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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.
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.
ForewordPrefaceChapter 1. Free Clinics Stand as a Pillar of the Health Care Safety Net: Findings from a Narrative Literature ReviewPart I: Free ClinicsChapter 2. Psychiatric Street Outreach to Homeless People: Fostering Relationship, Reconnection, and RecoveryChapter 3. Nurse Practitioners in Community Health Settings TodayChapter 4. Following the Call: How Providers Make Sense of Their Decisions to Work in Faith- Based and Secular Urban Community Health CentersChapter 5. The Jane Dent Home: The Rise and Fall of Homes for the Aged in Low- Income CommunitiesChapter 6. Early Collaboration for Adaptation: Addressing Depression in Low- Income New MothersChapter 7. Neighborhood Clinics: An Academic Medical Center– Community Health Center PartnershipChapter 8. Free Clinics Helping to Patch the Safety NetChapter 9. Impact of Providing a Medical Home to the Uninsured: Evaluation of a Statewide ProgramChapter 10. Characteristics of Patients at Three Free ClinicsChapter 11. Donated Care Programs: A Stopgap Mea sure or a Long- Run Alternative to Health Insurance?Chapter 12. Missed Appointment Rates in Primary Care: The Importance of Site of CareChapter 13. Free Clinics and the Uninsured: The Increasing Demands of Chronic IllnessChapter 14. Missed Opportunities for Patient Education and Social Worker Consultation at the Arbor Free ClinicChapter 15. Adapting the Chronic Care Model to Treat Chronic Illness at a Free Medical ClinicChapter 16. Medical Respite Care for Homeless People: A Growing National PhenomenonPart II: Student-Run Clinics Chapter 17. Balancing Service and Education: Ethical Management of Student- Run ClinicsChapter 18. Quality of Diabetes Care at a Student- Run Free ClinicChapter 19. Students Who Participate in a Student- Run Free Health Clinic Need Education about Access to Care IssuesChapter 20. The UCSD Student- Run Free Clinic Project: Transdisciplinary Health Professional EducationChapter 21. Charlottesville Health Access: A Locality- Based Model of Health Care Navigation for the HomelessChapter 22. UCLA Mobile Clinic ProjectChapter 23. The Promise Clinic: A Service- Learning Approach to Increasing Access to Health Care Chapter 24. Engaging Student Health Organizations in Reducing Health Disparities in Underserved Communities through Volunteerism: Developing a Student Health CorpsChapter 25. HealthSTAT: A Student Approach to Building Skills Needed to Serve Poor CommunitiesIndex
A comprehensive look at case studies and research findings on free clinics in the United States. -- Jessica Bylander Health Affairs