4. Piloting a Free Clinic Model in Pescadero, California
Victoria Bawel and Ragini Phansalkar, Lina Mira
Community Partners: Puente de la Costa Sur
Many individuals in Pescadero, California, face barriers in accessing healthcare, such as
transportation to the nearest fully operational clinic in Half Moon Bay and rural isolation. To
address these barriers, San Mateo County Health System operates a Thursday evening clinic
for Pescadero residents with public insurance at Puente de la Costa Sur, a community based
organization. Uninsured and privately insured patients are unable to obtain care at this
clinic. To increase healthcare access, Cardinal Free Clinics (CFC) and the Center for
Innovation in Global Health (CIGH) partnered with Puente to pilot a free Sunday clinic on
three dates, under the traditional CFC model of transitional care. A general survey was
conducted at a health fair in Pescadero and more detailed patient surveys were collected on
clinic days about insurance, barriers to care, and reasons for attending the Sunday clinic.
Puente, CFC, and CIGH are in the process of determining how our partnership may best
benefit and improve the health of the Pescadero community. During the three clinic days,
physicians saw 21 patients, of which 17 had public insurance. Most patients attended the
clinic for a basic health check or for musculoskeletal pain. Since most of the patients who
came to the pilot clinic have public insurance, we believe that supporting the current public
healthcare infrastructure in Pescadero will be more effective in increasing healthcare access
than the implementation of a separate CFC clinic.
5. Stanford's first Community Advisory Board (CAB) for Clinical Research
Katherine Connors, Nicole Ventre, Jodi Prochaska, Jonathan Shaw, Jill Evans, Rhonda
McClinton-Brown, Anna Epperson
Launched March 2016 by Stanford Center for Clinical Research, in partnership with the Office
of Community Engagement, the CAB is a forum to engage researchers and the community.
The CAB aims to (1) enable community members to advise on research processes that are
inclusive of our diverse community; and (2) provide feedback to investigators on recruitment
strategies, including reaching specific populations. The CAB consists of 20 invited members
(health providers, education leaders, city council, parents, etc.) with diverse racial, ethnic,
age, and geographic (<40 miles from Stanford) representation. Members received training
on research process, ethics, responsibilities, and expectations. Meetings occur every two
months on a weekday evening, with a brief research presentation, followed by Q&A
discussion. Meeting minutes are provided to the investigators, and members complete a
post-meeting questionnaire. Our Advisors facilitate an in-depth evaluation biannually. To
date, we have had four research presentations and one in-depth evaluation. Overall,
feedback from CAB members and researchers has been very positive. Members appreciated
different member perspectives, though felt diversity in socioeconomic status and education
lacking. Eighty percent of members agreed that the CAB was accomplishing its goals, and
100% felt the work of the CAB was important to the community as a whole. For investigators,
the percent of CAB recommendations they anticipated implementing ranged from 10-80%.
This was influenced by stage of research (early-stage teams could implement more).