A Digitally Capable Mobile Health Clinic to Improve Rural Health Care in America: A Pilot Quality Improvement Study

Iqbal, Asif; Anil, Gokhan; Bhandari, Pawan; Crockett, Eric D.; Hanson, Victoria M.; Pendse, Bhushan S.; Eckdahl, Jonathan S.; Horn, Jennifer L.

doi:10.1016/j.mayocpiqo.2022.08.002

Cited by 9 publications

(5 citation statements)

References 5 publications

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“…However, many rural schools lack full‐time registered nurses or nursing staff, and may not have the budget to pay for 1 28 . One option may be for rural schools to collaborate with university extension offices to offer mobile health units or traveling care to rural schools 29 . Finally, communities must come together to convene multiple sectors for collaboration, as action must be swift to improve the receipt of care for children and adolescents 30 …”

Section: Discussionmentioning

confidence: 99%

“…28 One option may be for rural schools to collaborate with university extension offices to offer mobile health units or traveling care to rural schools. 29 Finally, communities must come together to convene multiple sectors for collaboration, as action must be swift to improve the receipt of care for children and adolescents. 30 There are strengths and limitations to this study.…”

Section: Discussionmentioning

confidence: 99%

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Rural‐urban differences in access to care among children and adolescents in the United States

Crouch

Hung

Benavidez

et al. 2023

The Journal of Rural Health

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PurposeRural children and adolescents face disproportionate challenges in access to health care services than their urban counterparts. Yet, recent evidence on disparities in access to health care between rural and urban children and adolescents has been limited. This study examines the associations of residence location with receipt of preventive care, foregone medical care, and continuity of insurance coverage among US children and adolescents.MethodsThis study used cross‐sectional data from the 2019 to 2020 National Survey of Children's Health, with a final sample size of 44,679 children. Descriptive statistics, bivariate analyses, and multivariable logistic regression models were used to examine the differences in preventive care, foregone care, and continuity of insurance coverage between rural and urban children and adolescents.FindingsRural children had lower odds of receiving preventive care (aOR 0.64; 95% CI 0.56‐0.74) and having continuous health insurance coverage (aOR 0.68; 95% CI 0.56‐0.83) compared to urban children. The odds of foregone care were similar between rural and urban children. Children at every federal poverty level (FPL) less than 400% were less likely to receive preventive care, and more likely to forego care than children residing at 400% or above FPL.ConclusionsRural disparities in child preventive care and insurance continuity warrant ongoing surveillance and local access to care initiatives, especially for children in low‐income households. Without updated public health surveillance, policymakers and program developers may not be aware of current disparities. School‐based health centers are 1 avenue for meeting the unmet health care needs of rural children.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Rural‐urban differences in access to care among children and adolescents in the United States

Crouch

Hung

Benavidez

et al. 2023

The Journal of Rural Health

View full text Add to dashboard Cite

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“…The capacity for quick adaptation and the rapid overhaul of different healthcare system processes might not have been a choice for numerous healthcare organizations; however, it became imperative due to regulations enforced by local and federal authorities as well as served as the sole means of surviving the disruptive pandemic (Bhandari, Badar, and Childress, 2021). Rapid transformation in healthcare delivery such as improving existing care delivery models and the adoption of digital and virtual care options is also on the rise on the onset of the COVID-19 pandemic as seen in recent years Iqbal et al, 2022;Bartlett et al, 2023;Ramjewan et al, 2021;Hennek et al, 2023;Farrugia & Plutowski, 2020;Temesgen et al, 2020;O'Horo et al, 2021;Haddad et al, 2021;Ganesh et al, 2021;Lin et al, 2020;Bharucha et al, 2021;Mueller et al, 2023). While these insights are not new to healthcare institutions such as ours, they certainly merit acknowledgment and dissemination, fostering collective learning and advancement as healthcare providers are doing their best to provide care to their patients in this tough economic landscape.…”

Section: Discussion and Next Stepsmentioning

confidence: 99%

Revitalizing Healthcare Finances: Empowering Teams for SMART Transformation Amidst Challenges

Anil,

Bhandari,

Nicolai

2023

Proceedings of the International Conference on Industrial Engineering and Operations Management

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Healthcare organizations in the United States had significant financial difficulties following the COVID-19 outbreak. These were made worse by the healthcare industry's fast-evolving workforce, which was influenced by years of physical and psychological stress on personnel and led to retirements, resignations, and relocations. The cost of operating for healthcare organizations increased as a result of the need for more adaptable working conditions, greater wages, and better benefits. In the beginning, the government's pandemic funding was frequently used to subsidize expensive temporary or contract labor as a response to the healthcare personnel shortage. Healthcare organizations struggled with increasing labor costs and declining reimbursement rates when these funds ran out and inflationary pressures remained. This article describes a complete 6-week program held from July 6 to August 11, 2023, within a community-based healthcare system, to educate and empower clinical and operational teams in problem-solving and financial responsibility. Five guiding concepts (Pillars) were used by the Sustainable Management Above Reimbursement Transformation (SMART) initiative to direct cost-cutting activities: Practice Efficiency, Access Improvement, Working Differently, Expense Reductions, and Revenue Generation. The goal of an advisory panel supported by sub-teams was to find areas for improvement without sacrificing patient care while evaluating costsaving targets and suggested measures for various service areas. With an average predicted cost savings of 13% across service lines, the outcomes exceeded expectations. This successful initiative represents a significant stride toward financial sustainability in healthcare institutions, demonstrating the resilience and adaptability of healthcare providers during challenging economic times and offering valuable lessons for the future.

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“…For the following reasons, Songhor city was chosen as a case study: Songhor city is one of the most important cities in the province of Kermanshah. Its citizens and others who live in nearby Need for a hospital in these locations Senvar et al, 2016;Iqbal et al, 2022 V11 The supply availability of medicines Senvar et al, 2016;Şahin et al, 2019 V12 Government Government policy Şahin et al, 2019;Şahin et al, 2019;Steels, 2015V13 Tax Şahin et al, 2019Şahin et al, 2019;Steels, 2015 V14 Building structure Availability of land expansion Senvar et al, 2016;Şahin et al, 2019V15 Architecture Senvar et al, 2016Iqbal et al, 2022V16 Infrastructure Senvar et al, 2016Iqbal et al, 2022;Ruza et al, 2015V17 Parking Senvar et al, 2016Çetinkaya et al, 2023;Dellovo et al, 2018 V18 Figure 1. The geographical location of Songhor city -Step 4: Creating a questionnaire to identify the key drivers.…”

Section: Case Study and Research Methodologymentioning

confidence: 99%

Emphasizing Access to Health and Treatment Services in Order to Identify the Key Factors Influencing an Age-Friendly City

Komasi,

Hashemkhani Zolfani,

Antuchevičienė

2023

International Journal of Strategic Property Management

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One of the most important goals of urban management is to provide comfort and well-being for all citizens. According to the population trend of the world, a massive segment of the future population will be the elderly. Therefore, it is crucial to pay attention to the needs of this segment of society. In this regard, the concept of an age-friendly city that provides a favorable urban environment for the elderly has entered the world’s scientific literature. Because one of the essential land utilization that the elderly have a lot of connection with is health-therapeutic use, the current research has been carried out to evaluate the current health-treatment situation of Songhor city in terms of its usefulness for the elderly. In the second step, the most important drivers influencing the location of these uses have been identified from the perspective of related experts. This research is applied in terms of purpose and descriptive-analytical in terms of research method. The required data has been collected using library-documentary studies, field surveys, and the distribution of questionnaires from related experts. According to the study’s findings, more than 60% of treatment facilities in Songhor city are inaccessible to the elderly. This difficulty varies by therapeutic use; in some cases, it is less difficult than the average, while in others, it is more difficult. In addition, three factors–investment cost (V3), rivalry (V10), and population density (V8)–have been identified as the age-friendly city’s main drivers out of a total of 18 main variables. The study’s findings indicate that the global population is aging, and urban managers and officials should design urban environments following the requirements of the projected population by putting forth medium- and long-term plans.

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A Digitally Capable Mobile Health Clinic to Improve Rural Health Care in America: A Pilot Quality Improvement Study

Cited by 9 publications

References 5 publications

Rural‐urban differences in access to care among children and adolescents in the United States

Rural‐urban differences in access to care among children and adolescents in the United States

Revitalizing Healthcare Finances: Empowering Teams for SMART Transformation Amidst Challenges

Emphasizing Access to Health and Treatment Services in Order to Identify the Key Factors Influencing an Age-Friendly City

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