Suskin Johanna A, Barry Katherine, Satish Ella, Leonard Morgan, De Groot Anne S
The Warren Alpert Medical School of Brown University, Providence, RI.
Clínica Esperanza/Hope Clinic, Providence, RI.
R I Med J (2013). 2022 Jun 1;105(5):51-55.
Uninsured, low-income, Spanish-speaking patients face barriers to obtaining gynecologic care in the United States. Clínica Esperanza/Hope Clinic, a free clinic in Rhode Island, hosts a biweekly Women's Clinic (WC) established and run by local medical students.
A retrospective chart review identified gyne- cologic services provided, needs met and adherence to screening guidelines at WC between June 2017 and May 2021.
During 80 clinics, 278 patients were seen. 362 encounters occurred, with 288 missed appointments. Women primarily attended WC for routine care (159, 43.9%) or abnormal uterine bleeding (41, 11.3%). Common services provided include gynecologic exams (302, 27.0%), Pap smears (221, 19.7%), and STI screening (166, 14.8%). Pap smear and mammography guidelines were adhered to during 92.3% and 94.1% of visits, respectively.
Accessible gynecologic care is a significant unmet need for uninsured, Spanish-speaking patients. These findings demonstrate the importance of gynecologic care at free clinics and warrant their expansion.
在美国，未参保的低收入讲西班牙语患者在获得妇科护理方面面临障碍。罗德岛的一家免费诊所埃斯佩兰萨诊所/希望诊所，设有一个由当地医学生设立并运营的双周女性诊所（WC）。
通过回顾性病历审查确定了2017年6月至2021年5月期间WC提供的妇科服务、需求满足情况以及对筛查指南的遵循情况。
在80次诊所就诊期间，共接待了278名患者。发生了362次诊疗，其中有288次预约未到。女性主要因常规护理（159例，43.9%）或子宫异常出血（41例，11.3%）前往WC就诊。提供的常见服务包括妇科检查（302次，27.0%）、巴氏涂片检查（221次，19.7%）和性传播感染筛查（166次，14.8%）。分别在92.3%和94.1%的就诊中遵循了巴氏涂片检查和乳房X线摄影指南。
对于未参保的讲西班牙语患者而言，可获得的妇科护理是一项重大的未满足需求。这些发现证明了免费诊所提供妇科护理的重要性，并表明有必要扩大此类诊所。
