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Surgical Care Through a Community Free Clinic-Ambulatory Surgical Center Partnership.
Park, Flora S; Pang, Jonathan C; Yang, Christopher D; Breziner, Dalia; Manzanarez-Felix, Karlos O; Hoyos, Juan Pablo; Ruiz, Andres M; Alvarez, Claudia A; Swentek, Lourdes Y; Chin, Theresa L.
Afiliación
  • Park FS; Department of Surgery, Division of Trauma, Burns and Surgical Critical Care, Irvine School of Medicine, University of California, Orange, CA, USA.
  • Pang JC; Department of Surgery, Division of Trauma, Burns and Surgical Critical Care, Irvine School of Medicine, University of California, Orange, CA, USA.
  • Yang CD; Institute for Global Health Sciences, University of California, San Francisco, California, USA.
  • Breziner D; Department of Surgery, Division of Trauma, Burns and Surgical Critical Care, Irvine School of Medicine, University of California, Orange, CA, USA.
  • Manzanarez-Felix KO; Department of Surgery, Division of Trauma, Burns and Surgical Critical Care, Irvine School of Medicine, University of California, Orange, CA, USA.
  • Hoyos JP; Department of Surgery, Division of Trauma, Burns and Surgical Critical Care, Irvine School of Medicine, University of California, Orange, CA, USA.
  • Ruiz AM; Department of Surgery, Division of Trauma, Burns and Surgical Critical Care, Irvine School of Medicine, University of California, Orange, CA, USA.
  • Alvarez CA; Department of General Surgery, Huntington Health, Pasadena, CA, USA.
  • Swentek LY; Department of Surgery, Division of Trauma, Burns and Surgical Critical Care, Irvine School of Medicine, University of California, Orange, CA, USA.
  • Chin TL; Department of Surgery, Division of Trauma, Burns and Surgical Critical Care, Irvine School of Medicine, University of California, Orange, CA, USA.
Am Surg ; : 31348241262433, 2024 Jul 19.
Article en En | MEDLINE | ID: mdl-39028113
ABSTRACT

BACKGROUND:

Disparities secondary to underinsurance present throughout the surgical care continuum. Community free clinics are uniquely capable to provide health care services to the medically underserved, but surgery often falls outside their scope of care.

METHODS:

Retrospective chart review was conducted on consecutive community free clinic patients receiving free surgical services via referral to a partnering ambulatory surgery center between March 2016 and September 2021. Those with documented contact information were recruited 1-3 years post-procedure for long-term quality-of-life (LTQOL) outcomes assessment via modified Veterans RAND 12-item health survey.

RESULTS:

Of 142 included patients, 95.7% identified as Hispanic/Latino and 75.6% were uninsured. Twelve patients had cancerous or precancerous lesions detected and/or removed through diagnostic or definitive procedures. 3.5% experienced postoperative complication including bacterial (n = 2) or fungal (n = 1) surgical site infection and wound dehiscence (n = 2). With a 48.9% response rate, no significant differences in sociodemographic or clinical characteristics were found between surveyed vs non-surveyed patients. Of surveyed patients, 59.7% and 52.2% reported pre-/post-operative improvement in physical health and emotional health, respectively.

DISCUSSION:

Free diagnostic screening procedures provided timely diagnoses while free definitive surgeries safely and positively impacted long-term patient-reported physical health. Longitudinal, multidisciplinary follow-up and social support may be warranted to concurrently improve emotional and mental health in similarly underinsured populations.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Am Surg Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Am Surg Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos