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Updated: Jul 12, 2025

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
Published on: February 16, 2011
A model of care for patients with low income
1Ruselle S. DeBonis is Professor Emeritus at Allen College in Waterloo, Iowa. She established an NP student-run free clinic as a service-learning requirement and continues to precept students there. She can be reached at Ruselle.Debonis@allencollege.edu.
Abstract:
Barriers to patient-centered care for patients with low income include lack of provider comfort, time, and education. The USA Model addresses these issues by providing a simple framework for increasing provider understanding, screening for poverty and social determinants of health (SDoH) if indicated, and adjusting the plan of care to address SDoH.
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