mobile health units

Summary

Summary: Movable or portable facilities in which diagnostic and therapeutic services are provided to the community.

Top Publications

  1. Peek M, Han J. Mobile mammography: assessment of self-referral in reaching medically underserved women. J Natl Med Assoc. 2007;99:398-403 pubmed
    ..Despite serving primarily community-based facilities, self-referral for mobile mammography may not optimally target medically underserved women most in need of breast cancer screening. ..
  2. Peek M, Han J. Compliance and self-reported barriers to follow-up of abnormal screening mammograms among women utilizing a county mobile mammography van. Health Care Women Int. 2009;30:857-70 pubmed publisher
    ..We concluded that programs that utilize mobile mammography should include intensive, multilingual tracking systems in order increase diagnostic follow-up for this vulnerable population. ..
  3. Faria E, Carvalhal G, Vieira R, Silva T, Mauad E, Carvalho A. Program for prostate cancer screening using a mobile unit: results from Brazil. Urology. 2010;76:1052-7 pubmed publisher
    ..The cancer detection rate in this population was similar to those from international studies. ..
  4. Skillman S, Doescher M, Mouradian W, Brunson D. The challenge to delivering oral health services in rural America. J Public Health Dent. 2010;70 Suppl 1:S49-57 pubmed
    ..Prevention needs to be at the front line of rural oral health care, with systematic approaches that cross health professions and health sectors. ..
  5. van Schaik N, Kranzer K, Wood R, Bekker L. Earlier HIV diagnosis--are mobile services the answer?. S Afr Med J. 2010;100:671-4 pubmed
    ..Mobile services are accessed by a different population compared with facility-based services. Mobile service clients were more likely to be male and less likely to be HIV-positive, and those infected presented with earlier disease. ..
  6. Wiegersma J, Droogh J, Zijlstra J, Fokkema J, Ligtenberg J. Quality of interhospital transport of the critically ill: impact of a Mobile Intensive Care Unit with a specialized retrieval team. Crit Care. 2011;15:R75 pubmed publisher
  7. Maheswaran R, Pearson T, Jordan H, Black D. Socioeconomic deprivation, travel distance, location of service, and uptake of breast cancer screening in North Derbyshire, UK. J Epidemiol Community Health. 2006;60:208-12 pubmed
    ..Further work is needed to identify effective methods of decreasing socioeconomic inequalities in uptake and to confirm if non-health locations are associated with higher screening uptake. ..
  8. Babigumira J, Sethi A, Smyth K, Singer M. Cost effectiveness of facility-based care, home-based care and mobile clinics for provision of antiretroviral therapy in Uganda. Pharmacoeconomics. 2009;27:963-73 pubmed publisher
    ..This analysis supports the implementation of FBC for scale-up and sustainability of ART in Uganda. HBC and MCC would be competitive only if there is increased access, increased adherence or reduced cost. ..
  9. Mauad E, Nicolau S, Moreira L, Haikel R, Longatto Filho A, Baracat E. Adherence to cervical and breast cancer programs is crucial to improving screening performance. Rural Remote Health. 2009;9:1241 pubmed
    ..A multimodal approach to community outreach strategies, especially using CHCAs and radio advertisements, can improve the uptake of mass screening in low-income, low-educational background female populations. ..

More Information

Publications62

  1. Kranzer K, Olson L, van Schaik N, Raditlhalo E, Hudson E, Panigrahi P, et al. Quality of induced sputum using a human-powered nebuliser in a mobile human immunodeficiency virus testing service in South Africa. Int J Tuberc Lung Dis. 2011;15:1077-81 pubmed publisher
    ..Further research needs to investigate the yield of TB in sputum samples induced by the HPN. ..
  2. Edgerley L, El Sayed Y, Druzin M, Kiernan M, Daniels K. Use of a community mobile health van to increase early access to prenatal care. Matern Child Health J. 2007;11:235-9 pubmed
    ..125). Women who initiated prenatal care on the Women's Health Van achieved earlier access to prenatal care when compared to women initiating care at other community health clinics. ..
  3. Jackson D, Jahnke L, Kerber L, Nyer G, Siemens K, Clark C. Creating a successful school-based mobile dental program. J Sch Health. 2007;77:1-6 pubmed
    ..The program was a merging of private and public health dentistries. This model can be useful to other communities in light of the unmet need for dental care and tighter federal, state, and local government budgets. ..
  4. Wiseman R. The Governor's Wellmobile program. Am J Nurs. 2007;107:30-1 pubmed
  5. Corbett E, Bandason T, Duong T, Dauya E, Makamure B, Churchyard G, et al. Comparison of two active case-finding strategies for community-based diagnosis of symptomatic smear-positive tuberculosis and control of infectious tuberculosis in Harare, Zimbabwe (DETECTB): a cluster-randomised trial. Lancet. 2010;376:1244-53 pubmed publisher
    ..Wide implementation of active case finding, particularly with a mobile van approach, could have rapid effects on tuberculosis transmission and disease. Wellcome Trust. ..
  6. Dube C, Nozaki I, Hayakawa T, Kakimoto K, Yamada N, Simpungwe J. Expansion of antiretroviral treatment to rural health centre level by a mobile service in Mumbwa district, Zambia. Bull World Health Organ. 2010;88:788-91 pubmed publisher
    ..These mobile ART services helped expand services to rural health facilities where resources are limited, bringing them as close as possible to where clients live. ..
  7. Kroemer S, Fruhauf J, Campbell T, Massone C, Schwantzer G, Soyer H, et al. Mobile teledermatology for skin tumour screening: diagnostic accuracy of clinical and dermoscopic image tele-evaluation using cellular phones. Br J Dermatol. 2011;164:973-9 pubmed publisher
    ..With regard to the detailed diagnoses, clinical image tele-evaluation was superior to teledermoscopy resulting in 16 vs. 22 discordant cases. Clinical image tele-evaluation might be the method of choice for mobile tumour screening. ..
  8. Kennedy S, Stephens S, Tephabock K, Brown P, Davis P, Keresztury J, et al. From high tech to high touch: integrating community voices in mobile mammography outreach. W V Med J. 2009;105 Spec No:74-7 pubmed
  9. Douglass J. Mobile dental vans: planning considerations and productivity. J Public Health Dent. 2005;65:110-3 pubmed
    ..However, they provide an innovative solution to bringing dental care to underserved children and when operated in conjunction with schools can eliminate transportation problems and missed appointments. ..
  10. De Vries G, van Hest R, Richardus J. Impact of mobile radiographic screening on tuberculosis among drug users and homeless persons. Am J Respir Crit Care Med. 2007;176:201-7 pubmed
    ..DNA fingerprinting can be a useful tool to evaluate the impact of a TB screening program. We advocate that screening of illicit drug users and homeless persons should be continued to prevent a resurgence of TB. ..
  11. Chan S, Chow D, Loh E, Wong D, Cheng K, Fung W, et al. Using a community-based outreach program to improve breast health awareness among women in Hong Kong. Public Health Nurs. 2007;24:265-73 pubmed
    ..It appears to be useful in raising the awareness of breast health and BSE practice among the women, but longer term follow-up is required to ascertain its sustainability. ..
  12. Krol D, Redlener M, Shapiro A, Wajnberg A. A mobile medical care approach targeting underserved populations in post-Hurricane Katrina Mississippi. J Health Care Poor Underserved. 2007;18:331-40 pubmed
  13. Grabbe K, Menzies N, Taegtmeyer M, Emukule G, Angala P, Mwega I, et al. Increasing access to HIV counseling and testing through mobile services in Kenya: strategies, utilization, and cost-effectiveness. J Acquir Immune Defic Syndr. 2010;54:317-23 pubmed publisher
  14. Holtshousen W, Smit A. A cost-efficiency analysis of a mobile dental clinic in the public services. SADJ. 2007;62:334, 336-8, 340 pubmed
    ..With a net margin ratio of 0,39 and a breakeven point of 1173,46 patients and 58,90 days, an accessible and cost-efficient service was provided to health districts in the West Rand region. ..
  15. Heller B, Goldwater M. The Governor's Wellmobile: Maryland's mobile primary care clinic. J Nurs Educ. 2004;43:92-4 pubmed
    ..Issues of long-term financial sustainability are presented, as well as lessons learned about the importance of public, private, and philanthropic partnerships and political support in ensuring the success of such programs. ..
  16. Jin A, Martin D, Maberley D, Dawson K, Seccombe D, Beattie J. Evaluation of a mobile diabetes care telemedicine clinic serving Aboriginal communities in Northern British Columbia, Canada. Int J Circumpolar Health. 2004;63 Suppl 2:124-8 pubmed
    ..The mobile clinic is cost-effective and improves access to the recommended standard of diabetes care. ..
  17. Reuben D, Bassett L, Hirsch S, Jackson C, Bastani R. A randomized clinical trial to assess the benefit of offering on-site mobile mammography in addition to health education for older women. AJR Am J Roentgenol. 2002;179:1509-14 pubmed
  18. Miller C, Tyndall M, Spittal P, Li K, Palepu A, Schechter M. Risk-taking behaviors among injecting drug users who obtain syringes from pharmacies, fixed sites, and mobile van needle exchanges. J Urban Health. 2002;79:257-65 pubmed
    ..Use of distribution beyond fixed sites will improve such outreach, thereby increasing program effectiveness and further preventing the transmission of blood-borne infections. ..
  19. Moulavi D, Bushy A, Peterson J, Stullenbarger E, Muolavie D. Thinking about a mobile health unit to deliver services? Things to consider before buying. Aust J Rural Health. 2000;8:6-16 pubmed
    ..This article focuses on mobile health units (MHU)...
  20. Ellen J, Bonu S, Arruda J, Ward M, Vogel R. Comparison of clients of a mobile health van and a traditional STD clinic. J Acquir Immune Defic Syndr. 2003;32:388-93 pubmed
    ..001). These data suggest that a mobile STD/HIV clinic may be an effective strategy to reach individuals at high risk for HIV who are not being served by traditional municipal STD/HIV health clinics. ..
  21. Asangansi I, Braa K. The emergence of mobile-supported national health information systems in developing countries. Stud Health Technol Inform. 2010;160:540-4 pubmed
    ..In this paper, initial successes and challenges with using m-Health for national public health information systems is reported and discussed. ..
  22. Charlton D. Determination of minimum suction level necessary for field dental units. Mil Med. 2010;175:285-8 pubmed
    ..5 standard cubic feet per minute (0.127 standard cubic meters per minute). This value should be the minimum level required for all military field dental units. ..
  23. Beard K, Greenfield S, Morote E, Walter R. Mobile technology: lessons learned along the way. Nurse Educ. 2011;36:103-6 pubmed publisher
    ..Lessons learned along the way are emphasized to help faculty develop, implement, and/or improve their school's PDA/software program. ..
  24. Fernández Balbuena S, de la Fuente L, Hoyos J, Rosales Statkus M, Barrio G, Belza M. Highly visible street-based HIV rapid testing: is it an attractive option for a previously untested population? A cross-sectional study. Sex Transm Infect. 2014;90:112-8 pubmed publisher
    ..Programme visibility was a decisive factor for almost two of every three persons who had never been tested. ..
  25. Sanal H, Cardoso F, Chen L, Chung C. Office-based versus high-field strength MRI: diagnostic and technical considerations. Sports Med Arthrosc Rev. 2009;17:31-9 pubmed publisher
    ..Specialized training and expertize is required to optimize imaging parameters, and provide quality control and accurate interpretation. ..
  26. Naeim A, Keeler E, Bassett L, Parikh J, Bastani R, Reuben D. Cost-effectiveness of increasing access to mammography through mobile mammography for older women. J Am Geriatr Soc. 2009;57:285-90 pubmed publisher
    ..Financial barriers may impede the widespread use of this approach. ..
  27. Bernhardt P, Steffens M, Kleinertz K, Morell R, Budde R, Leischik R, et al. Safety of adenosine stress magnetic resonance imaging using a mobile cardiac magnetic resonance system. J Cardiovasc Magn Reson. 2006;8:475-8 pubmed
    ..None of the complications led to further special treatment This ceMRI protocol is suitable for application in outpatient settings. CeMRI stress testing using a mobile scanner in an outpatient setting is feasible and safe. ..
  28. Bhat T. A tale of two health schemes. Natl Med J India. 2006;19:159-60 pubmed
  29. Lehoux P, Daudelin G, Poland B, Andrews G, Holmes D. Designing a better place for patients: professional struggles surrounding satellite and mobile dialysis units. Soc Sci Med. 2007;65:1536-48 pubmed
  30. Takahashi Y, Doi M, Yamada T, Tamanoi T, Murase K, Mochizuki T. [Present status and issues regarding X-ray medical checkup vehicles in preventive medicine: usefulness of mass screening for lung cancer by an X-ray medical checkup vehicle]. Nihon Hoshasen Gijutsu Gakkai Zasshi. 2005;61:847-51 pubmed
    ..Since this amount seems unduly high, it is necessary to improve cost-effectiveness. ..
  31. Roger D, Dudouit J, Resiere D, Mehdaoui H, Courcier D, Villain L, et al. [Interhospital transfer of ECMO-assisted patients in Martinique]. Ann Fr Anesth Reanim. 2013;32:307-14 pubmed publisher
    ..Interhospital transfer of ECMO/ECLS-assisted patients by land or air is technically feasible under perfectly secure conditions in our area. Prior coordination of this activity has helped to make it affordable. ..
  32. Berry J. The silver van. Talking to people in Chicago's Blood Alley. Posit Aware. 2005;16:28-30 pubmed
  33. Martínez Sarriegui I, García Sáez G, Rigla M, Brugués E, De Leiva A, Gomez E, et al. How continuous monitoring changes the interaction of patients with a mobile telemedicine system. J Diabetes Sci Technol. 2011;5:5-12 pubmed
    ..We can conclude that mobile technologies are especially useful in scenarios of tight monitoring in diabetes, and they are well accepted by patients. ..
  34. Zini A, Pietrokovsky J. [Gerodontology teaching program at the geriatric dental clinic in Yad Sarah]. Refuat Hapeh Vehashinayim (1993). 2006;24:31-4, 73 pubmed
    ..The Yad Sarah Dental Clinic offers a unique teaching program that contributes to enhancing knowledge in gerodontology. As the needs at the clinic change, so does the teaching program. ..
  35. Sigari F, Schneider J, Pinto J. Use of a mobile operative unit for in-patient otolaryngology procedures. Otolaryngol Head Neck Surg. 2007;136:125-7 pubmed
  36. Sechriest V, Lhowe D. Orthopaedic care aboard the USNS Mercy during Operation Unified Assistance after the 2004 Asian tsunami. A case series. J Bone Joint Surg Am. 2008;90:849-61 pubmed publisher
  37. Lee R, Chen K, Hsiao C, Tseng C. A mobile care system with alert mechanism. IEEE Trans Inf Technol Biomed. 2007;11:507-17 pubmed
  38. Lafuente C, Eichaker V, Chee V, Chapital E. Post-Katrina provision of health care to veterans in a mobile clinic: providers' perspectives. J Am Acad Nurse Pract. 2007;19:383-91 pubmed
  39. Bax K, Shedda S, Frizelle F. The New Zealand mobile surgical bus service: what is it achieving?. N Z Med J. 2006;119:U2025 pubmed
    ..Though still on a trial basis, the mobile surgical service bus appears to be meeting its stated goals to be addressing one of the important goals of the Government health policy: equitable access and provision to surgical care. ..
  40. Shinar E, Etlin S, Frenkel O, Yahalom V. The implementation of rapid cooling and overnight hold of whole blood at ambient temperature before processing into components in Israel. Transfusion. 2011;51 Suppl 1:58S-64S pubmed publisher
    ..It provided an efficient, reproducible, and cost-effective way to ensure good quality blood components, while utilizing more efficient logistic and administrative means. ..
  41. Vered Y, Adut R. [Community aspects of geriatric dentistry--a literature review: 1975-2000]. Refuat Hapeh Vehashinayim (1993). 2005;22:9-14, 89 pubmed
    ..The continuing anticipated growth of the geriatric population will, hopefully, be translated into a rising political power and to fruitful and practical health outcomes. ..
  42. Habibian M, Seirawan H, Mulligan R. Dental students' attitudes toward underserved populations across four years of dental school. J Dent Educ. 2011;75:1020-9 pubmed
    ..The decline was not related to age, gender, debt, or volunteer work experience. Follow-up studies are needed to help explain the factors that may be related to this decline. ..
  43. Hoyos J, de la Fuente L, Fernandez S, Gutierrez J, Rosales M, Garcia de Olalla P, et al. [Street outreach rapid HIV testing in university settings: a priority strategy?]. Gac Sanit. 2012;26:131-7 pubmed publisher
  44. Hill C, Zurakowski D, Bennet J, Walker White R, Osman J, Quarles A, et al. Knowledgeable Neighbors: a mobile clinic model for disease prevention and screening in underserved communities. Am J Public Health. 2012;102:406-10 pubmed publisher
    ..This represents an important model for reaching underserved communities to deliver proven cost-effective prevention activities, both to help control health care costs and to reduce health disparities. ..
  45. Harris R. Radiology on the Africa Mercy, the largest private floating hospital ship in the world. AJR Am J Roentgenol. 2013;200:W124-9 pubmed publisher
    ..There is a small radiology department on board, along with six operating rooms and a small ICU and inpatient wards, and the former is described in this report, as well as opportunities for humanitarian work by volunteer radiologists. ..
  46. Okulicz J, Murray C. Evaluation of HIV postexposure prophylaxis for occupational and nonoccupational exposures at a deployed U.S. military trauma hospital. Mil Med. 2012;177:1524-32 pubmed
    ..Despite the challenges of health care delivery in a deployed environment, the decisions to initiate human immunodeficiency virus PEP and the selection of antiretroviral regimens were typically concordant with CDC guidelines. ..
  47. Blesch G. Swamped. Flood forces hospital to change plans from renovation to restoration. Mod Healthc. 2008;38:44-5 pubmed
  48. Fletcher T, Hutley E, Adcock C, Martin N, Wilson D. Deployed antimicrobial stewardship: an audit of antimicrobial use at Role 3. J R Army Med Corps. 2013;159:237-9 pubmed publisher
    ..To improve this, further innovative strategies are required, combined with a continued focus on infection control basics across the full spectrum of care. ..
  49. Maslin J, Ducher P, Fourel D, Causse Le Dorze P. [Deployment of a mobile RT-PCR laboratory molecular biology to deal with the A(H1N1) challenge in Kaboul]. Med Mal Infect. 2010;40:650-3 pubmed publisher
    ..The analysis of the first nasopharyngeal samples confirmed the presence of this virus in Afghanistan. The peak of positive cases was observed in mid-November 2009, and some cluster cases were observed among units deployed on the field. ..
  50. Bollinger M, Morphew T, Mullins C. The Breathmobile program: a good investment for underserved children with asthma. Ann Allergy Asthma Immunol. 2010;105:274-281 pubmed publisher
    ..These data support the need to continue to sustain and expand Breathmobile programs for children at high risk for asthma exacerbations and to conduct a randomized clinical trial to estimate the cost-effectiveness of the Breathmobile. ..
  51. Kanemura S. Dr. Frank Kihara: service comes easy. Hawaii Dent J. 2006;37:18 pubmed
  52. Simmer Beck M, Gadbury Amyot C, Williams K, Keselyak N, Branson B, Mitchell T. Measuring the short-term effects of incorporating academic service learning throughout a dental hygiene curriculum. Int J Dent Hyg. 2013;11:260-6 pubmed publisher
    ..In concert with the literature on ASL, these experiences throughout the curriculum have potential for increasing students' awareness of community need and their roles as oral health professionals. ..
  53. Malish R, Oliver D, Rush R, Zarzabal E, Sigmon M, Burkle F. Potential roles of military-specific response to natural disasters -- analysis of the rapid deployment of a mobile surgical team to the 2007 Peruvian earthquake. Prehosp Disaster Med. 2009;24:3-8 pubmed
    ..Future response strategies should be evidence-based and incorporate a means of quantifying outcomes. ..