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Project Access-New Haven: improving access to specialty care for patients without insurance
Erica S Spatz1, Michael S Phipps, Suzanne Lagarde
1Robert Wood Johnson Foundation Clinical Scholars Program, Department of Medicine, Division of Cardiology, Yale University School of Medicine, USA.
Background:
Poor access to specialty care among uninsured adults threatens the delivery of quality health care and may contribute to the misuse and overuse of emergency departments and hospitals.
Intervention:
We sought to improve access to specialty care through a program called Project Access-New Haven (PA-NH),which engages specialty physicians and hospitals to volunteer in a coordinated-care model for the uninsured. Patient navigators guide patients through the health-care network and help to alleviate administrative obstacles.
Results:
Project Access-New Haven has been operational since August 2010. With >200 specialty physicians volunteering and strong commitments from local hospitals, comprehensive specialty care has been provided to 78 patients. Average wait-time for appointments is 17 days.
Conclusion:
PA-NH provides timely medical care and patient navigation foruninsured patientswith specialty-care needs. In the process, more physicians are participating in the care of vulnerable populations. Further data are needed to assess the potential cost-savings of PA-NH.
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