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A RETROSPECTIVE REVIEW AND SURVEY OF FACTORS RELATED TO SUCCESSFUL ENGAGEMENT IN A MULTI-VISIT PATIENT CLINIC PROGRAM
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2024-05
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Urban Bioethics
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http://dx.doi.org/10.34944/dspace/10245
Abstract
The Multi-Visit Patient (MVP) Clinic at Temple University Hospital was established as a community health worker-driven effort to reduce patient readmissions. The clinic employs a multidisciplinary approach, with both social and medical needs addressed at each visit. Patients “graduate” from the program when they are connected with adequate healthcare follow-up outside the clinic. This study aimed to explore the impact of social determinants of health on patient success in the program, with the goal of identifying the types of social support that may be most important for the clinic to provide. A retrospective review was conducted using the social determinants of health screen embedded in Temple University Hospital’s medical record platform. Social determinants of health data was compared between “graduated” patients (n=104) and those lost to follow-up (n=35). Successfully-engaged patients also participated in a survey (n=87). Results revealed no significant differences between the two patient samples in terms of legal sex, marital status, race, ethnicity, housing insecurity, food insecurity, or transportation insecurity. There were no statistically significant differences in readmission rates or emergency department use within 30 days of patients’ last MVP Clinic visit. Among surveyed patients, 64.2% had recently visited a primary care provider and 79.3% reported having social support to help manage their medical conditions. Our results suggest that the examined social barriers are unlikely to be the cause of difficulty engaging with the MVP Clinic, implying that community health worker interventions should continue to be individualized to each patient’s needs. Future studies should explore the impact of other non-quantifiable factors such as patient motivation and positive experiences with the healthcare system on success within the program.
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