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Related Experiment Videos

A mobile internal medicine clinic.

S K Oboler, M A Blieden, S A Carter

    Archives of Internal Medicine
    |January 1, 1983
    PubMed
    Summary
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    A mobile medical clinic (MediVAn) offers convenient primary care access for distant veterans. This outreach program proved comparable in cost to traditional outpatient visits, demonstrating its feasibility.

    Area of Science:

    • Internal Medicine
    • Healthcare Management
    • Public Health

    Background:

    • Veterans living far from medical centers face access challenges.
    • The Denver Veterans Administration Medical Center (DVAMC) sought to address this gap.
    • An outreach program was designed to study costs and provide care.

    Purpose of the Study:

    • To evaluate the effectiveness of a mobile internal medicine clinic (MediVAn).
    • To assess the costs associated with this rural healthcare outreach.
    • To improve primary care access for veterans in remote areas.

    Main Methods:

    • A fully equipped van staffed by an internist provided weekly appointments in four Colorado cities.
    • The mobile clinic (MediVAn) served veterans living over fifty miles from DVAMC.

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  • Data on visits, patient demographics, diagnoses, and costs were collected over two years.

    • Main Results:

    • MediVAn facilitated 4,655 visits for 766 veterans (mean age 56).
    • Patients averaged 3.9 diagnoses and 3.0 medications per visit.
    • The cost per MediVAn visit ($68) was comparable to DVAMC outpatient visits ($67).

    Conclusions:

    • Mobile medical clinics are a viable solution for delivering primary care to geographically dispersed populations.
    • The MediVAn program demonstrated cost-effectiveness similar to conventional outpatient services.
    • This model enhances convenience and accessibility for veterans requiring remote healthcare services.