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.

Locating these services in a large vehicle is a far more cost-effective method of reaching patients who skip treatment because of money issues. Often housed in an RV that has been gutted and fitted with up-to-date medical technology, it may be staffed by nurse practitioners, doctors, and aides. When budgets and physical size allow, other services and staff can be added to the roster.

Although the overall economic situation has improved somewhat, many people have begun to pay the price for ignoring or neglecting health concerns over the years. The current wave of diabetes has created a category of older people who may be somewhat aware they are at risk, but have not yet developed neuropathy or vision problems. A visiting doctor provides necessary education for living with this condition, including regular monitoring.

Most have few restrictions on who may or may not become a patient. From children requiring vaccinations or treatment for common ailments like ear infections, to the elderly without financial resources, there is no litmus test deciding who may or may not receive help. In areas with large populations of new immigrants, politics are routinely set aside in favor of helping all people enjoy the benefits of good health.

In addition to immediate medical concerns, some centers help recently hospitalized individuals who may receive little or no treatment post-discharge. Having this support can cut lengthy recovery times, reduce the incidence of post-surgical infections, and provide encouragement for family caregivers. For those who live alone, knowing they have this option reduces worry and increases mental health.

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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