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Publications

This is a collection of articles and studies published by Clínica Esperanza/Hope Clinic in various medical journals over the years. This list is updated as articles are published.

2022
"Expanding access to COVID-19 testing, vaccination and treatment at a free clinic for uninsured Spanish-speaking adults in Providence, RI" (2022)
An update to CEHC's previous COVID-19 paper that includes updated testing, vaccine, and test to treat analysis.
Human Vaccines & Immunotherapeutics, November 2022
"Meeting Gynecologic Needs and Assuring Adherence to Screening Guidelines at a Student-Run Free Clinic for Uninsured, Low-Income Women"
Uninsured, low-income, Spanish-speaking patients face barriers to obtaining gynecologic care in the United States. Clínica Esperanza/Hope Clinic, a free clinic in Rhode Island, hosts a biweekly Women's Clinic (WC) established and run by local medical students. A retrospective chart review identified gynecologic services provided, needs met and adherence to screening guidelines at Women's Clinic between June 2017 and May 2021.
Rhode Island Medical Journal, June 2022
2021
"Recruitment, Training, and Roles of the Bilingual, Bicultural Navegantes: Developing a Specialized Workforce of Community Health Workers to Serve a Low-Income, Spanish-Speaking Population in Rhode Island"
Analysis and report about CEHC's Advanced Navegante Training Program and how Navegantes work at CEHC.
Frontiers in Public Health, June 2021
"Clinical outcomes of a community clinic-based lifestyle change program for prevention and management of metabolic syndrome: Results of the 'Vida Sana/Healthy Life' program"
This paper presents the four years results of the Vida Sana Program (VSP), which was developed and is implemented by a small clinic serving mostly Spanish-speaking, limited literacy population.
PLoS, April 2021
2020
"Responding to COVID-19 in an Uninsured Hispanic/Latino Community" (2020)
Analysis of CEHC's response to the COVID-19 pandemic in 2020.
Rhode Island Medical Journal, November 2020
 
2019
"Four Years of CHEER: Cost and QALY Savings of a Free Nurse-run Walk-in Clinic Serving an Uninsured, Predominantly Spanish-speaking Immigrant Population in Providence" (2019)
More than 2.8M in Quality-Adjusted Life Years Saved by Free Walk-in Care for the uninsured. 
Journal of Health Care for the Poor and Underserved, January 2019
2018
"Community clinic-based lifestyle change for prevention of metabolic syndrome: Rationale, design and methods of the ‘Vida Sana/healthy life’ program Vida Sana" (2018)
Methods for our program that improves the health of Spanish-speaking, low health literacy patients.
Contemporary Clinical Trials Communications, October 2018
"Bridging the [Health Equity] Gap at a Free Clinic for Uninsured Residents of Rhode Island" (2018)
Uninsured patients participating in the CEHC BTG program have 60% fewer emergency room visits as compared to Medicaid patients in Rhode Island for the same period. 
Rhode Island Medical Journal, November 2018
2015
"Barriers to Health Insurance Pre- and Post-Affordable Care Act Implementation in Providence, RI" (2015)
Insurance access is still limited post-ACA adoption.
Rhode Island Medical Journal, December 2015
2014
"Assessment of Hypertension Guidelines Adherence at a Free Clinic Serving a Predominantly Latino Population in Providence, RI" (2014)
Analysis of hypertension care at CEHC.
Rhode Island Medical Journal, March 2014
"Vida Sana: A Lifestyle Intervention for Uninsured, Predominantly Spanish-Speaking Immigrants Improves Metabolic Syndrome Indicators" (2014)

Analysis of results of Vida Sana participants who are Spanish-speaking with low health literacy.

Journal of Community Health, July 2014

 

2013

"Adherence to American Diabetes Association Guidelines in a Volunteer-run Free Clinic for the Uninsured: Better than Standards Achieved by Clinics for Insured Patients" (2013)

Analysis of diabetes care at CEHC.

Rhode Island Medical Journal, January 2013

"A Nurse-Run Walk-In Clinic: Cost-Effective Alternative to Non-urgent Emergency Department Use by the Uninsured" (2013)

2013 CHEER Clinic analysis.
Journal of Community Health, June 2013
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