Evidence map›Paper›PMID 35366126›Full record

ArticleJournal of community health2022

Factors Influencing Healthcare Utilization Among Patients at Three Free Clinics.

J Petrilli, L Strang, E Von Haunalter, J Costa, E Coughlin, R Mhaskar

Abstract read
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In one paragraph

Article in Journal of community health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

J PetrilliDepartment of Family Medicine, University of South Florida Morsani College of Medicine, 13330 USF Laurel Drive, Tampa, FL, 33612, USA. jpe@usf.edu.ORCID 0000-0002-8833-486X
L StrangUniversity of South Florida Morsani College of Medicine, Tampa, USA.
E Von HaunalterUniversity of South Florida Morsani College of Medicine, Tampa, USA.
J CostaDepartment of Family Medicine, University of South Florida Morsani College of Medicine, 13330 USF Laurel Drive, Tampa, FL, 33612, USA.
E CoughlinDepartment of Medical Education, University of South Florida Morsani College of Medicine, Tampa, USA.
R MhaskarDepartment of Internal Medicine, University of South Florida Morsani College of Medicine, Tampa, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Despite improvements in healthcare for uninsured persons, health disparities remain. We surveyed patients at three free clinics in an urban Florida community to better understand the factors that influence where they seek healthcare. Survey questions were developed based on factors previously demonstrated to affect healthcare utilization. A focus group validated the instrument. Patients self-administered written surveys over a 6-week period at three free clinics, including a student-run free clinic (SRFC). Results were compiled and analyzed using Chi-square and Fisher-Freeman-Halton Exact tests, Kruskal-Wallis test, Mann-Whitney U test, and Spearman's rho, as appropriate. Odds ratios were calculated for significant findings (p < 0.05). Patients completed 323 surveys. Free clinic visit frequency was positively related to female gender, Hispanic ethnicity, higher income, and poorer health. Black race was related to less frequent visits. Visit frequency differed among the clinic sites. Patients attending a SRFC were more likely to utilize another clinic. Patient satisfaction was not related to visit frequency. Seeking care at other clinics was related to employment. Emergency room utilization was positively related to male gender. Patients listed proximity and ability to receive care not offered at the free clinic as the primary reasons for seeking care at another clinic. In this sample, free clinic utilization was related to demographic and community factors. Free clinics should consider these factors when designing their care delivery. SRFC's should further evaluate how they function in the safety net.

Indexed as

Ambulatory Care FacilitiesStudent Run ClinicFemaleHumansMaleMedically UninsuredPatient Acceptance of Health CarePatient SatisfactionFree clinicHealthcare utilizationHealth disparitySafety net

Identifiers

PMID35366126

What OpenQuestion holds

Textmetadata
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.