行动呼吁:教职员工调查,为学生开办诊所的未来努力提供信息。

PRiMER (Leawood, Kan.) Pub Date : 2024-01-31 eCollection Date: 2024-01-01 DOI:10.22454/PRiMER.2024.950821
Nina Piazza, Alyssa Bruehlman
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引用次数: 0

摘要

导言:有关学生开办诊所(SRC)的现有文献通常侧重于学生而非患者的体验。为了开始收集有关全国性 SRC 规范和实践的数据,本试点研究对来自全国各地 SRC 的教师领导进行了调查,内容涉及诊所组织、患者人口统计和护理服务等指标:2021 年 10 月,通过电子邮件向学生免费诊所教师协会 (SRFCFA) 的成员分发了一份包含 38 个问题的调查问卷。所有回复均通过 Qualtrics 调查软件以电子方式收集:大多数 SRC 每周至少举行一次,地点不固定。所有接受调查的 SRC 都使用电子病历。学生领导通常每年轮换一次。实习医生偏向于全科医生而非专科医生。诊所的病人数量不定,但大多数病人都没有保险,也不讲英语。受访者对结果沟通的一致性、随访、专科转诊和高危患者管理的反应不一。大多数受访者认为,学习者的体验并没有优先于病人护理:全国各地 SRC 的设计和运作各不相同,也没有标准化。对患者在 SRC 的体验和以患者为中心的结果的了解仍然有限,因此很难指导最佳实践。鉴于这些诊所所服务的人群属于弱势群体,今后收集患者观点和结果的工作应得到重视。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Call to Action: A Faculty Survey to Inform Future Efforts at Student-Run Clinics.

Introduction: Existing literature about student-run clinics (SRCs) often focuses on student rather than patient experiences. To begin to gather data on norms and practices at SRCs nationally, this pilot study surveyed faculty leaders from SRCs around the country about metrics such as clinic organization, patient demographics, and care services.

Methods: A 38-question survey was distributed via email to members of the Student Run Free Clinic Faculty Association (SRFCFA) in October 2021. All responses were collected electronically via Qualtrics survey software.

Results: Most SRCs are held at least once weekly in variable physical locations. All SRCs surveyed use an electronic medical record. Student leadership typically rotates annually. Preceptors skew towards generalists rather than specialists. Clinics have variable patient volumes but see majority uninsured and non-English-speaking patient populations. Responses about consistency of result communication, follow-up visits, referrals to specialty care, and management of high-risk patients were mixed. The majority of respondents did not feel that learner experience was prioritized over patient care.

Conclusion: The design and operations of SRCs nationwide is variable and not standardized. There remains a limited understanding of patient experiences and patient-centered outcomes at SRCs, and thus it is difficult to guide best practices. Future efforts to collect patient perspectives and outcomes should be emphasized given the vulnerable populations these clinics serve.

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