Assessment of Hypertension Management and Outcomes at an Indianapolis Student-Run Free Clinic

Wahle, Benjamin M.; Meyer, Kathryn; Faller, Meredith; Kochhar, Komal; Sevilla, Javier

doi:10.1353/hpu.2017.0068

Cited by 17 publications

(19 citation statements)

References 15 publications

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“…Treatment outcomes regarding hypertension were the second-most examined after diabetes, with six studies published since 2012. All studies relate to US-based SRCs involving medical school students, with one also including pharmacy students 45 and another pharmacy and nursing students. 42 Five 40 , 41 , 43–45 involved chart review of recorded blood pressure (mmHg) for patients receiving care in a primary care SRC.…”

Section: Resultsmentioning

confidence: 99%

Patient Outcomes from Student-Run Health Services: An Integrative Review

Broman¹,

Tokolahi²,

Wilson³

et al. 2022

JMDH

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Background Student-run clinics (SRCs) offer an innovative approach to expand healthcare access and equity and increase clinical placement opportunities for students. However, research on the health benefits and/or outcomes of such clinics is currently fragmented. Methods An integrative review was conducted to capture and synthesize findings across a range of study types involving varied student disciplines, student delivered intervention types, and health conditions addressed or care areas of focus. Only published and peer reviewed studies were included. Studies needed to report outcomes in a defined study group measured over time, or report SRC data with explicit comparisons to non-SRC settings. Data were analyzed using inductive content analysis to identify major themes and natural clustering of health outcomes measured. Results Fifty-one articles were selected for review based on the eligibility criteria. Studies were predominantly from the United States, and most (n = 34, 67%) adopted a case review methodology for measuring outcomes. Health outcomes were evaluated in relation to a range of health conditions that, for the purposes of this review, were considered to naturally cluster into eight categories: diabetes, hypertension, functional health/quality of life, depression, hospital utilization, substance use, weight, health screening/vaccinations, and others. Conclusion This integrative review sought to evaluate the health outcomes accrued by patients in student-run health clinics. Taken as a whole, the literature suggests positive health outcomes resulting from student-run clinics across a range of health conditions. Greater confidence in care-related findings would be achieved from future research utilizing more robust and prospective study designs.

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Section: Resultsmentioning

confidence: 99%

Patient Outcomes from Student-Run Health Services: An Integrative Review

Broman¹,

Tokolahi²,

Wilson³

et al. 2022

JMDH

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“…The results for hypertension control differ from other studies on hypertension quality standards at other SRFCs. Smith et al, Wahle et al, and Zucker et al all concluded that the SRFC evaluated was able to improve blood pressure and achieve national quality standards [27][28][29]. The current SRFC literature may be more favorable due to publication bias and the fact that only robust or long-standing SRFCs have the resources to conduct quality-of-care evaluations.…”

Section: Discussionmentioning

confidence: 99%

Quality of Diabetes and Hypertension Management at the DAWN (Dedicated to Aurora’s Wellness and Needs) Student-Run Free Clinic

Felder-Heim¹,

Mader²

2020

Cureus

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“…These seem to be common themes in the populations serviced by other SRFCs explored in the literature, allowing these results to be reasonably extrapolated to other clinics. 8,9 Having a pre-defined formulary for the clinic seemed to effectively guide treatment for the patients, as a large proportion of prescriptions filled at the contract pharmacy were adherent to it. In addition, it helps create a controlled learning environment focused on select agents from major pharmacological classes for medical students just learning pharmacotherapy.…”

Section: Descriptive Statisticsmentioning

confidence: 99%

Pharmacy resident interventions and clinical progression in a student‐run free clinic

Holmes

Collard

Herrmann

et al. 2020

J Am Coll Clin Pharm

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IntroductionStudent‐run free clinics provide critical medical services to underserved populations. Pharmacy resident involvement in this setting is not thoroughly documented in the current literature.ObjectivesTo evaluate the progression of post‐graduate year one (PGY1) residents through a longitudinal experience in a medical student‐run free clinic by assessing the interventions made and to characterize the clinic practice and patient population.MethodsDatabases of pharmacist interventions, clinic demographics, and prescriptions were assessed from July 2016 through August 2018. The primary outcome was the frequency of each intervention type per subject‐visit made by PGY1 residents across quarterly segments (August‐October, November‐January, February‐April, and May‐June). Interventions were excluded if provided by a non‐PGY1 pharmacist or during the annual training period. Secondary outcomes included the proportion of advanced practice skill interventions and frequency of total interventions across quarterly segments.ResultsThere were 604 interventions (604/1056; 57.2%) included after applying exclusion criteria. Interventions most performed were medication therapy recommendation (209/604; 34.6%) and prescription facilitation (201/604; 33.3%). There was no statistically significant difference amongst the quarters for any individual intervention type (all P > .05). This held true for total interventions (P = .115). There was an association identified between time and delivery of advanced interventions per subject‐visit (P = .004), with higher rates identified in the second and third quarters (P = .508 and .448, respectively) compared with the first and fourth quarters (P = 0.327 and 0.333, respectively). The diseases with the most interventions by residents included pain management, dermatology, pulmonary, and cardiovascular.ConclusionThere was no change in frequency of types or total interventions found in this analysis, although there was an increased frequency of advanced interventions detected in the second and third quarter. A unique learning experience for pharmacy residents was successfully implemented in an underserved, ambulatory setting.

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Assessment of Hypertension Management and Outcomes at an Indianapolis Student-Run Free Clinic

Abstract: Despite unfavorable demographic characteristics, records for patients with hypertension who used IUSOC as a regular provider of primary care compared favorably with national data.

Cited by 17 publications

References 15 publications

Patient Outcomes from Student-Run Health Services: An Integrative Review

Patient Outcomes from Student-Run Health Services: An Integrative Review

Quality of Diabetes and Hypertension Management at the DAWN (Dedicated to Aurora’s Wellness and Needs) Student-Run Free Clinic

Pharmacy resident interventions and clinical progression in a student‐run free clinic

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