Impact of Student-Run Free Clinics in Urgent Care
Impact of Student-Run Free Clinics in Urgent Care
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DOI：
10.1007/s10900-020-00890-0
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发表时间：
2020-07-25
影响因子：
5.9
通讯作者：
Clark, Melissa
中科院分区：
文献类型：
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作者：
Alhallak, Iad;Williams, D. Keith;Clark, Melissa
随着急诊科变得越来越拥挤，急诊科的非紧急使用加剧了这一问题。未参保的患者非紧急急诊的比例最高，免费医疗诊所为未参保的患者提供护理。这项研究分析了第12街健康中心(HWC)的患者群体，这是一家学生开办的免费诊所(SRFC)，以了解SRFC在紧急护理中的影响。分析了卫生与公众服务部的2024份退还表格和新的病人入院表格。采用多变量Logistic回归分析患者入院形式中的哪些因素会增加患者来诊所接受紧急护理的可能性。约有10%的香港医院病人在紧急情况下使用该诊所，其中94%的病人并未获转介至急症室。如果没有HWC，这些未参保的人中的大多数会去急诊室，并在2019年产生估计的总费用39,515.80美元。多变量Logistic回归表明，通过无预约就诊的患者更有可能在诊所寻求紧急护理。此外，没有保险的患者和需要西班牙语翻译的患者更倾向于在这家诊所寻求紧急护理。SRFC在非紧急急诊中为其周围的急救人员节省了数千美元。SRFC应该关注那些没有预约、没有保险、需要西班牙语翻译的患者，因为他们更有可能出现紧急情况。
As Emergency Departments (EDs) become increasingly crowded, the non-urgent use of EDs exacerbates this problem. Uninsured patients have the highest percentage of non-urgent ED visits and free healthcare clinics provide access to care for the uninsured. This study analyzed the patient population of the 12th Street Health and Wellness Center (HWC), a student-run free clinic (SRFC), to understand the impact of SRFCs in urgent care. 2024 return and new patient intake forms from the HWC were analyzed. Multivariable logistic regression was performed to see which factors from the patient intake forms increase the probability that a patient came will into the clinic for urgent care. About 10% of the HWC patient population uses the clinic for emergencies, of which, 94% of them were not referred to the ED. If the HWC was not available, most of these uninsured individuals would have gone to an ED and incurred an estimated total cost of $39,515.80 in 2019. Multivariable logistic regression indicated that patients that came via walk-in are significantly more likely to seek urgent care at the clinic. Further, patients without insurance and patients who need a Spanish interpreter have a higher tendency to seek urgent care at this clinic. SRFCs save their surrounding EDs thousands of dollars in non-urgent ED visits. SRFCs should be attentive to patients who come in without an appointment, without insurance, and who need a Spanish interpreter because they are more likely to come in for an emergency.