Su1796 ”GO BEFORE YOU GO”: IMPLEMENTATION OF A SAME DAY FIT RETURN POLICY INCREASES COLORECTAL CANER SCREENING RATES IN A SAFETY NET PRIMARY CARE CLINIC

2020 ◽  
Vol 158 (6) ◽  
pp. S-651-S-652
Author(s):  
Shida Haghighat ◽  
Helen M. Shen ◽  
Jeffrey Yeh ◽  
Joanne Suh ◽  
Gregory Idos
Keyword(s):  
Primary Care ◽  
Primary Care Clinic ◽  
Safety Net ◽  
Care Clinic ◽  
Return Policy

scholarly journals 140. Symptoms and Situations Predispose Patients to Use Antibiotics Without Medical Advice

2020 ◽  
Vol 7 (Supplement_1) ◽  
pp. S200-S200
Author(s):  
Michael Hansen ◽  
Barbara Trautner ◽  
Roger Zoorob ◽  
George Germanos ◽  
Osvaldo Alquicira ◽  
...  
Keyword(s):  
Primary Care ◽  
Emergency Department ◽  
Emergency Departments ◽  
Primary Care Clinic ◽  
Antibiotic Use ◽  
Safety Net ◽  
Care Clinic ◽  
Primary Care Clinics ◽  
Primary Care Patients ◽  
Emergency Department Patients

Abstract Background Use of antibiotics without a prescription (non-prescription use) contributes to antimicrobial resistance. Non-prescription use includes obtaining and taking antibiotics without a prescription, taking another person’s antibiotics, or taking one’s own stored antibiotics. We conducted a quantitative survey focusing on the factors that impact patients’ decisions to use non-prescription antibiotics. Methods We surveyed patients visiting public safety net primary care clinics and private emergency departments in a racially/ethnically diverse urban area. Surveys were read aloud to patients in Spanish and English. Survey domains included patients’ perspectives on which syndromes require antibiotic treatment, their perceptions of health care, and their access to antibiotics without a prescription. Results We interviewed 190 patients, 122 from emergency departments (64%), and 68 from primary care clinics (36%). Overall, 44% reported non-prescription antibiotic use within the past 12 months. Non-prescription use was higher among primary care clinic patients (63%) than the emergency department patients (39%, p = 0.002). The majority felt that antibiotics would be needed for bronchitis (78%) while few felt antibiotics would be needed for diarrhea (30%) (Figure 1). The most common situation identified “in which respondents would consider taking antibiotics without contacting a healthcare provider was “got better by taking this antibiotic before” (Figure 2). Primary care patients were more likely to obtain antibiotics without prescription from another country than emergency department patients (27% vs. 13%, P=0.03). Also, primary care patients were more likely to report obstacles to seeking a doctor’s care, such as the inability to take time off from work or transportation difficulties, but these comparisons were not statistically significant. Figure 1. Patients’ agreement that antibiotics would be needed varied by symptom/syndrome. Figure 2. Situations that lead to non-prescription antibiotic use impacted the two clinical populations differently Conclusion Non-prescription antibiotic use is a widespread problem in the two very different healthcare systems we included in this study, although factors underlying this practice differ by patient population. Better understanding of the factors driving non-prescription antibiotic use is essential to designing patient-focused interventions to decrease this unsafe practice. Disclosures All Authors: No reported disclosures

scholarly journals Food security is related to adult type 2 diabetes control over time in a United States safety net primary care clinic population

2017 ◽  
Vol 7 (5) ◽  
pp. e277-e277 ◽  
Author(s):  
M U Shalowitz ◽  
J S Eng ◽  
C O McKinney ◽  
J Krohn ◽  
B Lapin ◽  
...  
Keyword(s):  
United States ◽  
Type 2 Diabetes ◽  
Primary Care ◽  
Primary Care Clinic ◽  
Safety Net ◽  
Adult Type ◽  
Care Clinic ◽  
Clinic Population ◽  
Over Time

scholarly journals Depression Among Patients With Diabetes Attending a Safety-Net Primary Care Clinic: Relationship With Disease Control

2014 ◽  
Vol 55 (6) ◽  
pp. 548-554 ◽  
Author(s):  
Erik R. Vanderlip ◽  
Wayne Katon ◽  
Joan Russo ◽  
Dan Lessler ◽  
Paul Ciechanowski
Keyword(s):  
Primary Care ◽  
Disease Control ◽  
Primary Care Clinic ◽  
Safety Net ◽  
Care Clinic ◽  
Patients With Diabetes

Initial and Follow-Up Evaluations of Integrated Psychological Services for Anxiety and Depression in a Safety Net Primary Care Clinic

2017 ◽  
Vol 73 (10) ◽  
pp. 1462-1481 ◽  
Author(s):  
Elizabeth Sadock ◽  
Paul B. Perrin ◽  
Renée M. Grinnell ◽  
Bruce Rybarczyk ◽  
Stephen M. Auerbach
Keyword(s):  
Primary Care ◽  
Primary Care Clinic ◽  
Safety Net ◽  
Psychological Services ◽  
Anxiety And Depression ◽  
Care Clinic

The Impact of Integrated Psychological Services in a Safety Net Primary Care Clinic on Medical Utilization

2016 ◽  
Vol 73 (6) ◽  
pp. 681-692 ◽  
Author(s):  
Autumn Lanoye ◽  
Karen E. Stewart ◽  
Bruce D. Rybarczyk ◽  
Stephen M. Auerbach ◽  
Elizabeth Sadock ◽  
...  
Keyword(s):  
Primary Care ◽  
Primary Care Clinic ◽  
Safety Net ◽  
Psychological Services ◽  
Medical Utilization ◽  
Care Clinic ◽  
The Impact

scholarly journals Introducing Primary Care Telephone Visits: An Urban Safety-Net Community Clinic Experience

2018 ◽  
Vol 9 ◽  
pp. 215013271879215 ◽  
Author(s):  
Kelly Kyanko ◽  
Kathleen Hanley ◽  
Sondra Zabar ◽  
Jennifer Joseph ◽  
William Bateman ◽  
...  
Keyword(s):  
Primary Care ◽  
New York ◽  
Primary Care Clinic ◽  
Safety Net ◽  
Lessons Learned ◽  
Care Practice ◽  
Patient Acceptability ◽  
Care Clinic ◽  
Telephone Consultation ◽  
Urban Safety

Background: Telephone consultation is widely used in primary care and can provide an effective and efficient alternative for the in-person visit. Gouverneur Health, a safety-net primary care practice in New York City serving a predominately immigrant population, evaluated the feasibility and physician and patient acceptability of a telephone visit initiative in 2015. Measures: Patient and physician surveys, and physician focus groups. Results: Though only 85 of 270 scheduled telephone visits (31%) were completed, 84% of patients reported being highly satisfied with their telephone visit. Half of physicians opted to participate in the pilot. Among participating physicians, all reported they were able to communicate adequately and safely care for patients over the telephone. Conclusions: Participating patients and physicians in a linguistically and culturally diverse urban safety-net primary care clinic were highly satisfied with the use of telephone visits, though completion of the visits was low. Lessons learned from this implementation can be used to expand access and provision of high-quality primary care to other vulnerable populations.

Barriers to Engagement in Collaborative Care Treatment of Uncontrolled Diabetes in a Safety-Net Clinic

2017 ◽  
Vol 43 (6) ◽  
pp. 621-630
Author(s):  
Brittaney Belyeu ◽  
Lydia Chwastiak ◽  
Joan Russo ◽  
Meghan Kiefer ◽  
Kathy Mertens ◽  
...  
Keyword(s):  
Primary Care ◽  
Chronic Pain ◽  
Collaborative Care ◽  
Primary Care Clinic ◽  
Safety Net ◽  
Management Program ◽  
Care Team ◽  
Care Clinic ◽  
Uncontrolled Diabetes ◽  
Safety Net Clinic

Purpose The purpose of the study was to evaluate patient factors associated with nonengagement in a Diabetes Collaborative Care Team (DCCT) program in a safety-net clinic. Methods The first 18 months of a multidisciplinary care, team-based diabetes care management program in a safety-net primary care clinic were studied. Nonengagement was defined as fewer than 2 visits with a team member during the 18 months of the program. Patients who did not engage in the program were compared with those who did engage on demographics, comorbid medical and psychiatric diagnoses, and cardiovascular risk factors, using univariate and multivariable analyses. Results Of the 151 patients referred to the DCCT, 68 (45%) were nonengaged. In unadjusted analyses, patients who did not engage were more likely to be female and have higher baseline A1C values; they were less likely to have major depressive disorder, anxiety disorder, any depression diagnosis, and hyperlipidemia. Female gender and chronic pain were independently associated with nonengagement after multivariable adjustment. Conclusions The findings suggest that among patients with uncontrolled diabetes in an urban safety-net primary care clinic, there is a need to address barriers to engagement for female patients and to integrate chronic pain management strategies within multicondition collaborative care models.

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