Zirui Song|Caterina Hill|Jennifer Bennet|Anthony Vavasis|Nancy E. Oriol
Mobile Clinic In Massachusetts Associated With Cost Savings From Lowering Blood Pressure And Emergency Department Use
Harvard University|Hospital Santa Caterina|Harvard University|Community Health Center|Harvard University
mobile health clinics increasingly wide use evidence clinical impact costeffectiveness limited using unique data set 5900 patients made total 10509 visits 201012 family van urban mobile health clinic massachusetts examined effect screenings counseling provided clinic blood pressure patients presented high blood pressure initial visit experienced average reductions 107 mmhg 62 mmhg systolic diastolic blood pressure respectively followup visits changes associated 322 percent 446 percent reductions relative risk myocardial infarction stroke respectively converted savings using estimates incidence costs conditions thirty months savings reduction blood pressure patientreported avoided emergency department visits produced positive lower bound clinics return investment 13 services clinicthose aimed diabetes obesity maternal health examplewere excluded lowerbound estimate policy makers consider mobile clinics delivery model underserved communities poor health status high use emergency departments