Mobile health clinic model in the COVID-19 pandemic: lessons learned and opportunities for policy changes and innovation
Mobile health clinic model in the COVID-19 pandemic: lessons learned and opportunities for policy changes and innovation
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DOI：
10.1186/s12939-020-01175-7
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发表时间：
2020-05-19
影响因子：
4.8
通讯作者：
Jain, Sachin H.
中科院分区：
文献类型：
--
作者：
Attipoe-Dorcoo, Sharon;Delgado, Rigoberto;Jain, Sachin H.
背景移动的诊所代表了我们医疗保健系统的一种未开发的资源。COVID-19疫情加剧了其局限性。美国的移动的健康诊所项目已经在医疗保健系统中发挥了重要作用，尽管这一作用尚未得到充分重视。它们特别为流离失所或孤立的个人提供医疗保健;它们在医疗保健基础设施受损或不足的情况下提供多功能性;作为一种长期的社区服务提供模式，它们填补了医疗保健安全网的空白，覆盖了城市和农村地区社会经济服务不足的人口。尽管越来越多的证据表明这种高度适应性的护理模式的独特价值，但移动的诊所并没有得到广泛的支持。这导致错过了在国家紧急情况（如COVID-19大流行）期间部署移动的诊所的机会，以及利用这些现有的和值得信赖的计划来克服资源不足的社区所遇到的障碍。3月，移动的医疗保健协会和哈佛医学院家庭货车项目移动的健康地图举办了一场网络研讨会，有300多名移动的医疗服务提供者参加，分享他们应对COVID 19的经验、挑战和最佳做法。他们展示了医疗系统这一部门在应对医疗危机方面尚未开发的潜力。行动呼吁：移动的诊所的灵活性和适应性使其成为应对COVID-19等流行病的理想合作伙伴。在这篇评论中，我们提出了三种方法来支持进一步扩展和整合的移动的医疗诊所到医疗保健系统：首先，证明移动的诊所的医疗保健系统的经济贡献。其次，扩大移动的诊所项目的数量，并将其整合到医疗基础设施和应急准备中。第三，扩大他们对技术的使用，以促进这种融合。结论了解移动的诊所在我们社区的经济和社会影响，应该提供证据来证明政策的合理性，这些政策将使移动的诊所能够扩展和最佳整合到我们的医疗保健服务系统中，并帮助我们解决当前和未来的健康危机。
Background Mobile Clinics represent an untapped resource for our healthcare system. The COVID-19 pandemic has exacerbated its limitations. Mobile health clinic programs in the US already play important, albeit under-appreciated roles in the healthcare system. They provide access to healthcare especially for displaced or isolated individuals; they offer versatility in the setting of a damaged or inadequate healthcare infrastructure; and, as a longstanding community-based service delivery model, they fill gaps in the healthcare safety-net, reaching social-economically underserved populations in both urban and rural areas. Despite an increasing body of evidence of the unique value of this highly adaptable model of care, mobile clinics are not widely supported. This has resulted in a missed opportunity to deploy mobile clinics during national emergencies such as the COVID-19 pandemic, as well as using these already existing, and trusted programs to overcome barriers to access that are experienced by under-resourced communities. Main text In March, the Mobile Healthcare Association and Mobile Health Map, a program of Harvard Medical School's Family Van, hosted a webinar of over 300 mobile health providers, sharing their experiences, challenges and best practices of responding to COVID 19. They demonstrated the untapped potential of this sector of the healthcare system in responding to healthcare crises. A Call to Action: The flexibility and adaptability of mobile clinics make them ideal partners in responding to pandemics, such as COVID-19. In this commentary we propose three approaches to support further expansion and integration of mobile health clinics into the healthcare system: First, demonstrate the economic contribution of mobile clinics to the healthcare system. Second, expand the number of mobile clinic programs and integrate them into the healthcare infrastructure and emergency preparedness. Third, expand their use of technology to facilitate this integration. Conclusions Understanding the economic and social impact that mobile clinics are having in our communities should provide the evidence to justify policies that will enable expansion and optimal integration of mobile clinics into our healthcare delivery system, and help us address current and future health crises.