Winona State University, Rochester, MN 55904, USA.
J Immigr Minor Health. 2012 Aug;14(4):698-705. doi: 10.1007/s10903-011-9565-3.
The purpose was to explore the relationship between the presence of a free community clinic and factors associated with utilization of healthcare through a secondary data analysis. Using a descriptive correlational design, results were analyzed to explore relationships between potential utilization of healthcare, identification of a regular source of healthcare, and health insurance status. Most subjects would not seek healthcare if the free community clinic was not available. Subjects with health insurance were significantly more likely to have a regular source of healthcare and seek healthcare in the absence of the free community clinic. Subjects with a regular source of healthcare were significantly more likely to seek healthcare in the absence of the free community clinic. Emergency room utilization was not impacted by regular source of healthcare or health insurance. This study supports the need for free community clinics in areas with high percentages of uninsured, immigrant, and refugee populations.
目的是通过二次数据分析，探讨免费社区诊所的存在与通过医疗保健的利用相关因素之间的关系。采用描述性相关设计，对结果进行分析，以探讨潜在的医疗保健利用、确定常规医疗保健来源和健康保险状况之间的关系。如果没有免费社区诊所，大多数患者不会寻求医疗保健。有医疗保险的患者更有可能有常规的医疗保健来源，并在没有免费社区诊所的情况下寻求医疗保健。有常规医疗保健来源的患者更有可能在没有免费社区诊所的情况下寻求医疗保健。急诊室的利用不受常规医疗保健来源或健康保险的影响。这项研究支持在高比例的无保险、移民和难民人群地区设立免费社区诊所。
