Ryskina Kira L, Meah Yasmin S, Thomas David C
Department of Medicine, Mount Sinai School of Medicine, New York, USA.
J Health Care Poor Underserved. 2009 Nov;20(4):969-81. doi: 10.1353/hpu.0.0231.
Student-run clinics are emerging safety-net practices for the uninsured; despite the over 110 clinics that currently operate across the United States, however, no data exist on the quality of care being delivered at such sites. The East Harlem Health Outreach Partnership (EHHOP) of the Mount Sinai School of Medicine in New York is a medical student-run, attending-supervised free clinic that offers primary care to the uninsured of surrounding East Harlem. The aim of this study was to evaluate diabetes care quality at the EHHOP clinic. Diabetes management was assessed using common quality-of-care indicators such as glycosylated hemoglobin level and blood pressure control. Clinic rates of such diabetes quality-of-care indicators ranged from 12% to 96%, and in most areas was comparable to or better than averages previously reported for uninsured populations.
学生运营的诊所正成为为未参保者提供安全网服务的医疗机构;然而,尽管目前美国各地有超过110家此类诊所运营,但尚无关于这些场所所提供医疗服务质量的数据。纽约西奈山医学院的东哈莱姆健康外展合作组织(EHHOP)是一家由医学生运营、有主治医生监督的免费诊所,为周边东哈莱姆未参保者提供初级医疗服务。本研究的目的是评估EHHOP诊所的糖尿病护理质量。使用糖化血红蛋白水平和血压控制等常见护理质量指标对糖尿病管理进行评估。此类糖尿病护理质量指标的诊所达标率在12%至96%之间,且在大多数领域与之前报道的未参保人群平均水平相当或更好。