Evaluation of the VA Mobile Clinics Demonstration Project

Wray, Nelda P.; Weiß, Thomas; Menke, Terri; Gregor, Paul J.; Ashton, Carol M.; Christian, Carol E.; Hollingsworth, John C.

doi:10.1097/00115514-199903000-00011

Cited by 17 publications

(19 citation statements)

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“…Although we are applying this technique systematically in the surgery area as an analytical support to high-risk surgery for bleeding such as cardiac surgery with out-of-body circulation or liver surgery (conventional and transplant surgery), as well as in other kinds of surgery such as in our case, further studies are required to defi nitively show the cost-effectiveness of the application of the idea in high-risk surgery. However, the ease of use of this technology and the possibility of being supported by laboratory professionals online, opens up the possibilities of its use beyond the hospital setting, such as providing some basic laboratory services to either primary care centers, private medical practices, advanced life support ambulances, healthcare facilities in rural areas (13) , medical units of the army, or in disaster and emergency situations (14) .…”

Section: Discussionmentioning

confidence: 99%

Mobile Laboratory Unit: a disruptor solution for hemostasis management during major surgery. Usage in the context of face transplantation

León-Justel

Noval-Padillo

Polonio

et al. 2012

Clinical Chemistry and Laboratory Medicine (CCLM)

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Section: Discussionmentioning

confidence: 99%

Mobile Laboratory Unit: a disruptor solution for hemostasis management during major surgery. Usage in the context of face transplantation

León-Justel

Noval-Padillo

Polonio

et al. 2012

Clinical Chemistry and Laboratory Medicine (CCLM)

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“…26 The vast majority of veterans experienced a decrease in travel distance; 94% of veterans lived with 50 miles of a mobile clinic, while 80% lived at least 100 miles from the closest VAMC. 26 In regard to process outcomes, the mobile clinics drew new users (56% of veterans were new users), and for those within 30 miles of the mobile clinics, utilization increased by 40%. 26 No clinical outcomes were assessed.…”

Section: 27mentioning

confidence: 99%

“…26 In regard to process outcomes, the mobile clinics drew new users (56% of veterans were new users), and for those within 30 miles of the mobile clinics, utilization increased by 40%. 26 No clinical outcomes were assessed.…”

Section: 27mentioning

confidence: 99%

Interventions to Improve Veterans’ Access to Care: A Systematic Review of the Literature

et al. 2011

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“…Sponsors may include independent charitable organizations or healthcare institutions such as hospitals; extensive collaboration with other agencies is common. Costs relative to other delivery methods are seldom reported because they are challenging to assess and may depend on location or funding source (Wray et al 1999).…”

Section: Mobile Outreach Service Modelmentioning

confidence: 99%

Delivering Primary Care to Homeless Persons: A Policy Analysis Approach to Evaluating the Options

Shortt

Hwang²,

Stuart

et al. 2008

hcpol

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Homeless persons are numerous, carry a significant burden of illness and face challenges in accessing care. A search of the literature revealed insufficient empirical sources to permit the use of standard systematic review methodology to determine the most effective way to deliver point-of-first-contact healthcare to homeless people. Instead, we used a policy analysis approach. We found that the dominant model of primary care in Canada performs poorly when assessed on 13 evaluation criteria. While there is variable performance on individual measures, the three alternative models -targeted standard facility/clinic site, fixed outreach site and mobile outreach service -all perform well. Our findings suggest that some factor other than performance on the specified measures, such as costs, feasibility, geographical fit or local preferences, should be used to choose a specific model. Our analysis clearly indicates that the status quo model of primary care is inadequate to meet the needs of homeless people. RésuméLes sans-abri sont nombreux, ils doivent surmonter de durs problèmes de santé et font face à des défis d' accessibilité quant aux soins de santé. Nos recherches dans la littérature n' ont pas permis d' amasser suffisamment de sources empiriques pour mener une revue systématique méthodologiquement acceptable afin de déterminer les façons les plus efficaces d' offrir des points d' accès de première ligne pour les sans-abri. Nous avons donc employé une méthode d' analyse des politiques. Nous avons découvert que, selon les 13 critères d' évaluation utilisés, le modèle actuel des soins de santé primaires au Canada présente un faible rendement. Bien que le rendement varie pour ce qui

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Evaluation of the VA Mobile Clinics Demonstration Project

Cited by 17 publications

References 0 publications

Mobile Laboratory Unit: a disruptor solution for hemostasis management during major surgery. Usage in the context of face transplantation

Mobile Laboratory Unit: a disruptor solution for hemostasis management during major surgery. Usage in the context of face transplantation

Interventions to Improve Veterans’ Access to Care: A Systematic Review of the Literature

Delivering Primary Care to Homeless Persons: A Policy Analysis Approach to Evaluating the Options

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