit, S. H. Palakurty, Alexander Shahin, Eduardo Gonzalez
Background: This paper details the establishment of a free dental clinic within the Building Relationships and Initiatives Dedicated to Gaining Equality (BRIDGE) Healthcare Clinic, a student-run free clinic, in Hillsborough County, Florida through collaboration with Hope in Health Project (HHP), and local dental volunteers. The purpose of the clinic is to provide general dental service to BRIDGE patients. It notes the patient demographics, procedure types, and total cost of care provided at the first dental clinic. Methods: Nine dentists, two dental hygienists, and one dental assistant were recruited through HHP as well as 29 local volunteers to participate in the clinic. BRIDGE Clinic patients were contacted via text message informing them of the opportunity to receive dental care. A triage event was held for initial evaluation and to determine services needed. The following week, triaged patients returned to receive dental services. Procedures offered included prophylaxis with fluoride varnish, extractions, and fillings. Results: 71 patients were triaged and 62 received a procedure. The average age was 49±10 years. Of patients triaged, 87% (62) received at least one procedure, 72% (51) received prophylaxis with varnish, 18% (13) received extractions, and 39% (28) received fillings. Total number of procedures completed was 126, which included 51 prophylaxis, 28 extractions, and 47 fillings. The total cost for the services provided was 31,065 United States Dollar (USD) with an average cost per patient of 438 USD. Conclusion: This project demonstrates the successful implementation of a pilot free dental clinic in the context of an established free, primary healthcare clinic. It provides information on the structure and cost of a free dental clinic and how it can be implemented to provide dental care to uninsured patients.
{"title":"Establishing a Model for Free Dental Care for Uninsured Patients Served by a Student-Run Clinic","authors":"Elizabeth Nguyen, Heather Stewart, Marissa Maldonado, Elizabeth Cook, Bianca L Arboleda, Elizabeth Simoneit, S. H. Palakurty, Alexander Shahin, Eduardo Gonzalez","doi":"10.59586/jsrc.v7i1.236","DOIUrl":"https://doi.org/10.59586/jsrc.v7i1.236","url":null,"abstract":"Background: This paper details the establishment of a free dental clinic within the Building Relationships and Initiatives Dedicated to Gaining Equality (BRIDGE) Healthcare Clinic, a student-run free clinic, in Hillsborough County, Florida through collaboration with Hope in Health Project (HHP), and local dental volunteers. The purpose of the clinic is to provide general dental service to BRIDGE patients. It notes the patient demographics, procedure types, and total cost of care provided at the first dental clinic. \u0000Methods: Nine dentists, two dental hygienists, and one dental assistant were recruited through HHP as well as 29 local volunteers to participate in the clinic. BRIDGE Clinic patients were contacted via text message informing them of the opportunity to receive dental care. A triage event was held for initial evaluation and to determine services needed. The following week, triaged patients returned to receive dental services. Procedures offered included prophylaxis with fluoride varnish, extractions, and fillings. \u0000Results: 71 patients were triaged and 62 received a procedure. The average age was 49±10 years. Of patients triaged, 87% (62) received at least one procedure, 72% (51) received prophylaxis with varnish, 18% (13) received extractions, and 39% (28) received fillings. Total number of procedures completed was 126, which included 51 prophylaxis, 28 extractions, and 47 fillings. The total cost for the services provided was 31,065 United States Dollar (USD) with an average cost per patient of 438 USD. \u0000Conclusion: This project demonstrates the successful implementation of a pilot free dental clinic in the context of an established free, primary healthcare clinic. It provides information on the structure and cost of a free dental clinic and how it can be implemented to provide dental care to uninsured patients.","PeriodicalId":73958,"journal":{"name":"Journal of student-run clinics","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47185134","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Donald Egan, Jelina Castillo, Stacy Nguyen, C. Hardy, Jessica Hill, Cassandra Jones, Delaney Rawson
Background: In 2014, students from the University of Texas Health San Antonio Long School of Medicine conducted a community assessment of lesbian, gay, bisexual, transgender, and queer (LGBTQ+) healthcare needs. Participants reported low levels of sexually-transmitted infection (STI) screening, incomplete reporting of sexual history, and a desire for LGBTQ+-friendly physicians. As a result, a student-run free clinic, the Pride Community Clinic (PCC), was established. The PCC provides STI testing, mental health counseling, hormone replacement therapy (HRT), discounted medications, pre-exposure prophylaxis, human immunodeficiency (HIV) testing, and Pap smears. The purpose of this study is to analyze the demographics of the population treated at the PCC and the resources used to inform future developments within the clinic. Methods: PCC patient records were analyzed, and quantitative analysis was conducted with Microsoft Excel. The qualitative analysis was performed using notes written by medical students, attending physicians, and mental health providers. Results: The average age of patients (n=44) was 22 years, with a standard deviation of 10 years. Of the patients, 52% were racial minorities, and 50% lived below the poverty line. 84% identified as transgender and 68% a sexual minority. Additionally, 84% did not have a primary care provider, and 89% did not have insurance. HIV, gonorrhea, chlamydia, hepatitis C, and syphilis education were the most common screenings done. A review of medical notes found themes of transgender exploration, problems with healthcare access, and the utilization of counseling and preventative care. Conclusions: The PCC offers low-cost care for the underserved LGBTQ+ population in San Antonio. HRT is a common reason for visits, but patients also utilize STI testing and mental health services. The clinic has provided a valuable opportunity for students not only to gain general clinical experience but also to learn about the unique needs of LGBTQ+ patients.
{"title":"Addressing the Need for Sexual, Mental, and Physical Healthcare in San Antonio’s Underinsured Lesbian, Gay, Bisexual, Transgender, and Queer Population","authors":"Donald Egan, Jelina Castillo, Stacy Nguyen, C. Hardy, Jessica Hill, Cassandra Jones, Delaney Rawson","doi":"10.59586/jsrc.v7i1.204","DOIUrl":"https://doi.org/10.59586/jsrc.v7i1.204","url":null,"abstract":"Background: In 2014, students from the University of Texas Health San Antonio Long School of Medicine conducted a community assessment of lesbian, gay, bisexual, transgender, and queer (LGBTQ+) healthcare needs. Participants reported low levels of sexually-transmitted infection (STI) screening, incomplete reporting of sexual history, and a desire for LGBTQ+-friendly physicians. As a result, a student-run free clinic, the Pride Community Clinic (PCC), was established. The PCC provides STI testing, mental health counseling, hormone replacement therapy (HRT), discounted medications, pre-exposure prophylaxis, human immunodeficiency (HIV) testing, and Pap smears. The purpose of this study is to analyze the demographics of the population treated at the PCC and the resources used to inform future developments within the clinic. \u0000Methods: PCC patient records were analyzed, and quantitative analysis was conducted with Microsoft Excel. The qualitative analysis was performed using notes written by medical students, attending physicians, and mental health providers. \u0000Results: The average age of patients (n=44) was 22 years, with a standard deviation of 10 years. Of the patients, 52% were racial minorities, and 50% lived below the poverty line. 84% identified as transgender and 68% a sexual minority. Additionally, 84% did not have a primary care provider, and 89% did not have insurance. HIV, gonorrhea, chlamydia, hepatitis C, and syphilis education were the most common screenings done. A review of medical notes found themes of transgender exploration, problems with healthcare access, and the utilization of counseling and preventative care. \u0000Conclusions: The PCC offers low-cost care for the underserved LGBTQ+ population in San Antonio. HRT is a common reason for visits, but patients also utilize STI testing and mental health services. The clinic has provided a valuable opportunity for students not only to gain general clinical experience but also to learn about the unique needs of LGBTQ+ patients.","PeriodicalId":73958,"journal":{"name":"Journal of student-run clinics","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41736460","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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