Cook Elizabeth, Arboleda Bianca, Stewart Heather, Nguyen Eliza, Shahin Alexander, Guerra Lucy, Gonzalez Eduardo
University of South Florida Morsani College of Medicine, Tampa, Florida, USA.
Division of General Internal Medicine, Department of Internal Medicine, University of South Florida Morsani College of Medicine, Tampa, Florida, USA.
Telemed Rep. 2021 Mar 11;2(1):97-107. doi: 10.1089/tmr.2020.0037. eCollection 2021.
Telemedicine has enabled access to care during the COVID-19 pandemic. This article describes the creation and implementation of a telemedicine clinic in a student-run free clinic (SRFC) serving uninsured patients in Tampa, FL.
A new workflow was developed for a telemedicine clinic, including a screening algorithm to determine appropriateness for telemedicine appointments. Volunteer students and providers conducted patient remote visits that allowed students to have service-learning experiences. Analysis of patient visits between March 31, 2020, and July 23, 2020, was conducted. Study protocol was reviewed by the Institutional Review Board and an exemption was obtained.
Eighty-four visits were conducted for 58 unique patients. Seventy-two percent were female and 88% were of Hispanic or Latino origin. Forty-four students and 33 physicians volunteered. The majority of visits were general follow-ups (83%) followed by psychiatry (11%) and cardiology (6%).
Telemedicine is a viable method of providing care for an at-risk uninsured population at an SRFC. It can also enhance service learning for medical student volunteers.
远程医疗在新冠疫情期间实现了医疗服务的可及性。本文描述了在佛罗里达州坦帕市一家由学生运营的免费诊所（SRFC）中创建和实施远程医疗诊所的过程，该诊所为未参保患者提供服务。
为远程医疗诊所制定了新的工作流程，包括一种筛查算法，以确定远程医疗预约的适宜性。志愿者学生和医疗服务提供者进行患者远程问诊，这让学生获得了服务学习体验。对2020年3月31日至2020年7月23日期间的患者问诊进行了分析。研究方案经机构审查委员会审查并获得豁免。
为58名不同患者进行了84次问诊。72%为女性，88%为西班牙裔或拉丁裔。44名学生和33名医生参与了志愿工作。大多数问诊为常规随访（83%），其次是精神病学（11%）和心脏病学（6%）。
远程医疗是在学生运营的免费诊所为高危未参保人群提供医疗服务的一种可行方法。它还可以增强医学生志愿者的服务学习体验。
