Wahle Benjamin, Meyer Kathryn, Faller Meredith, Kochhar Komal, Sevilla Javier
J Health Care Poor Underserved. 2017;28(2):694-706. doi: 10.1353/hpu.2017.0068.
To characterize the quality of health care at student-run free clinics (SRFCs) by analyzing hypertension management and outcomes at the Indiana University Student Outreach Clinic (IUSOC).
A retrospective review of medical records was conducted for hypertensive patients managed at IUSOC over 15 months (N = 64). Indiana University Student Outreach Clinic's hypertension control rate was compared with National Health and Nutrition Examination Survey (NHANES) data.
Blood pressure control rates increased significantly over the study period. Indiana University Student Outreach Clinic's control rate did not differ significantly with the NHANES national average, but was significantly greater than the NHANES group with no usual source of care. Similarly, IUSOC patients without insurance or with unknown insurance status had greater control rates than an uninsured NHANES group, but did not differ significantly from an insured NHANES group.
Despite unfavorable demographic characteristics, records for patients with hypertension who used IUSOC as a regular provider of primary care compared favorably with national data.
通过分析印第安纳大学学生外展诊所（IUSOC）的高血压管理情况及治疗结果，来描述学生运营的免费诊所（SRFCs）的医疗保健质量。
对在IUSOC接受治疗超过15个月的高血压患者的病历进行回顾性研究（N = 64）。将印第安纳大学学生外展诊所的高血压控制率与国家健康和营养检查调查（NHANES）的数据进行比较。
在研究期间，血压控制率显著提高。印第安纳大学学生外展诊所的控制率与NHANES全国平均水平无显著差异，但显著高于没有常规医疗服务来源的NHANES组。同样，没有保险或保险状况不明的IUSOC患者的控制率高于未参保的NHANES组，但与参保的NHANES组无显著差异。
尽管患者人口统计学特征不佳，但将IUSOC作为初级保健常规提供者的高血压患者记录与全国数据相比仍具有优势。
