The Impact of a Multifaceted Intervention on the Rate of  Preventive Services Offered in a Student-Run Clinic

Menning, Melanie; Nabower, Aleisha M.; Medder, Jim; Geske, Jenenne; Margalit, Ruth

doi:10.59586/jsrc.v2i2.14

Cited by 7 publications

(8 citation statements)

References 31 publications

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“…18 At the University of Nebraska SRFC, investigators found that a multifaceted intervention including patient and provider education and targeted chart review led to increased preventive health screening rates, better enabling the clinic to meet Healthy People 2020 goals. 19 These studies demonstrate that educational and quality improvement interventions can increase preventive health screening rates in clinical settings and motivated the implementation of the intervention discussed in this study. However, none of these studies were specifically targeted at improving breast cancer screening rates.…”

Section: Introductionmentioning

confidence: 68%

Intervention to Improve Mammography Screening at a Student-Run Free Clinic

et al. 2019

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Background: Most late-stage breast cancer occurs in those who have never been screened. Uninsured women have lower screening rates than insured women. Student-run free clinics (SRFCs) caring for uninsured women can test interventions that attempt to increase screening rates.Methods: The United States Preventive Task Force guidelines were used to determine patient eligibility for screening mammography in a SRFC. Medical students began receiving education on screening mammography on May 31, 2013 while a simultaneous intervention to streamline workflow related to mammography referrals was implemented. We assessed the change in counseling and referral rates pre- and post-intervention as well as the impact of race/ethnicity, chronic disease status, and preferred language on the likelihood of getting counseled and referred for screening mammography. We also investigated the impact of the intervention on screening mammography attendance rates.Results: We collected data from the medical records of 106 women (171 patient visits) pre-intervention and 113 women (193 patient visits) post-intervention. The intervention significantly improved the rate of mammography counseling (from 54.4% to 81.9%) and mammography screening referrals (from 37.7% to 70.6%). Preferred language, race/ethnicity, and chronic disease status were not associated with counseling and referral rates. The intervention did not improve mammography attendance.Conclusions: An education and workflow intervention in a SRFC that improved counseling and referral rates did not improve mammography attendance. Further studies are needed to investigate patient-level barriers that may be affecting mammography appointment attendance.

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Section: Introductionmentioning

confidence: 68%

Intervention to Improve Mammography Screening at a Student-Run Free Clinic

et al. 2019

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“…Prior studies have demonstrated opportunities for improvement in providing preventative services at student-run free clinics, and a variety of student-led quality improvement initiatives have been described to address this gap. 9,13,14,25,26 While prior initiatives have largely focused on increasing the rate of preventative screenings by medical students during clinic appointments, 9,13,25,26 this study adds an alternative method for engaging patients in preventative healthcare. By focusing efforts on community walk-in clinics that extend services beyond a centralized free clinic, participants in this study were able to receive comprehensive reviews without attending a scheduled clinic appointment.…”

Section: Discussionmentioning

confidence: 99%

“…9 Additional studies of preventive health interventions support these outcomes, showing that patients are more likely to engage with health services and modify identified risk factors following health education. [10][11][12][13][14] It is estimated that only 8% of adults in the US aged 35 or older receive all recommended preventative services. Use of preventive services is even lower in marginalized groups; these groups are more likely to encounter barriers to care and less likely to seek healthcare services.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of a Preventative Health Consultation Service for Patients at Student-Run Walk-In Health Clinics

Stickel

Ngo²,

Kumar³

et al. 2021

J Stud Run Clin

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Background: Preventative health services are often underutilized by under-resourced populations. This study aimed to evaluate the utility of a student-run preventative health consultation (PHC) service at free walk-in clinics. Methods: This prospective cohort study recruited adult participants from student-run free walk-in clinics at a Spanish-language church and a homeless shelter. During the PHCs, recommendations from the United States Preventative Services Task Force and Centers for Disease Control and Prevention immunization schedule were discussed with participants. The top three recommendations for each participant were prioritized using shared decision-making. Participants completed a post-PHC survey and were contacted within three months about recommendation completion status. Recommendations were grouped into categories and analyzed using descriptive statistics. Results: Of the 29 people enrolled in the study, 48% (n=14) were Spanish-speaking, and 45% (n=13) were homeless/displaced. There were 87 recommendations made and categorized as health behaviors (29.9%, n=26), vaccinations (18.4%, n=16), chronic disease screenings (18.4%, n=16), communicable disease screenings (17.2%, n=15), cancer screenings (11.5%, n=10), and other (4.6%, n=4). The most common completed recommendations were changes in health behaviors (46.2%, n=12) and chronic disease screenings (37.5%, n=6). Of the participants who completed the post-PHC survey, 96% (n=27) agreed or strongly agreed they learned new information about their health from the PHC, and 100% (n=29) reported being glad to have engaged in the PHC and that the PHC service should continue at the monthly clinics. Conclusions: Health behaviors, vaccinations, and chronic disease screenings were the most frequently prioritized preventative health needs. Student-run PHC services may offer a way to increase underserved patient knowledge and engagement with preventative healthcare.

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“…37 In our review, we found that approximately half of the studies included on breast cancer screening and one in 10 studies included on cervical cancer screening reported screening rates at or above the overall national average. 16,29,30,32,38 If comparing with national screening rates for the uninsured only, all studies on breast cancer screening and five in 10 studies on cervical cancer screening met or surpassed the national average. 28,31,32,38,39 This suggests that, while…”

Section: Srfc Screening Rates Are Comparable To Those Of Breast and C...mentioning

confidence: 99%

“…16,29,30,32,38 If comparing with national screening rates for the uninsured only, all studies on breast cancer screening and five in 10 studies on cervical cancer screening met or surpassed the national average. 28,31,32,38,39 This suggests that, while…”

Section: Srfc Screening Rates Are Comparable To Those Of Breast and C...mentioning

confidence: 99%

Breast and cervical cancer screening rates in student‐run free clinics: A systematic review

Xiao

Major

O’Connell

et al. 2023

Intl J Gynecology & Obste

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Objective To assess rates of breast and cervical cancer screening at student‐run free clinics to understand challenges and strategies for advancing quality and accessibility of women's health screening. Methods The authors performed a systematic search of publications in Ovid MEDLINE, PubMed, Web of Science, and Google Scholar databases from database inception to 2020. English‐language publications assessing rates of breast and cervical cancer screening in student‐run free clinics were included. Structured data extraction was completed for each publication by two reviewers independently. Risk of bias was assessed using a modified Agency for Healthcare Research and Quality checklist. Results were synthesized qualitatively because of study heterogeneity. Results Of 3634 references identified, 12 references met study inclusion criteria. The proportion of patients up‐to‐date on breast cancer screening per guidelines ranged from 45% to 94%. The proportion of patients up‐to‐date on cervical cancer screening per guidelines ranged from 40% to 88%. Conclusion Student‐run free clinics can match breast and cervical cancer screening rates among uninsured populations nationally, although more work is required to bridge the gap in care that exists for the underinsured and uninsured.

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The Impact of a Multifaceted Intervention on the Rate of Preventive Services Offered in a Student-Run Clinic

Cited by 7 publications

References 31 publications

Intervention to Improve Mammography Screening at a Student-Run Free Clinic

Intervention to Improve Mammography Screening at a Student-Run Free Clinic

Evaluation of a Preventative Health Consultation Service for Patients at Student-Run Walk-In Health Clinics

Breast and cervical cancer screening rates in student‐run free clinics: A systematic review

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