Students Who Participate in a Student-Run Free Health Clinic Need Education about Access to Care Issues

Simmons, B Brent; DeJoseph, Daniel; Diamond, James J.; Weinstein, Lara Carson

doi:10.1353/hpu.0.0225

Cited by 11 publications

(4 citation statements)

References 4 publications

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“…The predominance of volunteers from lower socioeconomic and underrepresented backgrounds warrants further exploration of how many of the volunteers have had limited access to healthcare themselves and how that has impacted their attitude towards healthcare in general and community-oriented medicine in particular. The results appeared to follow the general trends observed in a similar study of 209 medical students who were found to lack knowledge pertaining to patients’ social and access-to-care issues, particularly in underserved and uninsured populations [ 10 ]. Those who participated in SRFCs gained experience over time and became comfortable providing medical assistance and outside access to primary and specialty care to their patients.…”

Section: Discussionsupporting

confidence: 73%

“…The elements of the survey were modeled after those in the existing literature on medical students at SRFCs [ 10 ] and volunteers in palliative care hospices [ 6 , 8 , 11 ]. The survey included questions about the volunteers’ general demographics, knowledge of the healthcare process, interaction with staff, and satisfaction with the orientation and the volunteer experience.…”

Section: Methodsmentioning

confidence: 99%

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The role of prehealth student volunteers at a student-run free clinic in New York, United States

Shabbir

Santos

2015

J Educ Eval Health Prof

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Purpose:The medical student-run Einstein Community Health Outreach Clinic provides free healthcare to the uninsured adult population of New York, the United States. During the summer, prehealth student volunteers are recruited to assist with clinic operations.Methods:We designed a survey study to identify the baseline characteristics of the volunteers between June and August of 2013 and 2014 in order to evaluate the influence of working in a medical student-run free clinic on their education, impressions, and career goals.Results:A total of 38 volunteers (response rate, 83%) participated in the study. The volunteers were demographically diverse and interested in primary care specialties and community service.Conclusion:After the Einstein Community Health Outreach program, the volunteers showed an improved understanding of the healthcare process and issues relevant to uninsured patients. They also developed favorable attitudes towards primary care medicine and an increased level of interest in pursuing careers in primary care.

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Section: Discussionsupporting

confidence: 73%

Section: Methodsmentioning

confidence: 99%

The role of prehealth student volunteers at a student-run free clinic in New York, United States

Shabbir

Santos

2015

J Educ Eval Health Prof

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“…Figure 4 provides additional examples of SRFC outcomes. 47 Some established SRFCs have had difficulty evaluating their outcomes, often because the outcomes are not identified during planning or are not specific and measurable. An SRFC in Philadelphia assumed that alumni would become primary care physicians as a result of participation in the SRFC; however, they did not collect specific data to support this assumption.…”

Section: Discussionmentioning

confidence: 99%

A Logic Model for Planning, Implementing, and Evaluating a Student-Run Free Clinic

McAndrew¹,

Kaskutas²

2020

J Stud Run Clin

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Student-run free clinics (SRFCs) are an important part of the American healthcare system, providing free services to many individuals in need. Patients report improvements after care in an SRFC, and students develop skills requisite for practice. Current literature describes outcomes at SRFCs for patients and students but fails to provide a solid model to guide planning, implementation, and evaluation of SRFCsâ€™ success. This paper presents the SRFC logic model, a contextually based model that is useful throughout the life of an SRFC. The SRFC logic model utilizes a backward design process for planning a new SRFC. The same five components examined in the planning process are performed in reverse order during the implementation and evaluation phases. The planning phase begins by identifying the impact that the SRFC hopes to make, followed by defining the measurable outcomes the SRFC expects to achieve. Outputs are projected to examine the reach of the SRFC. Specific activities to produce the desired output and outcomes are defined. Lastly, the inputs needed to complete the activities are identified. Implementation of the SRFC addresses the same components in a forward direction. Evaluation is performed iteratively, allowing for adjustments to ensure that the SRFC is achieving its targeted outcomes. The logic model described in this paper can be used across healthcare disciplines and settings to plan, implement, and evaluate an SRFC and to demonstrate its significance to all stakeholders.

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“…Extensive research from medical schools and students across the country has sought to take advantage of each of these role-characteristics to improve care for people who are homeless within institutions. This research focused primarily on improving attitudes and knowledge around houselessness among medical students [ 17 – 22 ]; altering didactic medical education to include training on caring for people who are houseless or otherwise excluded from care [ 20 , 23 – 26 ]; facilitating opportunities to care for people who are houseless in clinical settings [ 25 , 27 – 29 ]; and more broadly improved the social accountability of medical schools and the institutions they are a part of [ 30 – 33 ]. These efforts are significant not only for enacting change at the institutional level, but also for preparing the next generation of physicians to provide full-spectrum and empathic care to people who are houseless.…”

Section: Introductionmentioning

confidence: 99%

Community-derived recommendations for healthcare systems and medical students to support people who are houseless in Portland, Oregon: a mixed-methods study

et al. 2020

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Background: People who are houseless (also referred to as homeless) perceive high stigma in healthcare settings, and face disproportionate disparities in morbidity and mortality versus people who are housed. Medical students and the training institutions they are a part of play important roles in advocating for the needs of this community. The objective of this study was to understand perceptions of how medical students and institutions can meet needs of the self-identified needs of the houseless community. Methods: Between February and May 2018, medical students conducted mixed-methods surveys with semistructured qualitative interview guides at two community-based organizations that serve people who are houseless in Portland, Oregon. Medical students approach guests at both locations to ascertain interest in participating in the study. Qualitative data were analyzed using thematic analysis rooted in an inductive process. Results: We enrolled 38 participants in this study. Most participants were male (73.7%), white (78.9%), and had been houseless for over a year at the time of interview (65.8%). Qualitative themes describe care experiences among people with mental health and substance use disorders, and roles for medical students and health-care institutions. Specifically, people who are houseless want medical students to 1) listen to and believe them, 2) work to destigmatize houselessness, 3) engage in diverse clinical experiences, and 4) advocate for change at the institutional level. Participants asked healthcare institutions to use their power to change laws that criminalize substance use and houselessness, and build healthcare systems that take better care of people with addiction and mental health conditions. Conclusions: Medical students, and the institutions they are a part of, should seek to reduce stigma against people who are houseless in medical systems. Additionally, institutions should change their approaches to healthcare delivery and advocacy to better support the health of people who are houseless.

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Students Who Participate in a Student-Run Free Health Clinic Need Education about Access to Care Issues

Cited by 11 publications

References 4 publications

The role of prehealth student volunteers at a student-run free clinic in New York, United States

The role of prehealth student volunteers at a student-run free clinic in New York, United States

A Logic Model for Planning, Implementing, and Evaluating a Student-Run Free Clinic

Community-derived recommendations for healthcare systems and medical students to support people who are houseless in Portland, Oregon: a mixed-methods study

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