Uninsured free clinic patients’ experiences and perceptions of healthcare services, community resources, and the Patient Protection and Affordable Care Act

Free clinics provide free or reduced fee healthcare to individuals who lack access to primary care and are socio-economically disadvantaged. There has been a paucity of free clinic research with the few studies employing a quantitative design. The purpose of this study is to conduct an in-depth qual...

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Main Authors: Akiko Kamimura, Jeanie Ashby, Ha Trinh, Liana Prudencio, Anthony Mills, Jennifer Tabler, Maziar Nourian, Fattima Ahmed, Justine Reel
Format: Article
Language:English
Published: The Beryl Institute 2016-11-01
Series:Patient Experience Journal
Subjects:
Online Access:https://pxjournal.org/journal/vol3/iss2/4
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author Akiko Kamimura
Jeanie Ashby
Ha Trinh
Liana Prudencio
Anthony Mills
Jennifer Tabler
Maziar Nourian
Fattima Ahmed
Justine Reel
author_facet Akiko Kamimura
Jeanie Ashby
Ha Trinh
Liana Prudencio
Anthony Mills
Jennifer Tabler
Maziar Nourian
Fattima Ahmed
Justine Reel
author_sort Akiko Kamimura
collection DOAJ
description Free clinics provide free or reduced fee healthcare to individuals who lack access to primary care and are socio-economically disadvantaged. There has been a paucity of free clinic research with the few studies employing a quantitative design. The purpose of this study is to conduct an in-depth qualitative exploration of free clinic patients’ experience and perceptions of healthcare services, community resources, and the Patient Protection and Affordable Care Act (ACA). Free clinic adult patients (n=35) participated in four focus groups between June and July 2014 (one Spanish group in June, and two English groups and one Spanish group in July) in a classroom of a free clinic. More than 80% of the participants were non-US born from Mexico, Central/South America, South or East Asia, Pacific Islands, or Western Europe. While participants reported being satisfied overall with free clinic services, they indicated that they desire more specialty services and health education programs. Furthermore, they reported being frustrated by long waiting times- both in the waiting room and when making an appointment, phone communication, and interpreter services. It is necessary to find effective ways to provide information about health education opportunities and the ACA to free clinic patients because participants appeared not to have received sufficient information about available resources. Health education programs for free clinic patients should not only focus on increasing knowledge but also changing behaviors.
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spelling doaj.art-025fe351516e4f208c2fabdd7ab94bb72022-12-21T19:56:11ZengThe Beryl InstitutePatient Experience Journal2372-02472016-11-01Uninsured free clinic patients’ experiences and perceptions of healthcare services, community resources, and the Patient Protection and Affordable Care ActAkiko KamimuraJeanie AshbyHa TrinhLiana PrudencioAnthony MillsJennifer TablerMaziar NourianFattima AhmedJustine ReelFree clinics provide free or reduced fee healthcare to individuals who lack access to primary care and are socio-economically disadvantaged. There has been a paucity of free clinic research with the few studies employing a quantitative design. The purpose of this study is to conduct an in-depth qualitative exploration of free clinic patients’ experience and perceptions of healthcare services, community resources, and the Patient Protection and Affordable Care Act (ACA). Free clinic adult patients (n=35) participated in four focus groups between June and July 2014 (one Spanish group in June, and two English groups and one Spanish group in July) in a classroom of a free clinic. More than 80% of the participants were non-US born from Mexico, Central/South America, South or East Asia, Pacific Islands, or Western Europe. While participants reported being satisfied overall with free clinic services, they indicated that they desire more specialty services and health education programs. Furthermore, they reported being frustrated by long waiting times- both in the waiting room and when making an appointment, phone communication, and interpreter services. It is necessary to find effective ways to provide information about health education opportunities and the ACA to free clinic patients because participants appeared not to have received sufficient information about available resources. Health education programs for free clinic patients should not only focus on increasing knowledge but also changing behaviors.https://pxjournal.org/journal/vol3/iss2/4patient experiencepatient satisfactioncommunicationconsumer engagementqualitative methodsfree clinics
spellingShingle Akiko Kamimura
Jeanie Ashby
Ha Trinh
Liana Prudencio
Anthony Mills
Jennifer Tabler
Maziar Nourian
Fattima Ahmed
Justine Reel
Uninsured free clinic patients’ experiences and perceptions of healthcare services, community resources, and the Patient Protection and Affordable Care Act
Patient Experience Journal
patient experience
patient satisfaction
communication
consumer engagement
qualitative methods
free clinics
title Uninsured free clinic patients’ experiences and perceptions of healthcare services, community resources, and the Patient Protection and Affordable Care Act
title_full Uninsured free clinic patients’ experiences and perceptions of healthcare services, community resources, and the Patient Protection and Affordable Care Act
title_fullStr Uninsured free clinic patients’ experiences and perceptions of healthcare services, community resources, and the Patient Protection and Affordable Care Act
title_full_unstemmed Uninsured free clinic patients’ experiences and perceptions of healthcare services, community resources, and the Patient Protection and Affordable Care Act
title_short Uninsured free clinic patients’ experiences and perceptions of healthcare services, community resources, and the Patient Protection and Affordable Care Act
title_sort uninsured free clinic patients experiences and perceptions of healthcare services community resources and the patient protection and affordable care act
topic patient experience
patient satisfaction
communication
consumer engagement
qualitative methods
free clinics
url https://pxjournal.org/journal/vol3/iss2/4
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