دورية أكاديمية
Evaluation of patient health outcomes of a student-run free clinic in East Harlem.
| العنوان: | Evaluation of patient health outcomes of a student-run free clinic in East Harlem. |
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| المؤلفون: | Jiang JJ; Icahn School of Medicine at Mount Sinai, 1468 Madison Avenue, Annenberg Building, 18th Floor Room 18-16, New York, NY, 10029, USA. joy.jiang@icahn.mssm.edu., Link K; Icahn School of Medicine at Mount Sinai, 1468 Madison Avenue, Annenberg Building, 18th Floor Room 18-16, New York, NY, 10029, USA., Mellgard G; Icahn School of Medicine at Mount Sinai, 1468 Madison Avenue, Annenberg Building, 18th Floor Room 18-16, New York, NY, 10029, USA., Silvestri F; Icahn School of Medicine at Mount Sinai, 1468 Madison Avenue, Annenberg Building, 18th Floor Room 18-16, New York, NY, 10029, USA., Qian D; Icahn School of Medicine at Mount Sinai, 1468 Madison Avenue, Annenberg Building, 18th Floor Room 18-16, New York, NY, 10029, USA., Chennareddy S; Icahn School of Medicine at Mount Sinai, 1468 Madison Avenue, Annenberg Building, 18th Floor Room 18-16, New York, NY, 10029, USA., Tran M; Icahn School of Medicine at Mount Sinai, 1468 Madison Avenue, Annenberg Building, 18th Floor Room 18-16, New York, NY, 10029, USA., Goldstein Y; Icahn School of Medicine at Mount Sinai, 1468 Madison Avenue, Annenberg Building, 18th Floor Room 18-16, New York, NY, 10029, USA., Frid G; Icahn School of Medicine at Mount Sinai, 1468 Madison Avenue, Annenberg Building, 18th Floor Room 18-16, New York, NY, 10029, USA., Band I; Icahn School of Medicine at Mount Sinai, 1468 Madison Avenue, Annenberg Building, 18th Floor Room 18-16, New York, NY, 10029, USA., Saali A; Icahn School of Medicine at Mount Sinai, 1468 Madison Avenue, Annenberg Building, 18th Floor Room 18-16, New York, NY, 10029, USA., Thomas DC; Icahn School of Medicine at Mount Sinai, 1468 Madison Avenue, Annenberg Building, 18th Floor Room 18-16, New York, NY, 10029, USA., Jasti H; Icahn School of Medicine at Mount Sinai, 1468 Madison Avenue, Annenberg Building, 18th Floor Room 18-16, New York, NY, 10029, USA., Meah YS; Icahn School of Medicine at Mount Sinai, 1468 Madison Avenue, Annenberg Building, 18th Floor Room 18-16, New York, NY, 10029, USA. |
| المصدر: | BMC medical education [BMC Med Educ] 2024 Mar 21; Vol. 24 (1), pp. 323. Date of Electronic Publication: 2024 Mar 21. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: BioMed Central Country of Publication: England NLM ID: 101088679 Publication Model: Electronic Cited Medium: Internet ISSN: 1472-6920 (Electronic) Linking ISSN: 14726920 NLM ISO Abbreviation: BMC Med Educ Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: London : BioMed Central, [2001- |
| مواضيع طبية MeSH: | Student Run Clinic* , Students, Medical*, Humans ; Female ; Aged ; United States ; Middle Aged ; Male ; Medicare ; Ambulatory Care Facilities ; Outcome Assessment, Health Care |
| مستخلص: | Background: Most United States medical schools have affiliated student-run free clinics, but the quality of services provided in such contexts compared to national metrics is unknown. This study determines whether a student-run, attending-supervised free clinic servicing a low-income and minority race patient population in New York City can meet national metrics of care. Methods: Through chart review from January 1, 2020 to December 31, 2020, patient outcomes and service utilization in the Healthcare Effectiveness Data and Information Set were examined and compared to national rates of patients using Medicaid HMO or Medicare. Patients are ≥ 21 years of age, residents of East Harlem, and ineligible for health insurance because of legal residency requirements. The majority identify as Hispanic and speak Spanish as their primary language. All patients who were seen in the clinic during the 2020 calendar year were included. The primary study outcome is the number of Healthcare Effectiveness Data and Information Set measures in which patients, seen in a student-run free clinic, meet or exceed national comparisons. Results: The healthcare outcomes of 238 patients, mean age 47.8 years and 54.6% female, were examined in 18 Healthcare Effectiveness Data and Information Set measures. The student-run free clinic met or exceeded national metrics in 16 out of 18 categories. Conclusions: The student-run free clinic met or exceeded the national standard of care according to national metrics. Evidence-based priorities have been clarified for future improvement. Other student-run free clinics should similarly evaluate the quality of their services. (© 2024. The Author(s).) |
| References: | J Health Care Poor Underserved. 2009 Nov;20(4):969-81. (PMID: 20168011) NPJ Digit Med. 2019 Sep 25;2:94. (PMID: 31583282) J Health Care Poor Underserved. 2013 Feb;24(1):344-58. (PMID: 23377738) J Health Care Poor Underserved. 2012 Feb;23(1):414-24. (PMID: 22643487) J Multidiscip Healthc. 2022 Mar 30;15:641-665. (PMID: 35387392) JAMA. 2007 Dec 26;298(24):2886-94. (PMID: 18159058) J Public Health (Oxf). 2020 Nov 23;42(4):793-798. (PMID: 31840742) Health Aff (Millwood). 2008 Sep-Oct;27(5):1429-41. (PMID: 18780934) Lancet Gastroenterol Hepatol. 2018 Apr;3(4):252-262. (PMID: 29396034) J Gerontol B Psychol Sci Soc Sci. 2005 Oct;60 Spec No 2:68-75. (PMID: 16251594) PLoS One. 2013 Nov 21;8(11):e81441. (PMID: 24278438) J Biomed Inform. 2022 Feb;126:103969. (PMID: 34864210) Cureus. 2020 Aug 3;12(8):e9539. (PMID: 32905511) BMC Psychiatry. 2022 Jul 26;22(1):501. (PMID: 35883038) Cureus. 2023 Jan 2;15(1):e33241. (PMID: 36618499) J Community Health. 2011 Oct;36(5):733-40. (PMID: 21298472) JAMA. 2014 Dec 10;312(22):2407-10. (PMID: 25490333) J Health Care Poor Underserved. 2006 Aug;17(3):477-85. (PMID: 16960315) J Interprof Care. 2018 Mar;32(2):203-210. (PMID: 29182406) JAMA Cardiol. 2019 Feb 1;4(2):120-127. (PMID: 30649146) Int J Equity Health. 2020 Jun 26;19(1):104. (PMID: 32586388) Mt Sinai J Med. 2009 Aug;76(4):344-56. (PMID: 19642148) Acad Med. 2022 Jun 1;97(6):824-831. (PMID: 34817408) |
| فهرسة مساهمة: | Keywords: Free clinic; HEDIS; Quality improvement; Student-run |
| تواريخ الأحداث: | Date Created: 20240322 Date Completed: 20240325 Latest Revision: 20240325 |
| رمز التحديث: | 20240325 |
| مُعرف محوري في PubMed: | PMC10958952 |
| DOI: | 10.1186/s12909-024-05070-5 |
| PMID: | 38515122 |
| قاعدة البيانات: | MEDLINE |
Find this article in full text from Springer Verlag. 
Full Text Finder | تدمد: | 1472-6920 |
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| DOI: | 10.1186/s12909-024-05070-5 |