Factors associated with mobile medical clinic use: a retrospective cohort study.
Factors associated with mobile medical clinic use: a retrospective cohort study.
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与流动医疗诊所使用相关的因素：一项回顾性队列研究
DOI：
10.1186/s12939-023-02004-3
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发表时间：
2023-09-26
影响因子：
4.8
通讯作者：
Stephens, Caroline
中科院分区：
文献类型：
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作者：
Coaston, Angela;Lee, Soo-Jeong;Johnson, Julene K.;Weiss, Sandra;Hoffmann, Thomas;Stephens, Caroline
几十年来，移动医疗诊所一直被用来为服务不足的人群提供初级和预防性护理。尽管有几项研究考察了美国中大西洋和东海岸地区流动诊所的投资回报及其对慢性病管理结果的影响，但人们对西海岸地区流动诊所接受护理的成年人的特征和临床结果知之甚少。在安德森行为模型的指导下，本研究描述了南加州移动医疗诊所患者与移动医疗诊所使用相关的诱发因素、促成因素和需求因素，并研究了移动诊所的使用与糖尿病和高血压的存在和控制之间的关系。我们对 2018 年 1 月 1 日至 2019 年 12 月 31 日在南加州四个流动诊所接受护理的 411 名成年人进行了一项回顾性队列研究。数据是根据安德森行为模型从患者图表中收集的易感因素（例如性别、种族、年龄）、促成因素（例如保险和住房状况）和需求因素（例如慢性病）。使用零截断负二项回归来检查慢性疾病（高血压和糖尿病）与就诊次数的关联，并考虑潜在的混杂因素。在为期 2 年的研究期间，411 名患者到流动医疗诊所就诊 1790 次。大多数患者为女性 (68%)、西班牙裔 (78%)、已婚 (47%)，平均年龄为 50 岁 (SD = 11)。 44% 患有高血压，29% 患有糖尿病。流动诊所的使用频率与慢性病显着相关。患有高血压和糖尿病的患者的流动医疗就诊率分别是没有这些疾病的患者的 1.22 和 1.61 倍（IRR = 1.61，95% CI，1.36–1.92；1.22，95% CI，1.02–1.45）。流动诊所是提供医疗服务的重要系统，特别是对于患有未受控制的糖尿病和高血压的成年人。
Mobile medical clinics have been used for decades to provide primary and preventive care to underserved populations. While several studies have examined their return on investment and impact on chronic disease management outcomes in the Mid-Atlantic and East Coast regions of the United States, little is known about the characteristics and clinical outcomes of adults who receive care aboard mobile clinics on the West Coast region. Guided by the Anderson Behavioral Model, this study describes the predisposing, enabling, and need factors associated with mobile medical clinic use among mobile medical clinic patients in Southern California and examines the relationship between mobile clinic utilization and presence and control of diabetes and hypertension. We conducted a retrospective cohort study of 411 adults who received care in four mobile clinic locations in Southern California from January 1, 2018, to December 31, 2019. Data were collected from patient charts on predisposing (e.g., sex, race, age), enabling (e.g., insurance and housing status), and need (e.g., chronic illness) factors based on Andersen’s Behavioral Model. Zero-truncated negative binomial regression was used to examine the association of chronic illness (hypertension and diabetes) with number of clinic visits, accounting for potential confounding factors. Over the course of the 2-year study period, 411 patients made 1790 visits to the mobile medical clinic. The majority of patients were female (68%), Hispanic (78%), married (47%), with a mean age of 50 (SD = 11). Forty-four percent had hypertension and 29% had diabetes. Frequency of mobile clinic utilization was significantly associated with chronic illness. Patients with hypertension and diabetes had 1.22 and 1.61 times the rate of mobile medical clinic visit than those without those conditions, respectively (IRR = 1.61, 95% CI, 1.36–1.92; 1.22, 95% CI, 1.02–1.45). Mobile clinics serve as an important system of health care delivery, especially for adults with uncontrolled diabetes and hypertension.
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影响因子：
2.8
作者：
Barrio-Cortes J;Soria-Ruiz-Ogarrio M;Martínez-Cuevas M;Castaño-Reguillo A;Bandeira-de Oliveira M;Beca-Martínez MT;López-Rodríguez MC;Jaime-Sisó MÁ
通讯作者：
Jaime-Sisó MÁ
影响因子：
2.5
作者：
Morphew, Tricia;Scott, Lyne;Jones, Craig A.
通讯作者：
Jones, Craig A.
影响因子：
5.9
作者：
Bollinger, Mary Elizabeth;Morphew, Tricia;Mullins, C. Daniel
通讯作者：
Mullins, C. Daniel
影响因子：
5
作者：
ANDERSEN, RM
通讯作者：
ANDERSEN, RM
DOI：
10.2307/3349613
发表时间：
1973-01-01
期刊：
MILBANK MEMORIAL FUND QUARTERLY-HEALTH AND SOCIETY
影响因子：
--
作者：
ANDERSEN, R;NEWMAN, JF
通讯作者：
NEWMAN, JF