Thursday, October 23, 2014

Mobile Urgent Care Reaches An Under-Served Population

By Dominique Martin


Although new federal legislation has enabled many people formerly without medical insurance to purchase coverage, a considerable number still lack that basic protection. Many live with chronic economic hardships that make paying for standard checkups difficult or impossible. Mobile urgent care is structured to bring both medical personnel and the latest technology to neighborhoods where even lower-cost options are still not within reach.

Traditionally, an urgent need facility is designed to be a lower-cost alternative to an emergency room, and also provides additional services unavailable in an ER. Those without insurance often pay inflated costs in an ER visit, must literally wait for hours to see a physician, and and receive scant followup or preventive instructions. Unlike an ER, these centers not only treat injuries, but also bad colds or the flu, administer x-rays and lab tests, give physicals, and more.

For people unable to see a doctor regularly, a mobile office can be a more cost-effective way to receive needed help. The units are generally in remodeled recreational-style vehicles outfitted for medicine, including the latest equipment. The staff usually includes nurse practitioners as well as doctors, and some have even added dental services for those with urgent problems.

Although the worst of the recession seems past, not everyone has shared in that reality. There is a considerable penalty for enduring years of minimal health maintenance, such as experiencing the current wave of diabetes. Many people are minimally aware that they may have the symptoms, but have not yet developed neuropathy, blindness, or lost an extremity to infection. For them, a traveling doctor brings not treatment, but also longer-term monitoring.

Most centers exercise few limitations on who may or may not receive care. From schoolchildren who need vaccinations or help with common problems such as ear infections, to aging citizens with dwindling resources, there are generally no restrictions regarding qualifications for help. Areas coping with an influx of immigrants often set aside political scapegoating in order to build a better health foundation at all levels.

For those recuperating from surgery, some units feature help for patients after they have been discharged. The ability of a unit to travel helps cut down lengthy recovery times, limits the chances of avoidable post-surgical infections or other complications, and helps support caregivers within families. For patients living alone, the service increases peace of mind.

Many patients would receive little or no personalized medical information without these units. Doctors and nurses look beyond immediate physical issues and routinely provide education on nutrition and dietary needs, administer prenatal exams, and help parents make sure their children are vaccinated. Young adults benefit from information regarding safer sex and STD transmission, and some centers provide dental services.

More than four thousand people can receive help in one year from a single unit, and demand for the service is not diminishing. Educational material and screenings for healthy individuals helps prevent future problems, while suppressing cost inflation. Whether patients are coping with the singular stresses of aging or having trouble finding affordable decent housing, care of this type helps fill the need.




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