Wera T J, Cochrane J, Hadden J C, Letson G W
Children's Clinic, Fort Collins, Colo.
Arch Pediatr Adolesc Med. 1994 Jun;148(6):572-7. doi: 10.1001/archpedi.1994.02170060026004.
To describe a unique collaboration between private and public entities to provide comprehensive health care to medically indigent children in rural Larimer County, Colo.
The Children's Clinic, Fort Collins, Colo.
Uninsured children and those eligible for Medicaid, living in families with incomes below 150% of the federal poverty level.
Eligible patients have been enrolled in the Children's Clinic on a first-come, first-served basis.
A community collaboration involving an interactive system with the Children's Clinic staff, the Larimer County Department of Health and Environment, private primary care and subspecialty physicians, ancillary health providers, and the family practice residency program at Poudre Valley Hospital, Fort Collins. Funding for this endeavor has been composed of city and county funds, public and private grants, community business support, and local fund-raising efforts, as well as Medicaid reimbursements.
MEASUREMENTS/MAIN RESULTS: Since 1989, comprehensive pediatric care has been provided to a growing number of eligible children. At present, 3619 children, aged birth to 18 years, from 2230 families are being served. From this population, there were 8945 office visits to the Children's Clinic, 1392 patient contacts by the clinic social workers, 1287 visits to the Larimer County Department of Health and Environment for well-child care, 543 referrals to subspecialists and other community health care providers, and 615 after-hours visits to the Poudre Valley Hospital emergency department between July 1, 1992, and June 30, 1993. The clinic's professional staff consists of 2 1/4 full-time pediatric care providers, one nurse, one medical social worker, one receptionist, and one administrator, with an expenditure of $356,471.
The Children's Clinic collaboration has provided comprehensive pediatric health care to a population that previously received only fragmented care. The next step is to assess the impact of this program on the frequency of emergency department visits for these patients.
描述公立和私立机构之间的一种独特合作关系，该合作旨在为科罗拉多州拉里默县农村地区的贫困儿童提供全面的医疗保健服务。
科罗拉多州柯林斯堡的儿童诊所。
居住在收入低于联邦贫困线150%家庭中的未参保儿童以及符合医疗补助条件的儿童。
符合条件的患者按先来先得的原则在儿童诊所登记入院。
一种社区合作模式，涉及与儿童诊所工作人员、拉里默县卫生与环境部、私立初级保健和专科医生、辅助医疗服务提供者以及柯林斯堡普德河谷医院家庭医学住院医师项目的互动系统。这项工作的资金来源包括市县资金、公共和私人赠款、社区企业支持、地方筹款活动以及医疗补助报销。
测量指标/主要结果：自1989年以来，已为越来越多符合条件的儿童提供了全面的儿科护理。目前，正在为来自2230个家庭的3619名年龄从出生到18岁的儿童提供服务。在这个群体中，1992年7月1日至1993年6月30日期间，儿童诊所的门诊量为8945人次，诊所社会工作者与患者的接触次数为1392次，前往拉里默县卫生与环境部进行儿童健康护理的次数为1287次，转介至专科医生和其他社区医疗服务提供者的次数为543次，前往普德河谷医院急诊科的夜间就诊次数为615次。该诊所的专业工作人员包括2.25名全职儿科护理人员、一名护士、一名医务社会工作者、一名接待员和一名管理人员，支出为356,471美元。
儿童诊所的合作项目为以前只能得到零散护理的人群提供了全面的儿科医疗保健服务。下一步是评估该项目对这些患者急诊科就诊频率的影响。
