TotShots: An Innovative Pediatric Free Clinic Providing High Patient Satisfaction to the Underserved

Jamie LaGrandeur, Maria Moros, Jenna Dobrick, Rombod Rahimian, Aida Siyahian, Emily Tomlinson, Paul R Gordon

Research output: Contribution to journalArticle

Abstract

BACKGROUND AND OBJECTIVES: The University of Arizona College of Medicine-Tucson TotShots clinic is a student-developed, student-directed free clinic that provides sports physicals and vaccines to uninsured pediatric patients in Tucson, Arizona. TotShots runs under the greater umbrella of the Commitment to Underserved People Program, which aims to teach medical students how socioeconomic and cultural factors impact health and access to health care. Our objective was to study cost savings and patient satisfaction of this clinic. METHODS: Value of care provided through sports physicals and vaccine administration was calculated using the Centers for Medicare and Medicaid Services Physician Fee Schedule and Centers for Disease Control Vaccines for Children Decisions Analysis Model. In addition, patient satisfaction was measured through the utilization of an optional three-question survey completed by patients in their preferred language at the resolution of their visit. Vaccines and sports physicals were administered from April 2017 to November 2017. RESULTS: TotShots administered 51 vaccines and completed 115 sports physicals resulting in a value of $415.65 of administration fees and $5,878.80 of sports physical examinations. Sixty-three of 66 total patients completed patient satisfaction surveys. Of those patients, 57 (90.5%) were highly satisfied with their provider's communication, 58 (92%) rated their perception of the quality of medical care they received as excellent, and 54 (85.7%) of patients were highly satisfied with their overall TotShots experience. CONCLUSIONS: TotShots fills a valuable role in increasing access to vaccines and sports physicals while maintaining high patient satisfaction and high value of cost savings.

Original languageEnglish (US)
Pages (from-to)779-781
Number of pages3
JournalFamily Medicine
Volume50
Issue number10
DOIs
StatePublished - Nov 1 2018
Externally publishedYes

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Patient Satisfaction
Sports
Vaccines
Pediatrics
Cost Savings
Fee Schedules
Students
Centers for Medicare and Medicaid Services (U.S.)
Health Services Accessibility
Fees and Charges
Decision Support Techniques
Quality of Health Care
Centers for Disease Control and Prevention (U.S.)
Medical Students
Physical Examination
Language
Communication
Medicine
Physicians
Health

ASJC Scopus subject areas

  • Family Practice

Cite this

TotShots : An Innovative Pediatric Free Clinic Providing High Patient Satisfaction to the Underserved. / LaGrandeur, Jamie; Moros, Maria; Dobrick, Jenna; Rahimian, Rombod; Siyahian, Aida; Tomlinson, Emily; Gordon, Paul R.

In: Family Medicine, Vol. 50, No. 10, 01.11.2018, p. 779-781.

Research output: Contribution to journalArticle

LaGrandeur, J, Moros, M, Dobrick, J, Rahimian, R, Siyahian, A, Tomlinson, E & Gordon, PR 2018, 'TotShots: An Innovative Pediatric Free Clinic Providing High Patient Satisfaction to the Underserved', Family Medicine, vol. 50, no. 10, pp. 779-781. https://doi.org/10.22454/FamMed.2018.678901
LaGrandeur J, Moros M, Dobrick J, Rahimian R, Siyahian A, Tomlinson E et al. TotShots: An Innovative Pediatric Free Clinic Providing High Patient Satisfaction to the Underserved. Family Medicine. 2018 Nov 1;50(10):779-781. https://doi.org/10.22454/FamMed.2018.678901
LaGrandeur, Jamie ; Moros, Maria ; Dobrick, Jenna ; Rahimian, Rombod ; Siyahian, Aida ; Tomlinson, Emily ; Gordon, Paul R. / TotShots : An Innovative Pediatric Free Clinic Providing High Patient Satisfaction to the Underserved. In: Family Medicine. 2018 ; Vol. 50, No. 10. pp. 779-781.
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