232066 Putting mobile on the map, mapping the impact of this non-traditional health service delivery system

Tuesday, November 9, 2010 : 8:30 AM - 8:40 AM

Nancy Oriol, MD , Office of Student Affairs, Harvard Medical School, Boston, MA
Anthony Vavasis, MD , Health Outreach to Teens, Callen-Lorde Community Health Center, New York, NY
Jennifer Bennet , Family Van, Harvard Medical School, Roxbury, MA
Paul Cote , Family Van, Chestnut Hill, MA
Darien DeLorenzo , Mobile Health Clinics Network, San Francisco, CA
John Brownstein, DPhil , Department of Emergency Medicine/Informatics Program, Children's Hospital Boston, Boston, MA
Background:Mobile Health Clinics (MHCs) play a significant yet unmeasured role within the health care system. It is estimated that there are 2000 MHCs across America. Through their flexibility, they are able to fill the niches missed by traditional health care delivery systems. However the depth and breath of their penetration across the country and into the populations with the highest burden of disease were unknown. Objectives: to measure the penetration of Mobile Health Clinics: including the geographic distribution, the penetration into communities with the highest burden of disease and the aggregate services delivered. Methods: MHCs were invited to test a web-based tool, with mapping capability, directory functionality and an embedded tool for calculating cost-effectiveness. Clinics entered one year's of data including: location, demographic profile of population served, aggregate number of patients served and cost of service delivery. Results: 123 MHC from 32 states, the majority operating in communities with a high disease burden, entered partial data. Of these, 25 from 13 states entered full data and collectively served 103,732 visitors. Of these clients, 53% were female, 56% under-represented minorities, 61% uninsured and 24% with government insurance. In aggregate they provided, 142,690 proven cost-effective prevention and screening services or 1.9 services per clinical encounter. Conclusions: This pilot study of a self-selected sample MHCs demonstrates that MHC are widely distributed across the USA, provide services to a large number of people in medically underserved communities including minority populations and the uninsured.

Learning Areas:
Chronic disease management and prevention
Communication and informatics
Conduct evaluation related to programs, research, and other areas of practice
Program planning
Provision of health care to the public
Systems thinking models (conceptual and theoretical models), applications related to public health

Learning Objectives:
Describe the geographic penetration of mobile clinics Describe the population served by mobile clinics Quantify the potential magnitude of services provided by mobile clinics

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: Need to obtain.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.