Hammond Alexander M, Smith Kristin N, Welborn Macartney, Dukharan Victoria, Daga Anshul, Warpinski Chloe, Nguyen Oliver T, Motwani Kartik, Motaparthi Kiran
1University of Florida College of Medicine, Gainesville, Florida, USA.
Department of Dermatology, University of Florida College of Medicine, Gainesville, Florida, USA.
J Stud Run Clin. 2023 Dec 23;9(1). doi: 10.59586/jsrc.v9i1.401. Epub 2023 Aug 29.
The Equal Access Clinic is a free, student-run clinic affiliated with the University of Florida in Gainesville, Florida. Four days a week, a general clinic is held at various sites, providing free healthcare to patients in North Florida. Once a month, a specialty clinic for dermatology is held based on a referral system from general clinics. We aimed to characterize patients' demographics and diagnoses who received dermatologic care at a free clinic in North Florida.
A retrospective chart review was completed for patients seen at Equal Access Clinic for a dermatology diagnosis from 2013 to 2020 (n=864).
One third of patients were seen for a chronic dermatology condition. Patients who were white and higher earners were more likely to travel further distances for care.
These findings highlight the importance of improving access of dermatology care to underserved areas and may be accomplished in part by increasing access to transportation to clinics. Limitations include the retrospective nature of our chart review and the reliance on zip code to estimate median household income. Additionally, the patients in this study were seen by primary care physicians, rather than dermatologists.
平等就医诊所是一家免费的、由学生运营的诊所,隶属于佛罗里达州盖恩斯维尔的佛罗里达大学。每周四天,在不同地点开设普通诊所,为佛罗里达州北部的患者提供免费医疗服务。每月一次,根据普通诊所的转诊系统开设皮肤科专科诊所。我们旨在描述在佛罗里达州北部一家免费诊所接受皮肤科护理的患者的人口统计学特征和诊断情况。
对2013年至2020年在平等就医诊所被诊断患有皮肤病的患者(n = 864)进行了回顾性病历审查。
三分之一的患者因慢性皮肤病前来就诊。白人和高收入患者更有可能前往更远的地方就医。
这些发现凸显了改善在医疗服务不足地区获得皮肤科护理的重要性,部分可以通过增加前往诊所的交通便利性来实现。局限性包括我们病历审查的回顾性性质以及依赖邮政编码来估计家庭收入中位数。此外,本研究中的患者是由初级保健医生而非皮肤科医生诊治的。