ReviewGesundheitswesen (Bundesverband der Arzte des Offentlichen Gesundheitsdienstes (Germany))2026
[Mobility services in primary care: An overview of existing types of services and potentials for the German healthcare system].
Review in Gesundheitswesen (Bundesverband der Arzte des Offentlichen Gesundheitsdienstes (Germany)), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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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.
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0 citing papers in PubMed.
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Current developments in Germany are leading to concentration processes of primary care services, which can result in longer distances or travel times, especially in rural areas. So far, there are only recommendations regarding the reasonableness of the effort to reach them. Nevertheless, there are increasing calls for efforts, for example, for people with limited mobility and chronic illnesses, to reduce potential access barriers. One discussion thread in recent years has been the further development of proactive and outreach primary care services. This includes discussions about mobile GP practices as well as specific transportation offers for patients to complement public transport and individual travel. However, the needs and significance of such offerings in the German healthcare system have hardly been investigated so far. The aim of this paper was to provide an overview of existing types of offerings, discuss them and highlight their potential for the German healthcare system. Methods: In addition to searching data banks to identify scientific publications, an internet search was conducted. Both national and international results were taken into consideration. Results: The identified approaches from the 21 included publications were clustered according to their types of offerings. The four clusters "Independent mobile doctor's practice", "Mobile branch practice", "Specific transportation offers for patients as a complement to local transport" and "Brokerage services for patient transportation" were identified. A closely coordinated approach of relevant actors with a participatory approach to consider different perspectives was proved to be beneficial in conception and implementation. In addition to legal hurdles, non-cost-covering economic aspects, often associated with the rather low use of the offers, proved to be inhibiting. Conclusion: Mobile doctor's offices and offers to supplement existing mobility options for patients can potentially reduce access barriers to local primary care, especially if they are part of an overall concept for multidisciplinary primary care and take into account the respective needs. To concretize the potential, scientific evaluation of pilot projects is recommended. Regional needs and requirements should be consistently taken into account.
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Registered trials
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