An Evaluation of Patient and Student Experience at a Longstanding Student-run Free Clinic in Cape Town, South Africa.

Autor:	Heller M; Medicine, David Geffen School of Medicine at University of California - Los Angeles, Los Angeles, USA., Thomas AM; Medicine, Charles R. Drew University of Medicine and Science, Los Angeles, USA., Peters SM; Public Health Medicine, University of Cape Town and Groote Schuur Hospital, Cape Town, ZAF., Düsterwald KM; Human Biology, Faculty of Health Sciences, University of Cape Town and Groote Schuur Hospital, Cape Town, ZAF., Klausner JD; Medicine, David Geffen School of Medicine at University of California - Los Angeles, Los Angeles, USA.
Jazyk:	angličtina
Zdroj:	Cureus [Cureus] 2019 Dec 07; Vol. 11 (12), pp. e6320. Date of Electronic Publication: 2019 Dec 07.
DOI:	10.7759/cureus.6320
Abstrakt:	Background Student-run free clinics (SRFCs) combine medical student learning with the provision of free health care. A comprehensive evaluation of patient experience at SRFCs is needed to ensure a balance between valuable clinical experience for students and enhancement of patient care. The aim of this study was to describe patient and medical student perception of care at a longstanding SRFC at the University of Cape Town (UCT). Methods We conducted an observational study at the Students' Health and Welfare Centres Organisation (SHAWCO), a student-run free clinic at UCT. Trained study staff observed clinical encounters between consenting medical students and patients. We surveyed patients on their demographic characteristics, overall satisfaction, and impressions of medical students and physicians at SHAWCO. We surveyed medical students on their level of training, motivation for volunteering, and future career plans. We linked all data from each clinical encounter by a study-generated identification number. Results We surveyed a total of 34 patients and 52 medical students on their experience at SHAWCO. All patients either strongly agreed (88%) or agreed (12%) that they were satisfied with care. Patient satisfaction did not vary with the parameters of care included in multivariable analysis. Patients rated medical students higher than physicians on listening skills, and equally to physicians on all other clinical skills rated. Medical students reported a strong desire to go into primary care and work in underserved settings both before and after volunteering at SHAWCO. Discussion We found a high level of patient satisfaction at SHAWCO, consistent with other studies. Our findings indicate that medical student involvement in care at SRFCs is not a detriment to patient satisfaction. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2019, Heller et al.)
Databáze:	MEDLINE
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