Evidence map›Paper›PMID 39218941›Full record

ArticleInternational journal for equity in health2024

Sustaining the mobile medical units to bring equity in healthcare: a PLS-SEM approach.

Jignesh Patel, Sangita More, Pravin Sohani, Shrinath Bedarkar, Kamala Kannan Dinesh, Deepika Sharma, Sanjay Dhir, Sushil Sushil, Gunjan Taneja, Raj Shankar Ghosh

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Article in International journal for equity in health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Jignesh PatelJivika Healthcare Private Limited, Pune, Maharashtra, India.
Sangita MoreJivika Healthcare Private Limited, Pune, Maharashtra, India.
Pravin SohaniJivika Healthcare Private Limited, Pune, Maharashtra, India.
Shrinath BedarkarJivika Healthcare Private Limited, Pune, Maharashtra, India.
Kamala Kannan DineshJindal Global Business School, O. P. Jindal Global University, Haryana, India.
Deepika SharmaDepartment of Management Studies, Indian Institute of Technology Delhi, Delhi, India. deepikasharma.iitd@gmail.com.
Sanjay DhirDepartment of Management Studies, Indian Institute of Technology Delhi, Delhi, India.
Sushil SushilDepartment of Management Studies, Indian Institute of Technology Delhi, Delhi, India.
Gunjan TanejaBill & Melinda Gates Foundation, New Delhi, India.
Raj Shankar GhoshPublic Health Consultant, New Delhi, India.

Funding

Bill and Melinda Gates Foundation RP04054F
6 · The paper itself

Abstract

backgroundEquitable access to healthcare for rural, tribal, and underprivileged people has been an emerging area of interest for researchers, academicians, and policymakers worldwide. Improving equitable access to healthcare requires innovative interventions. This calls for clarifying which operational model of a service innovation needs to be strengthened to achieve transformative change and bring sustainability to public health interventions. The current study aimed to identify the components of an operational model of mobile medical units (MMUs) as an innovative intervention to provide equitable access to healthcare.

methodsThe study empirically examined the impact of scalability, affordability, replicability (SAR), and immunization performance on the sustainability of MMUs to develop a framework for primary healthcare in the future. Data were collected via a survey answered by 207 healthcare professionals from six states in India. Partial least squares structural equation modeling (PLS-SEM) was conducted to empirically determine the interrelationships among various constructs.

resultsThe standardized path coefficients revealed that three factors (SAR) significantly influenced immunization performance as independent variables. Comparing the three hypothesized relationships demonstrates that replicability has the most substantial impact, followed by scalability and affordability. Immunization performance was found to have a significant direct effect on sustainability. For evaluating sustainability, MMUs constitute an essential component and an enabler of a sustainable healthcare system and universal health coverage.

conclusionThis study equips policymakers and public health professionals with the critical components of the MMU operational model leading toward sustainability. The research framework provides reliable grounds for examining the impact of scalability, affordability, and replicability on immunization coverage as the primary public healthcare outcome.

Indexed as

Health Services AccessibilityHealth EquityHealth PersonnelHumansIndiaPrimary Health CareSurveys and QuestionnairesEquityHealth careImmunizationMobile medical unitsPLS-SEMSustainability

Identifiers

PMID39218941
PMCPMC11367909

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.