ArticleInternational journal for equity in health2023
Factors associated with mobile medical clinic use: a retrospective cohort study.
Article in International journal for equity in health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed.
- No Roadblocks: How Mobile Primary Care Navigates Barriers to Health Access.International journal of environmental research and public health · 2026Article
- Increased Density of Mobile Health Unit Encounters Among Primary Care Health Professional Shortage Areas.International journal of environmental research and public health · 2026Article
- Social Determinants of Health and Access to Orthopedic Care Among Seniors in Little Havana.Cureus · 2026Article
- Modifiable Determinants of Metabolic Syndrome in Middle-Aged Adults: A Cross-Sectional Analysis of a Nationally Representative Health Survey.Nursing research and practice · 2026Article
- Strategic Directions for Advancing Equity in Food Allergy: Takeaways From CFAAR's Summit for Advancing Equity in Food Allergy.The journal of allergy and clinical immunology. In practice · 2025Article
- Enhancing Competencies and Professional Upskilling of Mobile Healthcare Unit Personnel at the Hellenic National Public Health Organization.Healthcare (Basel, Switzerland) · 2025Article
- Pharmacist-driven mobile health clinics: a qualitative analysis of logistics for program development, implementation, and operation.BMC health services research · 2025Article
- Heat-Related Health Risks for People Experiencing Homelessness: A Rapid Review.Journal of urban health : bulletin of the New York Academy of Medicine · 2025Review
- Association of Race With Referral Disparities for Patients With Diabetic Foot Ulcers at an Institution Serving Rural and Urban Populations.Foot & ankle orthopaedics · 2024Article
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Authors and funding
6 authors.
Funding
Abstract
backgroundMobile 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.
methodsWe 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.
resultsOver 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).
conclusionsMobile clinics serve as an important system of health care delivery, especially for adults with uncontrolled diabetes and hypertension.
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