What is the quality of preventive care provided in a student-run free clinic?

J Health Care Poor Underserved. 2012 Feb;23(1):414-24. doi: 10.1353/hpu.2012.0034.

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.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

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