دورية أكاديمية
A Digitally Capable Mobile Health Clinic to Improve Rural Health Care in America: A Pilot Quality Improvement Study.
العنوان: | A Digitally Capable Mobile Health Clinic to Improve Rural Health Care in America: A Pilot Quality Improvement Study. |
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المؤلفون: | Iqbal A; Department of Mayo Clinic Health System Administration, Rochester, MN., Anil G; Regional Chair of Clinical Practice, Mayo Clinic Health System-Southwest Minnesota region, Mankato, MN., Bhandari P; Strategy Department, Mayo Clinic, Rochester, MN., Crockett ED; Regional Chair of Administration, Mayo Clinic Health System-Southeast Minnesota region, Rochester, MN., Hanson VM; Vice Chair, Administration, Mayo Clinic Health System-Southwest Minnesota region, Mankato, MN., Pendse BS; Strategy Department, Mayo Clinic, Rochester, MN., Eckdahl JS; Strategy Department, Mayo Clinic, Rochester, MN., Horn JL; Regional Chair of Clinical Practice, Mayo Clinic Health System-Southeast Minnesota region, Rochester, MN. |
المصدر: | Mayo Clinic proceedings. Innovations, quality & outcomes [Mayo Clin Proc Innov Qual Outcomes] 2022 Sep 22; Vol. 6 (5), pp. 475-483. Date of Electronic Publication: 2022 Sep 22 (Print Publication: 2022). |
نوع المنشور: | Journal Article |
اللغة: | English |
بيانات الدورية: | Publisher: Elsevier Inc Country of Publication: Netherlands NLM ID: 101728275 Publication Model: eCollection Cited Medium: Internet ISSN: 2542-4548 (Electronic) Linking ISSN: 25424548 NLM ISO Abbreviation: Mayo Clin Proc Innov Qual Outcomes Subsets: PubMed not MEDLINE |
أسماء مطبوعة: | Original Publication: [Netherlands] : Elsevier Inc., [2017]- |
مستخلص: | Objective: To address the problem of limited health care access for patients in rural southern Minnesota, a digitally capable mobile health clinic (MHC) quality improvement initiative was launched in a rural community-based health system. Methods: This project was designed and implemented according to our institutional strategic plan, guiding principles for virtual community care, and existing approved standards of care. A quality improvement development and pilot implementation framework was rapidly developed using Agile methodology. Results: The resulting technology and equipment selection, overall clinic design, vehicle vendor selection, clinical schedule and workflows, staffing model, equipment and technology selection, and testing were achieved in 12 months. The pilot site communities were chosen on the basis of size, interest, and lack of existing access. Four underserved rural communities now have access to telehealth consultations, laboratory testing, and in-person primary care examinations. By April 30, 2022, the MHC had provided 1498 patient appointments while maintaining our standards of care. Newly established broadband internet access for these communities and their residents was a valuable secondary outcome. Conclusion: By designing and implementing an MHC quality improvement intervention that provides both in-person and advanced telehealth options for patients in rural communities, our institution rapidly provided a potential solution for the rural health care crisis. The MHC not only replaces traditional brick-and-mortar facilities but also expands service offerings and access to technology for rural communities and the people who live and work in them. (© 2022 The Authors.) |
References: | Telemed J E Health. 2022 Apr;28(4):583-590. (PMID: 34292775) Milbank Q. 2014 Sep;92(3):568-623. (PMID: 25199900) J Med Internet Res. 2019 Oct 9;21(10):e13263. (PMID: 31593543) Int J Equity Health. 2017 Oct 5;16(1):178. (PMID: 28982362) Philos Ethics Humanit Med. 2011 May 13;6:9. (PMID: 21569490) |
فهرسة مساهمة: | Keywords: COVID-19, coronavirus disease 2019; MCHS, Mayo Clinic Health System; MHC, mobile health clinic; SEMN, Southeast Minnesota; SWMN, Southwest Minnesota |
تواريخ الأحداث: | Date Created: 20220926 Latest Revision: 20220928 |
رمز التحديث: | 20240628 |
مُعرف محوري في PubMed: | PMC9500515 |
DOI: | 10.1016/j.mayocpiqo.2022.08.002 |
PMID: | 36160638 |
قاعدة البيانات: | MEDLINE |
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