Stanford University School of Medicine, Stanford, CA, USA.
Stanford University, Cardinal Free Clinincs, Stanford, CA, USA.
J Prim Care Community Health. 2021 Jan-Dec;12:2150132721993631. doi: 10.1177/2150132721993631.
The onset of the COVID-19 pandemic and subsequent county shelter-in-place order forced the Cardinal Free Clinics (CFCs), Stanford University's 2 student-run free clinics, to close in March 2020. As student-run free clinics adhering to university-guided COVID policies, we have not been able to see patients in person since March of 2020. However, the closure of our in-person operations provided our student management team with an opportunity to innovate. In consultation with Stanford's Telehealth team and educators, we rapidly developed a telehealth clinic model for our patients. We adapted available telehealth guidelines to meet our patient care needs and educational objectives, which manifested in 3 key innovations: reconfigured clinic operations, an evidence-based social needs screen to more effectively assess and address social needs alongside medical needs, and a new telehealth training module for student volunteers. After 6 months of piloting our telehealth services, we believe that these changes have made our services and operations more robust and provided benefit to both our patients and volunteers. Despite an uncertain and evolving public health landscape, we are confident that these developments will strengthen the future operations of the CFCs.
COVID-19 大流行的爆发以及随后该县的就地避难令迫使斯坦福大学的两家学生经营的免费诊所——红衣主教免费诊所（CFC）于 2020 年 3 月关闭。作为遵守大学引导的 COVID 政策的学生经营的免费诊所，自 2020 年 3 月以来，我们一直无法亲自为患者看病。然而，我们线下业务的关闭为我们的学生管理团队提供了创新的机会。我们与斯坦福的远程医疗团队和教育工作者协商，为我们的患者迅速开发了远程医疗诊所模式。我们调整了现有的远程医疗指南，以满足我们的患者护理需求和教育目标，这体现在 3 个关键创新上：重新配置诊所运营、基于证据的社会需求筛查，以更有效地评估和解决医疗需求以外的社会需求，以及为学生志愿者开设新的远程医疗培训模块。在试行远程医疗服务 6 个月后，我们相信这些变化使我们的服务和运营更加稳健，并使我们的患者和志愿者都受益。尽管公共卫生形势不确定且不断变化，但我们有信心这些发展将加强 CFC 的未来运营。
