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A Three-Year Analysis of the Impact of a Student-Run Gynecology Clinic on Access to Reproductive Health Care for Uninsured Women in East Harlem.
- Source :
- Journal of Community Health; Dec2021, Vol. 46 Issue 6, p1132-1138, 7p, 4 Charts
- Publication Year :
- 2021
-
Abstract
- The East Harlem Health Outreach Partnership (EHHOP) is a medical student-run and attending-supervised clinic that provides primary care to predominantly Spanish-speaking, uninsured patients living in East Harlem, New York. In 2010, the clinic launched a Women's Health Clinic (WHC), to offer comprehensive gynecologic and reproductive healthcare under the guidance of faculty gynecologists. In this cross-sectional study, we analyzed WHC data from January 2018 to March 2021. Over this period, 59 individual patients were seen over 39 clinical sessions through a total of 164 clinical encounters staffed by 43 medical students and 19 faculty preceptors from the Department of Obstetrics and Gynecology at Mount Sinai. The most common reasons for referral to the EHHOP WHC were abnormal uterine bleeding, contraception counseling, and management of abnormal Pap smears; the most common procedures performed were Pap smears, long-acting reversible contraception placements and removals, and colposcopies. We discuss the critical role that student-run, physician-supervised reproductive health clinics play in reducing disparities in gynecologic care for uninsured women. [ABSTRACT FROM AUTHOR]
- Subjects :
- EVALUATION of medical care
UTERINE hemorrhage
CONTRACEPTION
LONG-acting reversible contraceptives
SOCIAL role
HEALTH services accessibility
COUNSELING
ACQUISITION of data methodology
FEMALE reproductive organ diseases
MEDICAL students
CROSS-sectional method
COLPOSCOPY
COMMUNITY health services
PAP test
HEALTH status indicators
RETROSPECTIVE studies
CLINICAL supervision
MEDICAL referrals
STUDENTS
MEDICAL records
GYNECOLOGIC care
PHYSICIANS
REPRODUCTIVE health
WOMEN'S health services
MEDICAL needs assessment
Subjects
Details
- Language :
- English
- ISSN :
- 00945145
- Volume :
- 46
- Issue :
- 6
- Database :
- Complementary Index
- Journal :
- Journal of Community Health
- Publication Type :
- Academic Journal
- Accession number :
- 153605645
- Full Text :
- https://doi.org/10.1007/s10900-021-01001-3