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A Mobile Internal Medicine Clinic

A Mobile Internal Medicine Clinic Abstract • The Denver Veterans Administration Medical Center (DVAMC) established a mobile internal medicine clinic (MediVAn) to provide access to primary care for veterans living more than fifty miles from the center and to study the costs of such an outreach program. A fully equipped van staffed by an internist visited four Colorado cities weekly for scheduled appointments. In the first two years of operation there were 4,655 visits by 766 veterans with a mean age of 56 years, with 3.9 diagnoses, and receiving 3.0 medicines. The cost per MediVAn visit was $68, compared with $67 per outpatient visit at DVAMC. We conclude that a mobile medical clinic is a convenient method of delivering primary care over distances and is comparable in cost to outpatient hospital visits. (Arch Intern Med 1983;143:97-99) References 1. Demographic Profile . Denver, Health Statistics and Vital Records Division, Colorado Department of Health, 1979. 2. County Veteran Population . Veterans Administration Research Monograph 12, Veterans Administration, 1977. 3. Mueller HF: Colorado Health Consumer Survey, A Regional Analysis . Denver, Colorado-Wyoming Regional Medical Program, 1971. 4. 1978 Physicians Specialty Report . Denver, Health Information Section, Colorado Department of Health, 1979. 5. Feretti WP: The realities of rural primary care. J Ambulatory Care Management 1979;2:29-38.Crossref 6. Reilly PC, Reilly MC: The cost of outpatient physician's services at a Veterans Administration Hospital. Ann Intern Med 1980;93 (pt 1):128-132.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Internal Medicine American Medical Association

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Publisher
American Medical Association
Copyright
Copyright © 1983 American Medical Association. All Rights Reserved.
ISSN
0003-9926
eISSN
1538-3679
DOI
10.1001/archinte.1983.00350010103018
Publisher site
See Article on Publisher Site

Abstract

Abstract • The Denver Veterans Administration Medical Center (DVAMC) established a mobile internal medicine clinic (MediVAn) to provide access to primary care for veterans living more than fifty miles from the center and to study the costs of such an outreach program. A fully equipped van staffed by an internist visited four Colorado cities weekly for scheduled appointments. In the first two years of operation there were 4,655 visits by 766 veterans with a mean age of 56 years, with 3.9 diagnoses, and receiving 3.0 medicines. The cost per MediVAn visit was $68, compared with $67 per outpatient visit at DVAMC. We conclude that a mobile medical clinic is a convenient method of delivering primary care over distances and is comparable in cost to outpatient hospital visits. (Arch Intern Med 1983;143:97-99) References 1. Demographic Profile . Denver, Health Statistics and Vital Records Division, Colorado Department of Health, 1979. 2. County Veteran Population . Veterans Administration Research Monograph 12, Veterans Administration, 1977. 3. Mueller HF: Colorado Health Consumer Survey, A Regional Analysis . Denver, Colorado-Wyoming Regional Medical Program, 1971. 4. 1978 Physicians Specialty Report . Denver, Health Information Section, Colorado Department of Health, 1979. 5. Feretti WP: The realities of rural primary care. J Ambulatory Care Management 1979;2:29-38.Crossref 6. Reilly PC, Reilly MC: The cost of outpatient physician's services at a Veterans Administration Hospital. Ann Intern Med 1980;93 (pt 1):128-132.Crossref

Journal

Archives of Internal MedicineAmerican Medical Association

Published: Jan 1, 1983

References