UniMóvil: A Mobile Health Clinic Providing Primary Care to the Colonias of the Rio Grande Valley, South Texas
Background: We describe a mobile unit (UniMóvil) designed to improve poor healthcare access delivery to residents in two South Texas underserved Colonias. The interprofessional team measured seven clinical outcomes [obesity, diabetes, hypertension, hypertriglyceridemia, low high-density lipoprotein...
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doaj-540b4af53afb49f6976b0507c870dd542020-11-25T01:17:15ZengFrontiers Media S.A.Frontiers in Public Health2296-25652019-08-01710.3389/fpubh.2019.00215405885UniMóvil: A Mobile Health Clinic Providing Primary Care to the Colonias of the Rio Grande Valley, South TexasEron G. Manusov0Vincent P. Diego1Jacob Smith2Jesús R. Garza3John Lowdermilk4John Blangero5Sarah Williams-Blangero6Francisco Fernandez7Department of Family and Community Medicine, Department of Human Genetics, School of Medicine, University of Texas Rio Grande Valley, Harlingen, TX, United StatesDepartment of Human Genetics, School of Medicine, South Texas Diabetes and Obesity Institute, The University of Texas Rio Grande Valley, Brownsville, TX, United StatesUniversity of Texas Rio Grande Valley School of Medicine, Edinburg, TX, United StatesVIDAS [United Health Foundation], University of Texas Rio Grande Valley School of Medicine, Edinburg, TX, United StatesHuman Development & School Services, University of Texas Rio Grande Valley, Edinburg, TX, United StatesDepartment of Human Genetics, Genomics Computing Center, School of Medicine, South Texas Diabetes and Obesity Institute, University of Texas Rio Grande Valley, Brownsville, TX, United StatesDepartment of Human Genetics, School of Medicine, South Texas Diabetes and Obesity Institute, University of Texas Rio Grande Valley, Brownsville, TX, United StatesDepartment of Psychiatry, School of Medicine, University of Texas Rio Grande Valley, Harlingen, TX, United StatesBackground: We describe a mobile unit (UniMóvil) designed to improve poor healthcare access delivery to residents in two South Texas underserved Colonias. The interprofessional team measured seven clinical outcomes [obesity, diabetes, hypertension, hypertriglyceridemia, low high-density lipoprotein cholesterol (HDL-C) levels, and depression], and using the Duke Health Profile, assessed the health-related quality of life (HrQoL).Methods: The investigators used previously reported disease prevalence, an implementation model, and community needs-assessments to design an outreach healthcare delivery model. A retrospective review of the cohort provides data used to determine potential predictors of clinical variables, 11 domains of HrQOL, and inter/intra Colonia differences.Results: The average age of patients was 45 years-old and females represented 67% of the population served. Results include a high prevalence of obesity (55.5%), hypertension (39%), diabetes (32.5%), and depression (19%), gender differences, and inter-Colonia differences. A generalized linear mixed model analysis provided associations between clinical outcomes and predictors (age, sex, BMI, PHQ-9 score, HbA1c, blood pressure, serum cholesterol, low HDL, triglycerides, and HrQOL domains). The HrQol domain of low self-perceived health, relates to obesity, diabetes, low HDL, and depression. Depression predicted all 11 domains of the HrQol.Conclusion: The prevalence of diabetes, hypertension, obesity, and depression remains epidemic. Mobile clinics increase access and address highly prevalent illnesses in the Colonias. The data collected can be used to address chronic disease and quality of life, focus care, and direct research in high-need underserved areas.https://www.frontiersin.org/article/10.3389/fpubh.2019.00215/fullColoniamobile clinicquality of lifeinterprofessional careborderMexican-American |
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DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Eron G. Manusov Vincent P. Diego Jacob Smith Jesús R. Garza John Lowdermilk John Blangero Sarah Williams-Blangero Francisco Fernandez |
spellingShingle |
Eron G. Manusov Vincent P. Diego Jacob Smith Jesús R. Garza John Lowdermilk John Blangero Sarah Williams-Blangero Francisco Fernandez UniMóvil: A Mobile Health Clinic Providing Primary Care to the Colonias of the Rio Grande Valley, South Texas Frontiers in Public Health Colonia mobile clinic quality of life interprofessional care border Mexican-American |
author_facet |
Eron G. Manusov Vincent P. Diego Jacob Smith Jesús R. Garza John Lowdermilk John Blangero Sarah Williams-Blangero Francisco Fernandez |
author_sort |
Eron G. Manusov |
title |
UniMóvil: A Mobile Health Clinic Providing Primary Care to the Colonias of the Rio Grande Valley, South Texas |
title_short |
UniMóvil: A Mobile Health Clinic Providing Primary Care to the Colonias of the Rio Grande Valley, South Texas |
title_full |
UniMóvil: A Mobile Health Clinic Providing Primary Care to the Colonias of the Rio Grande Valley, South Texas |
title_fullStr |
UniMóvil: A Mobile Health Clinic Providing Primary Care to the Colonias of the Rio Grande Valley, South Texas |
title_full_unstemmed |
UniMóvil: A Mobile Health Clinic Providing Primary Care to the Colonias of the Rio Grande Valley, South Texas |
title_sort |
unimóvil: a mobile health clinic providing primary care to the colonias of the rio grande valley, south texas |
publisher |
Frontiers Media S.A. |
series |
Frontiers in Public Health |
issn |
2296-2565 |
publishDate |
2019-08-01 |
description |
Background: We describe a mobile unit (UniMóvil) designed to improve poor healthcare access delivery to residents in two South Texas underserved Colonias. The interprofessional team measured seven clinical outcomes [obesity, diabetes, hypertension, hypertriglyceridemia, low high-density lipoprotein cholesterol (HDL-C) levels, and depression], and using the Duke Health Profile, assessed the health-related quality of life (HrQoL).Methods: The investigators used previously reported disease prevalence, an implementation model, and community needs-assessments to design an outreach healthcare delivery model. A retrospective review of the cohort provides data used to determine potential predictors of clinical variables, 11 domains of HrQOL, and inter/intra Colonia differences.Results: The average age of patients was 45 years-old and females represented 67% of the population served. Results include a high prevalence of obesity (55.5%), hypertension (39%), diabetes (32.5%), and depression (19%), gender differences, and inter-Colonia differences. A generalized linear mixed model analysis provided associations between clinical outcomes and predictors (age, sex, BMI, PHQ-9 score, HbA1c, blood pressure, serum cholesterol, low HDL, triglycerides, and HrQOL domains). The HrQol domain of low self-perceived health, relates to obesity, diabetes, low HDL, and depression. Depression predicted all 11 domains of the HrQol.Conclusion: The prevalence of diabetes, hypertension, obesity, and depression remains epidemic. Mobile clinics increase access and address highly prevalent illnesses in the Colonias. The data collected can be used to address chronic disease and quality of life, focus care, and direct research in high-need underserved areas. |
topic |
Colonia mobile clinic quality of life interprofessional care border Mexican-American |
url |
https://www.frontiersin.org/article/10.3389/fpubh.2019.00215/full |
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