PMID- 29805135
OWN - NLM
STAT- MEDLINE
DCOM- 20190329
LR  - 20190329
IS  - 1548-6869 (Electronic)
IS  - 1049-2089 (Linking)
VI  - 29
IP  - 2
DP  - 2018
TI  - The Effect of a Student-Run Free Clinic on Hospital Utilization.
PG  - 701-710
LID - 10.1353/hpu.2018.0053 [doi]
AB  - Student-run free clinics (SRFCs) serve uninsured patients and offer unique 
      educational opportunities. However, the impact of these clinics on hospital 
      utilization is unclear. In this pre-post observational study, we used 
      multivariable modeling to test the hypothesis that patients of Shade Tree Clinic, 
      the SRFC affiliated with Vanderbilt University Medical Center (VUMC), would have 
      decreased hospital utilization after joining the clinic. To evaluate the 
      relationship between STC and VUMC, we conducted a sub-analysis of patients 
      referred to Shade Tree from VUMC using univariate Wilcoxon signed-rank tests. 
      Multivariable analysis showed patients were less likely to be hospitalized after 
      joining Shade Tree (p=.04). Univariate analysis showed differences in 
      hospitalizations among patients referred from VUMC (p=.02). These results suggest 
      that Shade Tree does not result in an additional burden on the health care system 
      and may reduce hospital utilization. Additional research with control populations 
      may further highlight the effect of SRFCs on health care utilization.
FAU - Trumbo, Silas P
AU  - Trumbo SP
FAU - Schuering, Kelly M
AU  - Schuering KM
FAU - Kallos, Justiss A
AU  - Kallos JA
FAU - Baddour, Nicolas
AU  - Baddour N
FAU - Rakhit, Shayan
AU  - Rakhit S
FAU - Wang, Li
AU  - Wang L
FAU - Fowler, Michael
AU  - Fowler M
FAU - Vasilevskis, Eduard E
AU  - Vasilevskis EE
FAU - Miller, Robert F
AU  - Miller RF
LA  - eng
PT  - Journal Article
PT  - Observational Study
PT  - Research Support, N.I.H., Extramural
PT  - Research Support, Non-U.S. Gov't
PL  - United States
TA  - J Health Care Poor Underserved
JT  - Journal of health care for the poor and underserved
JID - 9103800
SB  - IM
MH  - Adult
MH  - Emergency Service, Hospital/*statistics & numerical data
MH  - Female
MH  - Hospitalization/*statistics & numerical data
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - *Student Run Clinic
MH  - Tennessee
EDAT- 2018/05/29 06:00
MHDA- 2019/03/30 06:00
CRDT- 2018/05/29 06:00
PHST- 2018/05/29 06:00 [entrez]
PHST- 2018/05/29 06:00 [pubmed]
PHST- 2019/03/30 06:00 [medline]
AID - S1548686918200145 [pii]
AID - 10.1353/hpu.2018.0053 [doi]
PST - ppublish
SO  - J Health Care Poor Underserved. 2018;29(2):701-710. doi: 10.1353/hpu.2018.0053.