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首页> 外文期刊>Journal of health care for the poor and underserved >Innovative Program Delivery and Determinants of Frequent Visitation to a Mobile Medical Clinic in an Urban Setting
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Innovative Program Delivery and Determinants of Frequent Visitation to a Mobile Medical Clinic in an Urban Setting

机译：在城市环境中对移动医疗诊所进行频繁访问的创新计划交付和决定因素

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The Community Health Care Van (CHCV) is a mobile medical clinic (MMC) that has served vulnerable populations in New Haven, Connecticut since 1993. This study explores utilization patterns to understand if certain populations frequently rely upon non-traditional health care within a representative MMC. Patient characteristics, services used, and visitation frequency were described and compared for 8,415 unique clients making 29,728 visits. Negative binomial regression was used to model the impact of specific indicators on visitation. Clients receiving buprenorphine had the highest visitation rates, with 2.09 visits per person-year. Increased CHCV visitation was positively associated with being foreign-born (additional 3.42 visits on average, p<.001), injection drug use (additional 1.69 visits on average, p<.001) and having hypertension (additional 1.09 visits on average, p<.001). As the Affordable Care Act has increased health insurance coverage, MMCs will continue their role in assisting entry into continuous health care and offering low-threshold acute care for urban vulnerable populations.
机译：社区医疗保健车（CHCV）是一家移动医疗诊所（MMC），自1993年以来，康涅狄格州纽黑文提供弱势群体。本研究探讨了利用模式，以了解某些人群是否经常依赖于代表内非传统医疗保健MMC。描述了患者特性，使用的服务和访问频率，并将其与8,415名独特的客户进行比较，使得29,728次访问。负二项式回归用于模拟特定指标对探访的影响。接受Buprenorphine的客户具有最高的探索率，每人每年2.09次访问。增加CHCV探视与外出外出（额外的3.42次访问平均水平，P <.001），注射药物使用（平均额外1.69次，P <.001）和高血压（平均额外1.09访问，P <.001）。由于实惠的护理法案增加了健康保险范围，MMCS将继续在协助进入持续保健方面发挥作用，并为城市脆弱的人群提供低门槛急性护理。

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