北德克萨斯州慈善医疗诊所的服务范围和货币影响评估。

IF 3 Q1 PRIMARY HEALTH CARE
Logan G Mills, Barbara Newsom, Abigail Lewis, Alexandra Pottorff, Ashley Wallace Wu, Erika Castro, Kelsi Morgan, Lawrence Wu, Bau P Tran, Katherine Lake, Mina Guirguis, James M Wagner, Nora Gimpel, Tiffany B Kindratt
{"title":"北德克萨斯州慈善医疗诊所的服务范围和货币影响评估。","authors":"Logan G Mills, Barbara Newsom, Abigail Lewis, Alexandra Pottorff, Ashley Wallace Wu, Erika Castro, Kelsi Morgan, Lawrence Wu, Bau P Tran, Katherine Lake, Mina Guirguis, James M Wagner, Nora Gimpel, Tiffany B Kindratt","doi":"10.1177/21501319241304143","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction/objectives: </strong>The cost of medical services is a major barrier to healthcare accessibility for underserved populations in the United States. Community charity medical clinics help address this disparity by providing free or reduced-cost care for the medically underinsured; however, their economic and public health contributions are unknown. The objective of this study was to evaluate the scope of services and monetary impact of 4 community charity medical clinics in North Texas, with one of the largest medically underinsured populations in the United States.</p><p><strong>Methods: </strong>A cross-sectional study was conducted using electronic health records from 4 clinics serving adults and children in North Texas. Encounters from June 1 to December 31, 2018 completed by with sufficient documentation to assign a level of service were reviewed. There were 3942 encounters identified and 2148 (54.5%) audited. Centers for Medicare and Medicaid Services Evaluation and Management Standards were used to identify level of service provided for each encounter, and their subsequent value was determined based on CMS fee-for-service schedules at the time service was provided. Common conditions managed during these encounters were identified using ICD-10 codes documented with each encounter.</p><p><strong>Results: </strong>The most prevalent diagnoses encountered were hypertension, diabetes, hyperlipidemia, and major depressive disorder. We estimate the total value of services and medications provided for 1 year is between $840 278.30 to $845 737.41.</p><p><strong>Conclusions: </strong>The charity clinics in North Texas provide a significant economic impact through a high level of charity care and a broad scope of services for a vulnerable patient population. The results may be used in the development and implementation of future services to meet the needs of the medically underinsured.</p>","PeriodicalId":46723,"journal":{"name":"Journal of Primary Care and Community Health","volume":"15 ","pages":"21501319241304143"},"PeriodicalIF":3.0000,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11607747/pdf/","citationCount":"0","resultStr":"{\"title\":\"Evaluating the Scope of Services and Monetary Impact of Charity Medical Clinics in North Texas.\",\"authors\":\"Logan G Mills, Barbara Newsom, Abigail Lewis, Alexandra Pottorff, Ashley Wallace Wu, Erika Castro, Kelsi Morgan, Lawrence Wu, Bau P Tran, Katherine Lake, Mina Guirguis, James M Wagner, Nora Gimpel, Tiffany B Kindratt\",\"doi\":\"10.1177/21501319241304143\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Introduction/objectives: </strong>The cost of medical services is a major barrier to healthcare accessibility for underserved populations in the United States. Community charity medical clinics help address this disparity by providing free or reduced-cost care for the medically underinsured; however, their economic and public health contributions are unknown. The objective of this study was to evaluate the scope of services and monetary impact of 4 community charity medical clinics in North Texas, with one of the largest medically underinsured populations in the United States.</p><p><strong>Methods: </strong>A cross-sectional study was conducted using electronic health records from 4 clinics serving adults and children in North Texas. Encounters from June 1 to December 31, 2018 completed by with sufficient documentation to assign a level of service were reviewed. There were 3942 encounters identified and 2148 (54.5%) audited. Centers for Medicare and Medicaid Services Evaluation and Management Standards were used to identify level of service provided for each encounter, and their subsequent value was determined based on CMS fee-for-service schedules at the time service was provided. Common conditions managed during these encounters were identified using ICD-10 codes documented with each encounter.</p><p><strong>Results: </strong>The most prevalent diagnoses encountered were hypertension, diabetes, hyperlipidemia, and major depressive disorder. We estimate the total value of services and medications provided for 1 year is between $840 278.30 to $845 737.41.</p><p><strong>Conclusions: </strong>The charity clinics in North Texas provide a significant economic impact through a high level of charity care and a broad scope of services for a vulnerable patient population. The results may be used in the development and implementation of future services to meet the needs of the medically underinsured.</p>\",\"PeriodicalId\":46723,\"journal\":{\"name\":\"Journal of Primary Care and Community Health\",\"volume\":\"15 \",\"pages\":\"21501319241304143\"},\"PeriodicalIF\":3.0000,\"publicationDate\":\"2024-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11607747/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Primary Care and Community Health\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1177/21501319241304143\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"PRIMARY HEALTH CARE\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Primary Care and Community Health","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1177/21501319241304143","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PRIMARY HEALTH CARE","Score":null,"Total":0}
引用次数: 0

摘要

前言/目标:医疗服务的成本是美国服务不足人群获得医疗服务的主要障碍。社区慈善医疗诊所通过为医疗保险不足的人提供免费或低价护理,帮助解决这一差距;然而,它们对经济和公共卫生的贡献尚不清楚。本研究的目的是评估北德克萨斯州4个社区慈善医疗诊所的服务范围和货币影响,北德克萨斯州是美国医疗保险不足人口最多的地区之一。方法:采用来自北德克萨斯州4家成人和儿童诊所的电子健康记录进行横断面研究。审查了2018年6月1日至12月31日期间完成的会面,并提供了足够的文件来分配服务水平。确认了3942次,审核了2148次(54.5%)。医疗保险和医疗补助服务评估和管理标准中心用于确定每次就诊所提供的服务水平,并根据提供服务时的CMS服务收费计划确定其后续价值。在这些遭遇中管理的常见情况是使用每次遭遇时记录的ICD-10代码确定的。结果:最常见的诊断是高血压、糖尿病、高脂血症和重度抑郁症。我们估计一年提供的服务和药物的总价值在840 278.30美元到845 737.41美元之间。结论:北德克萨斯州的慈善诊所通过高水平的慈善护理和为弱势患者群体提供广泛的服务,提供了显著的经济影响。研究结果可用于制定和实施未来的服务,以满足医疗保险不足者的需要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Evaluating the Scope of Services and Monetary Impact of Charity Medical Clinics in North Texas.

Introduction/objectives: The cost of medical services is a major barrier to healthcare accessibility for underserved populations in the United States. Community charity medical clinics help address this disparity by providing free or reduced-cost care for the medically underinsured; however, their economic and public health contributions are unknown. The objective of this study was to evaluate the scope of services and monetary impact of 4 community charity medical clinics in North Texas, with one of the largest medically underinsured populations in the United States.

Methods: A cross-sectional study was conducted using electronic health records from 4 clinics serving adults and children in North Texas. Encounters from June 1 to December 31, 2018 completed by with sufficient documentation to assign a level of service were reviewed. There were 3942 encounters identified and 2148 (54.5%) audited. Centers for Medicare and Medicaid Services Evaluation and Management Standards were used to identify level of service provided for each encounter, and their subsequent value was determined based on CMS fee-for-service schedules at the time service was provided. Common conditions managed during these encounters were identified using ICD-10 codes documented with each encounter.

Results: The most prevalent diagnoses encountered were hypertension, diabetes, hyperlipidemia, and major depressive disorder. We estimate the total value of services and medications provided for 1 year is between $840 278.30 to $845 737.41.

Conclusions: The charity clinics in North Texas provide a significant economic impact through a high level of charity care and a broad scope of services for a vulnerable patient population. The results may be used in the development and implementation of future services to meet the needs of the medically underinsured.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
CiteScore
4.80
自引率
2.80%
发文量
183
审稿时长
15 weeks
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信