Free Clinics: Local Responses to Health Care Needs

Free Clinics: Local Responses to Health Care Needs

by Virginia M. Brennan (Editor)


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In community after community, pro bono and student-run health clinics have sprung up over the past 30 years, providing critically needed care to medically underserved populations. Free Clinics is a mosaic formed by accounts of such clinics around the United States. These wide-ranging narratives—from urban to rural, from primary care to behavioral health care—provide examples that will assist other communities seeking to find the model that best fits their needs.

The Patient Protection and Affordable Care Act has improved access to health care for many Americans, but millions remain and will remain uninsured or underinsured. Free clinics provide non-emergency care to those in need. Nationwide, professionals can be found offering volunteer services at these clinics.

Contributors to this volume—typically people with personal familiarity (as clinicians or area residents) with the clinics they write about—cover a variety of topics, including a review of the literature, data-driven accounts of clinic usage, and ethical guidelines for student-run clinics. They describe the motivations of clinic staff, the day-to-day work of a family nurse practitioner working in clinics and teaching at a university, the challenges and rewards of providing health care for homeless people, and more. Student-run clinics are the topic of the second section: in addition to providing care to a small subset of those in need, student-run clinics are an important venue for training future clinicians and helping the seeds of altruism with which many enter their professions to germinate.

Free Clinics will be useful to policymakers, students and faculty in public health and health policy programs, and clinicians and students who are embarking on launching new clinics.

Product Details

ISBN-13: 9781421408842
Publisher: Johns Hopkins University Press
Publication date: 05/15/2013
Pages: 296
Product dimensions: 6.90(w) x 9.90(h) x 0.90(d)
Age Range: 18 Years

About the Author

Virginia M. Brennan is an associate professor in the Graduate School at Meharry Medical College and editor of Natural Disasters and Public Health: Hurricanes Katrina, Rita, and Wilma, also published by Johns Hopkins.

Table of Contents

Foreword Charles Mouton ix

Preface xi

Chapter 1 Free Clinics Stand as a Pillar of the Health Care Safety Net: Findings from a Narrative Literature Review Emily Rose Schiller Michelle Ann Thurston Zubair Khan Michael D. Fetters 1

Part I Free Clinics

Chapter 2 Psychiatric Street Outreach to Homeless People: Fostering Relationship, Reconnection, and Recovery Richard C. Christensen 25

Chapter 3 Nurse Practitioners in Community Health Settings Today Lois A. Wessel 30

Chapter 4 Following the Call: How Providers Make Sense of Their Decisions to Work in Faith-Based and Secular Urban Community Health Centers Farr A. Curlin Karen D. Serrano Matthew G. Baker Sarah L. Carricaburu Douglas R. Smucker Marshall H. Chin 36

Chapter 5 The Jane Dent Home: The Rise and Fall of Homes for the Aged in Low-Income Communities Susan C. Reed Nancy Davis 50

Chapter 6 Early Collaboration for Adaptation: Addressing Depression in Low-Income New Mothers Susan G. Pfefferle Ben Cooper Debbie Layton Sharon Rohrbach 64

Chapter 7 Neighborhood Clinics: An Academic Medical Center-Community Health Center Partnership Mina Silberberg Kimberly S. H. Yarnall Fred Johnson Devdutta Sangvai Rupal Patel Susan D. Yaggy 70

Chapter 8 Free Clinics Helping to Patch the Safety Net Stephanie Geller Buck M. Taylor H. Denman Scott 77

Chapter 9 Impact of Providing a Medical Home to the Uninsured: Evaluation of a Statewide Program James M. Gill Heather Bittner Fagan Bryan Townsend Arch G. Mainous, III 86

Chapter 10 Characteristics of Patients at Three Free Clinics Rachel Mott-Keis Linda Gifford DeGeus Suzanne Cashman Judith Savageau 106

Chapter 11 Donated Care Programs: A Stopgap Measure or a Long-Run Alternative to Health Insurance? Jeffrey T. Kullgren Erin Fries Taylor Catherine G. McLaughlin 120

Chapter 12 Missed Appointment Rates in Primary Care: The Importance of Site of Care Karen E. Lasser Ira L. Mintzer Astrid Lambert Howard Cabral David H. Bor 132

Chapter 13 Free Clinics and the Uninsured: The Increasing Demands of Chronic Illness Mohan M. Nadkarni John T. Philbrick 144

Chapter 14 Missed Opportunities for Patient Education and Social Worker Consultation at the Arbor Free Clinic Marie Soller Lars Osterberg 154

Chapter 15 Adapting the Chronic Care Model to Treat Chronic Illness at a Free Medical Clinic Robert J. Stroebel Bonnie Gloor Sue Freytag Douglas Riegert-Johnson Steven A. Smith Todd Huschka Jim Naessens Thomas E. Kottke 162

Chapter 16 Medical Respite Care for Homeless People: A Growing National Phenomenon Suzanne Zerger Bruce Doblin Lisa Thompson 173

Part II Student-Run Clinics

Chapter 17 Balancing Service and Education: Ethical Management of Student-Run Clinics David Buchanan Renee Witlen 181

Chapter 18 Quality of Diabetes Care at a Student-Run Free Clinic Kira L. Ryskina Yasmin S. Meah David C. Thomas 189

Chapter 19 Students Who Participate in a Student-Run Free Health Clinic Need Education about Access to Care Issues B. Brent Simmons Daniel DeJoseph James Diamond Lara Weinstein 202

Chapter 20 The UCSD Student-Run Free Clinic Project: Transdisciplinary Health Professional Education Ellen Beck 208

Chapter 21 Charlottesville Health Access: A Locality-Based Model of Health Care Navigation for the Homeless Steven E. Bishop James M. Edwards Mohan M. Nadkarni 222

Chapter 22 UCLA Mobile Clinic Project Joseph Hastings Donna Zulman Soma Wali 228

Chapter 23 The Promise Clinic: A Service-Learning Approach to Increasing Access to Health Care Manuel Jimenez Jennifer Tan John Babineau Jennifer Jimenez Todd Billet Charlene Flash Steven J. Levin Bernadette West Alfred F. Tallia 233

Chapter 24 Engaging Student Health Organizations in Reducing Health Disparities in Underserved Communities through Volunteerism: Developing a Student Health Corps Vickie M. Mays Lichin Ly Erica Allen Sophia Young 242

Chapter 25 HealthSTAT: A Student Approach to Building Skills Needed to Serve Poor Communities Carmen Patrick Mohan Arun Mohan 257

Index 267

What People are Saying About This

Sandra Leal

"Student-run clinics and free clinics are relatively unique practices that do not have much written about them. I believe that this publication will serve an important need for those interested in learning more about these programs."

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