Rolling Medical Practice: Ambulant Mobile Medical Care for Rural Areas

被引：2

作者：

Schwartze, Jonas ^{[1
]}

Wolf, Klaus-Hendrik ^{[1
]}

Schulz, Sebastian ^{[1
]}

Rochon, Maike ^{[2
]}

Wagner, Markus ^{[2
]}

Bannenberg, Uwe ^{[3
]}

Drews, Markus ^{[1
]}

Fischer, Thomas ^{[4
]}

Hellwig, Torben ^{[3
]}

Hofmann, Stefan ^{[5
]}

Hoeft-Budde, Petra ^{[6
]}

Jaeger, Ralf ^{[3
]}

Lorenz, Stefan ^{[7
]}

Naumann, Ruth ^{[8
]}

Plischke, Maik ^{[2
]}

Reytarowski, Joerg ^{[6
]}

Richter, Constanze ^{[5
]}

Steinbruegge, Christiana ^{[9
]}

Ziegenspeck, Anja ^{[9
]}

von Ingelheim, Julius ^{[3
]}

Haux, Reinhold ^{[1
]}

机构：

[1] Tech Univ Carolo Wilhelmina Braunschweig, Peter L Reichertz Inst Med Informat, Braunschweig, Germany

[2] Braunschweig Ctr Informat & Technol GmbH BITZ, Braunschweig, Germany

[3] Wolfsburg AG, Wolfsburg, Germany

[4] Sozialversicherung Landwirtschaft Forsten & Garte, Kassel, Germany

[5] Assoc Statutory Hlth Insurance Phys Lower Saxony, Braunschweig, Germany

[6] AOK Die Gesundheitskasse Niedersachsen, Hannover, Germany

[7] Deutsch BKK, Wolfsburg, Germany

[8] Integrated Municipal Schoppenstedt, Schoppenstedt, Germany

[9] Cty Wolfenbuttel, Wolfenbuttel, Germany

来源：

MEDINFO 2015: EHEALTH-ENABLED HEALTH | 2015年 / 216卷

关键词：

Rural Health Services; Mobile Health Vans;

D O I：

10.3233/978-1-61499-564-7-909

中图分类号：

TP39 [计算机的应用];

学科分类号：

081203 ; 0835 ;

摘要：

We designed, constructed, and evaluated a mobile medical care vehicle called "Rollende Arztpraxis" (rolling medical practice, RMP) that delivers the full medical care of a general practitioner to increase medical care supply in rural areas. Six communities have been identified, where the RMP has been visited 501 times in 14 months. Two different schedules of stops and treatment times have been tested. We show that the RMP treated mainly elderly and multimorbid patients. An accompanying study showed high acceptance and satisfaction of treated patients and treating doctors. An economic evaluation of three different utilization models with three treatment modes each showed no financial sustainability. We show that ambulatory care in rural areas can be complemented by a mobile care unit, if legal and financial barriers can be overcome.

引用

页码：909 / 909

页数：1