Mobile health clinics serve an important role in the health care system, providing care to some of the most vulnerable populations. Mobile Health Map is the only comprehensive database of mobile clinics in the United States. Members of this collaborative research network and learning community supply information about their location, services, target populations, and costs. They also have access to tools to measure, improve, and communicate their impact. We analyzed data from 811 clinics that participated in Mobile Health Map between 2007 and 2017 to describe the demographics of the clients these clinics serve, the services they provide, and mobile clinics’ affiliated institutions and funding sources. Mobile clinics provide a median number of 3491 visits annually. More than half of their clients are women (55%) and racial/ethnic minorities (59%). Of the 146 clinics that reported insurance data, 41% of clients were uninsured while 44% had some form of public insurance. The most common service models were primary care (41%) and prevention (47%). With regards to organizational affiliations, they vary from independent (33%) to university affiliated (24%), while some (29%) are part of a hospital or health care system. Most mobile clinics receive some financial support from philanthropy (52%), while slightly less than half (45%) receive federal funds. Mobile health care delivery is an innovative model of health services delivery that provides a wide variety of services to vulnerable populations. The clinics vary in service mix, patient demographics, and relationships with the fixed health system. Although access to care has increased in recent years through the Affordable Care Act, barriers continue to persist, particularly among populations living in resource-limited areas. Mobile clinics can improve access by serving as a vital link between the community and clinical facilities. Additional work is needed to advance availability of this important resource.

中文翻译：

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美国的流动医疗诊所。

流动医疗诊所在医疗保健系统中发挥着重要作用，为一些最脆弱的人群提供医疗服务。移动健康地图是美国唯一的移动诊所综合数据库。该协作研究网络和学习社区的成员提供有关其位置，服务，目标人群和成本的信息。他们还可以使用工具来衡量，改善和传达其影响。我们分析了2007年至2017年间参与Mobile Health Map的811家诊所的数据，以描述这些诊所所服务的客户的人口统计学，他们提供的服务以及流动诊所的附属机构和资金来源。流动诊所每年平均提供3491次就诊。他们的客户中有一半以上是女性（55％）和种族/少数民族（59％）。在报告保险数据的146家诊所中，有41％的客户未投保，而44％的人拥有某种形式的公共保险。最常见的服务模式是初级保健（41％）和预防（47％）。关于组织隶属关系，从独立（33％）到附属大学（24％），有的（29％）是医院或医疗保健系统的一部分。大多数流动诊所从慈善事业中获得一些财政支持（52％），而略少于一半（45％）的政府获得联邦资金。移动医疗服务是医疗服务提供的一种创新模式，可为弱势人群提供多种服务。诊所的服务组合，患者人口统计以及与固定医疗系统的关系各不相同。尽管近年来通过《平价医疗法案》获得了更多医疗服务，障碍继续存在，特别是在资源有限地区的人口中。流动诊所可以作为社区和临床设施之间的重要纽带，从而改善访问范围。需要进行额外的工作来提高此重要资源的可用性。