Harvard Medical School, 200 Longwood Ave, Boston, MA, 02115, USA.
Int J Equity Health. 2023 Sep 1;22(1):173. doi: 10.1186/s12939-023-01982-8.
By analyzing how health care leaders in the United States view mobile health programs and their impact on the organization's bottom line, this study equips those who currently operate or plan to deploy mobile clinics with a business case framework. Our aim is to understand health care leaders' perspectives about business-related incentives and disincentives for mobile healthcare.
We conducted 25 semi-structured key informant interviews with U.S. health care leaders to explore their views and experiences related to mobile health care. We used deductive and inductive thematic analysis to identify patterns in the data. An advisory group with expertise in mobile health, health management, and health care finance informed data collection and analysis.
In addition to improving health outcomes, mobile clinics can bolster business objectives of health care organizations including those related to budget, business strategy, organizational culture, and health equity. We created a conceptual framework that demonstrates how these factors, supported by community engagement and data, come together to form a business case for mobile health care.
Our study demonstrates that mobile clinics can contribute to health care organizations' business goals by aligning with broader organizational strategies. The conceptual model provides a guide for aligning mobile clinics' work with business priorities of organizations and funders.
By understanding how health care leaders reconcile the business pressures they face with opportunities to advance health equity using mobile clinics, we can better support the strategic and sustainable expansion of the mobile health sector.
通过分析美国医疗保健领导者如何看待移动医疗计划及其对组织底线的影响，本研究为那些正在运营或计划部署移动诊所的人提供了一个商业案例框架。我们的目的是了解医疗保健领导者对移动医疗相关激励因素和抑制因素的看法。
我们对 25 名美国医疗保健领导者进行了半结构化的关键意见访谈，以探讨他们对移动医疗的看法和经验。我们使用演绎和归纳主题分析来识别数据中的模式。一个在移动医疗、健康管理和医疗保健融资方面具有专业知识的顾问小组为数据收集和分析提供了信息。
除了改善健康结果外，移动诊所还可以增强医疗保健组织的业务目标，包括与预算、业务战略、组织文化和健康公平相关的目标。我们创建了一个概念框架，展示了这些因素如何在社区参与和数据的支持下共同形成移动医疗的商业案例。
我们的研究表明，移动诊所可以通过与更广泛的组织战略保持一致，为医疗保健组织的业务目标做出贡献。该概念模型为移动诊所的工作与组织和资助者的业务重点对齐提供了指导。
通过了解医疗保健领导者如何在面临商业压力的情况下，利用移动诊所机会来促进健康公平，我们可以更好地支持移动医疗领域的战略和可持续扩展。
