title: Maintaining High Level of Care at Satellite Sickle Cell Clinics.
abstract: Traveling to and from university-based clinics is a major health care barrier for children with sickle cell disease in Alabama. To reduce this barrier, the University of Alabama at Birmingham (UAB) developed satellite clinics. This study seeks to determine if these satellite clinics provide a similar level of comprehensive care when compared with the university-based clinic using four surrogate markers: 1) attendance rates, 2) percentage of patients on hydroxyurea, 3) percentage of screening MRIs obtained, and 4) percentage of transcranial dopplers (TCD) completed. A retrospective review of sickle cell visits from June 1, 2012 to May 31, 2013 demonstrated that satellite clinics can provide levels of medical care for children with sickle cell disease similar to those provided by university-based clinics.
authors.forename: Jennifer
authors.initials: J
authors.lastname: Hamm
authors.forename: Lee
authors.initials: L
authors.lastname: Hilliard
authors.forename: Thomas
authors.initials: T
authors.lastname: Howard
authors.forename: Jeffrey
authors.initials: J
authors.lastname: Lebensburger
mesh_terms: D000407:Alabama; D000554:Ambulatory Care Facilities; D000755:Anemia, Sickle Cell / Q000175:diagnosis / Q000628:therapy; D006297:Health Services Accessibility; D006801:Humans; D012189:Retrospective Studies