Retrospective Analysis of Population Demographic Characteristics, Medical Interventions, and Resource Use at a Medical Student-Run Clinic on the Texas-Mexico Border

Mootz, Allison; Price, Alyssa; Elahi, Cyrus; Steffen, Kelcy; Santiago, Andres Belmont De; Gutierrez, Jesús; Krimbill, Jacob; Sidhu, Natalia; Swinney, Ira; Francis, Maureen D.

doi:10.1353/hpu.2019.0034

Cited by 6 publications

(13 citation statements)

References 13 publications

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“…To ensure effective care for the patient, the understanding that some clinics have different profiles of patients will help provide more focused care. In an SRC on the Mexico-Texas border, the most common presenting conditions were also diabetes, hypertension, and dyslipidemia [16]. Similarly, a study published regarding an SRC in Puebla, Mexico came to the same conclusion [17].…”

Section: Discussionmentioning

confidence: 72%

Assessing the Impact of Demographic Factors on Presenting Conditions or Complaints Among Internal Medicine Patients in an Underserved Population in Central Florida

El-Said¹,

Patil²,

Leone³

et al. 2022

Cureus

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Background and objectivePatients' demographics (race, age, gender, and ethnicity) have been determined to affect patients' health status. It has been established that chronic disease prevalence varies by race, age, gender, and ethnicity; however, not much is known about how these demographic factors influence presenting conditions or complaints within a student-run clinic (SRC). This study aimed to investigate how demographic factors in the Apopka community in Florida determine what internal medicine (IM) conditions or complaints patients present with at a student-run free clinic. MethodsElectronic medical record (EMR) data for adult patients seen at the clinic from February 2019 to February 2020 were reviewed to collect information on patient demographics, IM presenting conditions or complaints, and body mass index (BMI). Binary logistic regressions were employed to investigate the relationship between demographic factors and presenting conditions or complaints. ResultsThe majority of the patients were female (62.2%), with an almost equal representation of Hispanic (50.3%) and non-Hispanic individuals. About half of the patients visiting the clinic were either overweight or obese. Of the 167 patients, the average age was 44.17 and 44.32 years for males and females respectively. The most common presenting conditions or complaints included cardiac conditions (25.07%), diabetes (9.64%), gastric pain (9.21%), and upper respiratory infection (URI)/allergies (6.15%). Cardiac conditions were further broken down into hypertension (18.94%), dyslipidemia (3.94%), and palpitations (2.19%). Patient age was a contributing factor to the incidence of diabetes (p=0.002), hypertension (p<0.0001), and cardiovascular conditions excluding hypertension (p=0.021). There was a significant relationship between obesity and diabetes (p=0.036) and hypertension (p=<0.001). ConclusionSRCs can make use of the information obtained from this study to advocate for coverage of medications to treat diabetes and hypertension in this undocumented population to prevent morbidity rates. We believe our findings can also provide guidance in terms of instituting screening programs for these illnesses among the broader population and SRCs with different patient makeups.

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Section: Discussionmentioning

confidence: 72%

Assessing the Impact of Demographic Factors on Presenting Conditions or Complaints Among Internal Medicine Patients in an Underserved Population in Central Florida

El-Said¹,

Patil²,

Leone³

et al. 2022

Cureus

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“…The root term student-run was used in 64.9% of the articles included for extraction from our literature search 2 , 5 , 17 , 19 , 20 , 22 , 41 - 53 while student-led was used in 23% of these articles. 21 , 30 , 54 Other concepts that were used interchangeably with student-run included student-created ; student-developed , student-directed , student-driven , student-initiated , student-managed , student-operated , student-organized , student nurse-delivered , student pharmacist-led , student pharmacist-run , and student-volunteer .…”

Section: Resultsmentioning

confidence: 99%

“…While many services were part of ongoing initiatives, such as clinics and regular mobile outreach programs, 6 , 29 , 35 , 51 , 52 , 71 , 72 , 74 , 75 some were episodic as with annual influenza vaccinations and health fairs. 54 , 56 , 57 , 64 , 76 , 77 Delivery of healthcare services ranged from primary care, which is generally first point of contact in relation to a health concern, 19 , 20 , 53 , 78 to ongoing follow-up of chronic conditions like diabetes and cardiovascular disease 35 , 48 , 79 , 80 and specialty services, such as prenatal care, musculoskeletal clinic, psychiatry, gynecologic care, and surgery. 20 , 28 , 58 , 61 , 81 A few individual health care student-run initiatives provided a range of primary care, specialty services, and diagnostics that sometimes also provided a consistent, comprehensive, and ongoing source of care for clients.…”

Section: Resultsmentioning

confidence: 99%

“… 20 , 22 , 41 , 42 , 45 , 72 , 78 , 83 , 91 - 93 Uninsured status was closely associated with low socioeconomic standing, including poverty and the “working poor,” or not meeting criteria for Medicaid as in the case for many immigrants and refugees. 19 , 20 , 42 , 61 , 78 The term underserved was used in conjunction with persons who were uninsured, 1 , 44 , 65 but also in reference to geographical locations (eg, inner city or rural areas) and in relation to racialized groups, such as immigrants, First Nations, Asian, Black, or Latino background. 2 , 6 , 19 , 29 , 35 , 45 , 47 , 61 , 72 , 76 , 77 , 91 , 94 Groups of people considered “at-risk” overlapped with the aforementioned populations, but also included sex-workers, persons who use drugs, and those who may be exposed to other infectious diseases.…”

Section: Resultsmentioning

confidence: 99%

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Understanding Student-Run Health Initiatives in the Context of Community-Based Services: A Concept Analysis and Proposed Definitions

Nagel

Naccarato

Philip

et al. 2022

J Prim Care Community Health

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Background: Student-run health initiatives in the community setting have been utilized to provide practical experience for undergraduate students to develop professional competencies, gain exposure to diverse populations, and to engage in activities of social accountability. There is much literature on student-run health initiatives; however, there is no consensus on a definition of this concept or a comprehensive synthesis of the literature that describes student-run health initiatives offered by students in pre-licensure healthcare education programs. Purpose: To provide a concept analysis of, and propose a definition for, student-run health initiatives that provide community-based services for students during pre-licensure health discipline education. Methods: A systematic literature search and review process was used to identify and synthesize peer-reviewed articles from 7 academic databases covering a range of pre-licensure health disciplines and education. Walker and Avant’s framework for concept analysis was used to guide exploration of attributes, antecedents and consequences of student-run initiatives, and to inform development of a definition for this concept. Results: The review yielded 222 articles for data extraction and represented 17 distinct pre-licensure health disciplines, 18 health-related disciplines, and a range of other baccalaureate and graduate programs. Our analysis revealed 16 definitions, 5 attributes, 6 antecedents, and consequences identified for student-run health initiatives. Attributes were Provision of Service, Service is Free, Target Clientele, Volunteerism, and Student Governance. Antecedents included Purpose/Rationale, Affiliation with Academic Unit, Location and Partnerships, Funding and Resources, Professional Oversight, and Preparation for Student Role. Consequences were improved access to services and outcomes for clients; competency development, personal gains and interprofessional learning for students; and positive outcomes for broader systems, such as decrease of service utilization and cost/benefit. Conclusions: There was no clear conceptual definition for student-run health initiatives, but many defining characteristics and well-described exemplars in the literature. Given the variations in purpose and scope of these initiatives, particularly to distinguish degree of students’ roles in operations and the involvement of academic institutions, we propose 3 distinct conceptual definitions: student-run, student-led, and student-infused health initiatives.

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“…SRFCs primarily serve patients of low socioeconomic status, targeting communities where up to 45% of the population falls below the federal poverty line 11 and where the prevalence of unemployment and part-time employment is high. 12 These underserved populations disproportionately represent Black, Latinx, and/or immigrant communities who speak English as a second language.…”

Section: Srfcs As Medical Care Providersmentioning

confidence: 99%

Student-Run Free Clinics Stand at a Critical Junction Between Undergraduate Medical Education, Clinical Care, and Advocacy

et al. 2022

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Student-run free clinics (SRFCs) act as primary care providers that bring health care to populations in need and are an important source of undergraduate medical education (UME), guiding trainees through the art of history taking and physical examination. However, they are also social justice and advocacy initiatives-addressing disparity in access to care and educating medical trainees with firsthand exposure to socioeconomic determinants of health as well as language and medical illiteracy barriers. Here, the authors review academic literature examining the impact of SRFCs in their 3 roles: as medical care providers, as components of medical education, and as advocacy organizations. Based on the evidence of that literature and decades of direct SRFC leadership experience, the authors make the case that SRFCs are an undersupported means by which UME institutions contribute to correcting health care disparities and to serving social justice reform. SRFCs as Medical Care ProvidersSRFCs primarily serve patients of low socioeconomic status, targeting communities where up to 45% of the

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Retrospective Analysis of Population Demographic Characteristics, Medical Interventions, and Resource Use at a Medical Student-Run Clinic on the Texas-Mexico Border

Cited by 6 publications

References 13 publications

Assessing the Impact of Demographic Factors on Presenting Conditions or Complaints Among Internal Medicine Patients in an Underserved Population in Central Florida

Assessing the Impact of Demographic Factors on Presenting Conditions or Complaints Among Internal Medicine Patients in an Underserved Population in Central Florida

Understanding Student-Run Health Initiatives in the Context of Community-Based Services: A Concept Analysis and Proposed Definitions

Student-Run Free Clinics Stand at a Critical Junction Between Undergraduate Medical Education, Clinical Care, and Advocacy

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