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What is the Quality of Preventive Care Provided in a Student-Run Free Clinic?

Authors: Neel M, Butala; William, Murk; Leora I, Horwitz; Lauren K, Graber; Laurie, Bridger; Peter, Ellis;

What is the Quality of Preventive Care Provided in a Student-Run Free Clinic?

Abstract

Background. The quality of preventive care provided in student-run free clinics has not been well documented, although an increasing number of vulnerable populations seek care in these settings. Objective. To examine the rate of preventive care services provided in one student-run free clinic compared with national data. Design. Cross-sectional chart review. Participants. Randomly selected patients seen between October 2008 and 2009. Main Measures. Preventive screening guidelines by the U.S. Preventive Services Task Force (USPSTF) and the American Diabetes Association (ADA). Key results. Among 114 patient charts examined, 48 (42.1%) received an HIV test, which did not differ from national rates (40.8%, p=.78). Similarly, 63.3% of patients received a fasting blood glucose test (64.2%, p=.92). Among eligible patients, 59.6% received a fasting lipid panel and 54.6% a Pap smear; lower than national rates (86.6%, p<.001, and 70.5%, p=.001 respectively), but not different compared with uninsured nationally (61.5%, p=.79, and 54.7%, p=.98). Conclusions. This student-run free clinic provided preventive services at comparable rates to national levels, but short of goals specified in Healthy People 2020 .

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Keywords

Adult, Male, Medically Uninsured, Students, Medical, Community Health Centers, Middle Aged, United States, Connecticut, Young Adult, Cross-Sectional Studies, Practice Guidelines as Topic, Preventive Health Services, Humans, Mass Screening, Female, Aged, Quality of Health Care

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
37
Top 10%
Top 10%
Top 10%
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