Accessibility and utilization patterns of a mobile medical clinic among vulnerable populations

Gibson, Britton A.; Ghosh, Debarchana; Morano, Jamie P.; Altice, Frederick L.

doi:10.1016/j.healthplace.2014.04.008

Cited by 49 publications

(34 citation statements)

References 68 publications

(95 reference statements)

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“…To our knowledge the idea of a Pop-Up health check for BP, set in a shopping centre, has not been previously explored. Pop-Up clinics have been proposed and examined for HIV testing [27] and there are several reports on the effectiveness of mobile health clinics designed to raise awareness and screen for a wide variety of conditions, such as, colorectal cancer [28], paediatric eye disorders [29] and general health in vulnerable populations [30]. Moreover, mobile health clinics are widely used in the US and, for example, one extensive study has found them to be effective for screening for suspect hypertension [31].…”

Section: Discussionmentioning

confidence: 99%

Healthy shopper? Blood pressure testing in a shopping centre Pop-Up in England

et al. 2019

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BackgroundImproving detection of elevated blood pressure (BP) remains a public health need. We present results from a Pop-Up health check stationed in shopping centres in England. We hypothesise the rate of case detection is related to measurable ‘unhealthiness’ of the shopping centres.MethodsA Pop-Up health check was sited in four and three shopping centres sampled from the top ten unhealthiest and top 15 healthiest shopping regions respectively, following a report ranking towns/cities based on their unhealthy and healthy retail outlets. On one day in each shopping centre, people were approached and consented to BP testing. Outcome measure was people flagged with BP ≥ 140/90 mmHg (cases).ResultsWe detected 45 (22.6%) and 20 (13.1%) cases from testing 199 and 152 adults in the unhealthy and healthy locations respectively (relative risk 1.72; 95% confidence interval: 1.06 to 2.78). A measure of unhealthy retail outlets (e.g. fast-food outlets) within each shopping centre was associated with detection rate (R2 = 0.61; p = 0.04).ConclusionAn association exists between cases of suspect hypertension found in a health check Pop-Up and measured ‘unhealthiness’ of the shopping centre site. Results hint at strategies for public testing of BP, potentially in the context of reducing health inequalities.Electronic supplementary materialThe online version of this article (10.1186/s12889-018-6370-0) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 99%

Healthy shopper? Blood pressure testing in a shopping centre Pop-Up in England

et al. 2019

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“…The 2,000 medical mobile clinics in the United States target hard-to-reach populations such as the homeless and the uninsured, and the clinics have recently begun adding behavioral health screening and outreach. [44] Widespread deployment of mobile clinics for behavioral health screening and brief interventions would enable confidential, language-specific treatment that eliminated some of the stigma associated with clinic-based treatment (for alternative treatment models, see Appendix 3). [11] Mobile clinics reduce the numbers of emergency department visits and save money.…”

Section: Recommendationsmentioning

confidence: 99%

Removing Obstacles To Eliminating Racial And Ethnic Disparities In Behavioral Health Care

Alegrı́a

Álvarez²,

Ishikawa³

et al. 2016

Health Affairs

145

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Despite decades of research, racial and ethnic disparities in behavioral health care persist. The Affordable Care Act expanded access to behavioral health care, but many reform initiatives fail to consider research about racial/ethnic minorities. Mistaken assumptions that underlie the expansion of behavioral health care risk replicating existing service disparities. Based on a review of relevant literature and numerous observational and field studies with minority populations, we identified the following three mistaken assumptions: improvement in health care access alone will reduce disparities, current service planning addresses minority patients’ preferences, and evidence-based interventions are readily available for diverse populations. We propose tailoring the provision of care to remove obstacles that minority patients face in accessing treatment, promoting innovative services that respond to patient needs and preferences, and allowing flexibility in evidence-based practice and the expansion of the behavioral health workforce. These proposals should help meet the health care needs of a growing racial/ethnic minority population.

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“…The remainder of the studies focused mainly on access to primary care (e.g. Gibson et al, 2014), screening (e.g. Henry et al, 2013) and preventative services (e.g.…”

Section: Quantitative and Gis Researchmentioning

confidence: 99%

Health geography II

Rosenberg

2015

Progress in Human Geography

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Over the years, various observers of health geography have sought to 'divide' the sub-discipline mainly along theoretical lines or to argue for a broadening of its theoretical base. Paralleling the growing theoretical pluralism within health geography has been a growing methodological pluralism. As in other parts of human geography, health geographers have embraced historical research, quantitative and qualitative methods, and computer mapping and geographic information science (GIS). Analysing recent contributions by health geographers, the question I seek to answer is whether the growing theoretical and methodological pluralism has paradoxically led to increasing divisions in the topics of study based mainly, but not solely, on what methods are employed in the research. While there are topical overlaps (e.g. quantitative and qualitative studies of particular vulnerable groups), it is less obvious as to how research using one methodology is informing research using the other methodology.

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Accessibility and utilization patterns of a mobile medical clinic among vulnerable populations

Cited by 49 publications

References 68 publications

Healthy shopper? Blood pressure testing in a shopping centre Pop-Up in England

Healthy shopper? Blood pressure testing in a shopping centre Pop-Up in England

Removing Obstacles To Eliminating Racial And Ethnic Disparities In Behavioral Health Care

Health geography II

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