Burden of Chronic Conditions among Patients from Free Clinics: A Retrospective Chart Review of 2015

There is limited research about the poor and uninsured patients who visit free clinics. We conducted a retrospective chart review of uninsured adult patients in four free clinics seen between January and December 2015. Prevalence of chronic conditions and their association with socioeconomic factors...

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Bibliographic Details
Published in:Journal of health care for the poor and underserved 2018-08, Vol.29 (3), p.1011-1026
Main Authors: Rahman, Shams, Mirza, Abu-Sayeef, Stenback, Jennifer, Green, Shikerria, Mayers, Yeshuwa, Iranmanesh, Elhaam, Pribish, Abby, Islam, Saneeya, Woodard, Laurie
Format: Article
Language:English
Subjects:
Adolescent
Adult
Age
Aged
Ambulatory care
Ambulatory Care Facilities - economics
Arthritis
Asthma
Cardiovascular disease
Chart reviews
Chronic conditions
Chronic Disease - epidemiology
Chronic Disease - therapy
Chronic illnesses
Clinics
Comorbidity
Data collection
Diabetes
Diabetes mellitus
Disease
Employment
Employment status
Female
Florida - epidemiology
Health care policy
Household size
Humans
Hyperlipidemia
Hypertension
Income
Insurance coverage
Internal medicine
Latin American cultural groups
Low income groups
Male
Marital status
Medical Records
Medically Uninsured - statistics & numerical data
Medicine
Mental depression
Middle Aged
Patient Protection & Affordable Care Act 2010-US
Patients
Pharmacy
Population
Poverty
Prevalence
Prevention programs
Public health
Public health clinics
Retrospective Studies
Social factors
Socioeconomic data
Socioeconomic Factors
Socioeconomics
Stroke
Unemployed people
Uninsured people
Young Adult
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Summary:There is limited research about the poor and uninsured patients who visit free clinics. We conducted a retrospective chart review of uninsured adult patients in four free clinics seen between January and December 2015. Prevalence of chronic conditions and their association with socioeconomic factors were investigated. In 2015, 3,196 adult patients with chronic conditions were managed in four free clinics. Many of these patients were women (60.8%) and Hispanic (44.7%); the group had a mean age of 47.9 years (SD=14.1) and a median income of $14,400. The top five prevalent conditions were hypertension (33.6%), hyperlipidemia (20.7%), diabetes (14%), major depression (11.7%), and arthritis (8.7%). In the multivariable analysis, clinic site, age, marital status, employment status, and household size were significantly associated with the Disease Burden Index. Public health prevention programs should focus on uninsured patients of free clinics who are mainly low-income, sicker, and unemployed, and often women and Hispanics.
ISSN:1049-2089
1548-6869
1548-6869
DOI:10.1353/hpu.2018.0076