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Student Faculty Collaborative Clinics Influence on Emergency Department Use.

Rewan Abdelwahab1,2, Sarah Abdelwahab2,3, Mie Hallman2,4

  • 1Harvard College, Cambridge, MA, USA.

Journal of Community Health
|September 1, 2022
PubMed
Summary
This summary is machine-generated.

Student-faculty collaborative clinics, like Crimson Care Collaborative (CCC), reduced emergency department (ED) visits for underserved patients. Access to these clinics can decrease ED use in vulnerable populations.

Keywords:
Cost SavingsEmergency Department UseEmergency ServiceHealthcare CostsHospital/statistics & numerical dataStudent Run Clinic/statistics & numerical dataUnderserved Communities

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Area of Science:

  • Community Health
  • Primary Care Access
  • Healthcare Disparities

Background:

  • Student-faculty collaborative clinics provide essential primary care to underserved communities.
  • CCC-Chelsea specifically serves a diverse population, including immigrants and refugees.
  • Understanding emergency department (ED) utilization patterns is crucial for resource allocation and patient care.

Purpose of the Study:

  • To analyze changes in patients' reported ED use before and after receiving care at CCC-Chelsea.
  • To investigate the association between insurance types and ED utilization among patients at CCC-Chelsea.

Main Methods:

  • Prospective survey of 229 patients at CCC-Chelsea from 2013-2019.
  • Inclusion criteria: patients with at least two visits, one year apart.
  • Statistical analysis included Wilcoxon signed rank test and Kruskal-Wallis test.

Main Results:

  • Patients reported a significant decrease in average yearly ED visits after attending CCC-Chelsea (pre-CCC: 1.544, post-CCC: 0.696, p < 0.001).
  • No significant association was found between insurance type and reported average yearly ED visits (p = 0.579).
  • The patient population was largely Hispanic (77.7%), male (70.9%), and low-income.

Conclusions:

  • Access to student-faculty collaborative clinics like CCC-Chelsea leads to a reduction in emergency department utilization.
  • These clinics play a vital role in mitigating healthcare disparities for underserved populations.
  • Expanding access to collaborative clinics can potentially decrease overall ED use in vulnerable communities.