Assessment of Glycemic Control at St. Luke’s Free Medical Clinic: Retrospective Chart Review
BackgroundA free clinic is a health care delivery model that provides primary care and pharmaceutical services exclusively to uninsured patients. With a multidisciplinary volunteer clinical staff, which includes physicians, social workers, dieticians, and osteopathic medical...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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JMIR Publications
2022-01-01
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| Series: | Interactive Journal of Medical Research |
| Online Access: | https://www.i-jmr.org/2022/1/e31123 |
| _version_ | 1797735386824310784 |
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| author | Wade Hopper Justin Fox JuliSu Dimucci-Ward |
| author_facet | Wade Hopper Justin Fox JuliSu Dimucci-Ward |
| author_sort | Wade Hopper |
| collection | DOAJ |
| description |
BackgroundA free clinic is a health care delivery model that provides primary care and pharmaceutical services exclusively to uninsured patients. With a multidisciplinary volunteer clinical staff, which includes physicians, social workers, dieticians, and osteopathic medical students, St. Luke’s Free Medical Clinic (SLFMC) cares for over 1700 patients annually in Spartanburg, South Carolina.
ObjectiveThis study aims to measure the change, over time, in patient hemoglobin A1c measurements at the SLFMC to quantify the success of the clinic’s diabetes treatment program.
MethodsA prospective-retrospective chart review of patients (n=140) enrolled at the SLFMC between January 1, 2018, and January 1, 2021, was performed. Patients were stratified as having controlled (hemoglobin A1c<7.0, n=53) or uncontrolled (hemoglobin A1c≥7.0, n=87) diabetes relative to a therapeutic hemoglobin A1c target of 7.0, which is recommended by the American Diabetes Association. For both controlled and uncontrolled groups, baseline hemoglobin A1c values were compared to subsequent readings using a Wilcoxon matched-pairs signed rank test. Results from the SLFMC population were compared to the published literature on hemoglobin A1c from other free clinics.
ResultsPatients with uncontrolled diabetes experienced significant reductions in median hemoglobin A1c at both 6 months (P=.006) and 1 year (P=.002) from baseline. Patients with controlled diabetes showed no significant changes. Black and Hispanic patients with uncontrolled diabetes experienced a 1.0% mean improvement in hemoglobin A1c over the study window. The SLFMC’s wholly uninsured patient population showed a population rate of controlled diabetes (42%), which was similar to recent nationwide averages for adults with diabetes (51% to 56%), as reported by the National Health and Nutrition Examination Survey. The clinic’s Hispanic population (n=47) showed the greatest average improvement in hemoglobin A1c of any ethnic group from baseline. Additionally, 61% of the SLFMC’s Black population (n=33) achieved a hemoglobin A1c of <7.0 by the end of the study window, which surpassed the nationwide averages for glycemic control.
ConclusionsWe present free clinic hemoglobin A1c outcomes obtained through a retrospective chart review. Uninsured patients treated for diabetes at the SLFMC show a reduction in hemoglobin A1c, which is comparable to nationwide standards, although average hemoglobin A1c levels in this study were higher than nationwide averages. Black and Hispanic patients with uncontrolled diabetes showed a mean 1% improvement in hemoglobin A1c levels. These results represent some of the first in the literature emerging from a free clinic that is not affiliated with a major medical school. |
| first_indexed | 2024-03-12T12:58:17Z |
| format | Article |
| id | doaj.art-31265e36b1de4e78bdd3426c625b3de0 |
| institution | Directory Open Access Journal |
| issn | 1929-073X |
| language | English |
| last_indexed | 2024-03-12T12:58:17Z |
| publishDate | 2022-01-01 |
| publisher | JMIR Publications |
| record_format | Article |
| series | Interactive Journal of Medical Research |
| spelling | doaj.art-31265e36b1de4e78bdd3426c625b3de02023-08-28T20:24:54ZengJMIR PublicationsInteractive Journal of Medical Research1929-073X2022-01-01111e3112310.2196/31123Assessment of Glycemic Control at St. Luke’s Free Medical Clinic: Retrospective Chart ReviewWade Hopperhttps://orcid.org/0000-0001-9394-2483Justin Foxhttps://orcid.org/0000-0001-8431-6106JuliSu Dimucci-Wardhttps://orcid.org/0000-0002-5031-218X BackgroundA free clinic is a health care delivery model that provides primary care and pharmaceutical services exclusively to uninsured patients. With a multidisciplinary volunteer clinical staff, which includes physicians, social workers, dieticians, and osteopathic medical students, St. Luke’s Free Medical Clinic (SLFMC) cares for over 1700 patients annually in Spartanburg, South Carolina. ObjectiveThis study aims to measure the change, over time, in patient hemoglobin A1c measurements at the SLFMC to quantify the success of the clinic’s diabetes treatment program. MethodsA prospective-retrospective chart review of patients (n=140) enrolled at the SLFMC between January 1, 2018, and January 1, 2021, was performed. Patients were stratified as having controlled (hemoglobin A1c<7.0, n=53) or uncontrolled (hemoglobin A1c≥7.0, n=87) diabetes relative to a therapeutic hemoglobin A1c target of 7.0, which is recommended by the American Diabetes Association. For both controlled and uncontrolled groups, baseline hemoglobin A1c values were compared to subsequent readings using a Wilcoxon matched-pairs signed rank test. Results from the SLFMC population were compared to the published literature on hemoglobin A1c from other free clinics. ResultsPatients with uncontrolled diabetes experienced significant reductions in median hemoglobin A1c at both 6 months (P=.006) and 1 year (P=.002) from baseline. Patients with controlled diabetes showed no significant changes. Black and Hispanic patients with uncontrolled diabetes experienced a 1.0% mean improvement in hemoglobin A1c over the study window. The SLFMC’s wholly uninsured patient population showed a population rate of controlled diabetes (42%), which was similar to recent nationwide averages for adults with diabetes (51% to 56%), as reported by the National Health and Nutrition Examination Survey. The clinic’s Hispanic population (n=47) showed the greatest average improvement in hemoglobin A1c of any ethnic group from baseline. Additionally, 61% of the SLFMC’s Black population (n=33) achieved a hemoglobin A1c of <7.0 by the end of the study window, which surpassed the nationwide averages for glycemic control. ConclusionsWe present free clinic hemoglobin A1c outcomes obtained through a retrospective chart review. Uninsured patients treated for diabetes at the SLFMC show a reduction in hemoglobin A1c, which is comparable to nationwide standards, although average hemoglobin A1c levels in this study were higher than nationwide averages. Black and Hispanic patients with uncontrolled diabetes showed a mean 1% improvement in hemoglobin A1c levels. These results represent some of the first in the literature emerging from a free clinic that is not affiliated with a major medical school.https://www.i-jmr.org/2022/1/e31123 |
| spellingShingle | Wade Hopper Justin Fox JuliSu Dimucci-Ward Assessment of Glycemic Control at St. Luke’s Free Medical Clinic: Retrospective Chart Review Interactive Journal of Medical Research |
| title | Assessment of Glycemic Control at St. Luke’s Free Medical Clinic: Retrospective Chart Review |
| title_full | Assessment of Glycemic Control at St. Luke’s Free Medical Clinic: Retrospective Chart Review |
| title_fullStr | Assessment of Glycemic Control at St. Luke’s Free Medical Clinic: Retrospective Chart Review |
| title_full_unstemmed | Assessment of Glycemic Control at St. Luke’s Free Medical Clinic: Retrospective Chart Review |
| title_short | Assessment of Glycemic Control at St. Luke’s Free Medical Clinic: Retrospective Chart Review |
| title_sort | assessment of glycemic control at st luke s free medical clinic retrospective chart review |
| url | https://www.i-jmr.org/2022/1/e31123 |
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