一个由学生经营的女性健康诊所的结构,利用和查遵守,用于没有保险的西班牙语妇女:描述性分析
Alicia M Faszholz1, Vanessa Lozano1, Jacqueline Garda1,2
1Anne Burnett Marion School of Medicine at Texas Christian University, Fort Worth, TX, USA.
Women's health (London, England)
|March 6, 2026
概括
德克萨斯州沃思堡的一家由学生经营的诊所显著提高了未保险的西班牙语妇女的癌症查遵守率. 这种模式有效地解决了对基本妇科护理的系统性障碍.
科学领域:
- 公共卫生 公共卫生
- 妇科瘤学 妇科瘤学
- 健康差异 在健康上的差异
背景情况:
- 德克萨斯州沃思堡的没有保险,低收入的西班牙语妇女在获得妇科护理方面遇到了重大障碍.
- 女人诊所 (LCDM) 是一家由学生经营的诊所 (SRC),为这群人提供免费的,有文化能力的护理.
- 这项研究评估了LCDM患者对癌症查的坚持,以解决发现的健康差异.
研究的目的:
- 评估学生经营诊所 (SRC) 的结构和利用情况.
- 评估SRC对癌症查遵守的影响.
- 专注于德克萨斯州沃思堡的没有保险的西班牙语妇女.
主要方法:
- 追溯描述性前后研究设计.
- 在LCDM对147次临床接触 (114名患者) 的图表审查 (2022年8月 - 2024年9月).
- 麦克内马尔的测试用于分析查坚持的变化.
主要成果:
- 患者 (平均年龄47.5岁,95.6%是西班牙裔) 主要来自服务不足的地区.
- 干预前查的遵守率:46%的帕普查,64%的乳房影像.
- 干预后的坚持表现出显著的改善,接近完全遵守 (Pap:p<0.0001;乳房:p<0.0001).
结论:
- 在没有保险的西班牙语妇女中,LCDM在妇科预防护理的遵守方面取得了显著的改善.
- 学生经营的诊所模型可以有效地弥合妇女健康服务的可访问性差距.
- 这些模型在缓解服务不足人群的系统性障碍方面显示出前景.
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