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2018 Conference on Medical Student Education

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P12 Burden of Chronic Conditions Among Patients From Free Clinics

Yeshuwa Mayers; Shikerria Green; Sayeef Mirza; Laurie Woodard, MD

02/2/18 9:30 AM - 10:30 AM Austin Grand Ballroom J-K

Data about uninsured patients that visit free clinics has been limited. This study investigated the prevalence of chronic disease, comorbidity, and associated factors among patients who visited free clinics in Florida. We conducted a retrospective chart review of uninsured adult patients in four free clinics. The data on socio-demographics and chronic diseases were collected. Each patient was given a disease burden index (DBI), a score representing the total number of chronic conditions diagnosed or managed at the free clinic. Between January 2015 and December 2015, a total of 3,196 medical patients were included in this study. Demographic data showed: women (60.8%), Hispanics (44.7%), with a mean age of 47.9 years (SD=14.1) and a median income of $14,400. The top five highly prevalent conditions were hypertension (33.6%), hyperlipidemia (20.7%), diabetes (14%), depression (11.7%), and arthritis (8.7%). Approximately 55.6% of the patients had at least one chronic condition, 22.9% only one condition, 15.9% two, and 10.2% three conditions. The multivariate analysis, clinic site, age, marital status, employment status and household size were associated with the DBI. The data demonstrated relationships between socioeconomic variables and the prevalence of disease. Uninsured patients are unaccounted for due to their absence from medical systems. By assisting resource-poor charitable clinics with epidemiological research, we can paint a more accurate picture of American health care.

Upon completion of this session, participants should be able to:

  1. Recognize that the disparity in insurance coverage leads to increased prevalence of disease in uninsured.
  2. recognize that the lack of consistent healthcare can lead to increased burden of chronic disease/co-morbidity.
  3. recognize the role of free clinics as a "safety net" for uninsured.


Copyright 2018 by Society of Teachers of Family Medicine