title: Rollende arztpraxis - first results of an ambulant mobile care model for rural areas.
abstract: German medical care is going to suffer from a decreasing number of general practitioners due to demographic change. We study if ambulatory care in rural areas can be complementary ensured by a mobile care unit. A medical care van - the "rolling medical practice" (RMP) - has been constructed based on care scenarios created for rural communities in northern Germany. Performance and acceptance of the RMP is evaluated by constant monitoring of anonymized medical documentation and questionnaires. The RMP is visiting six villages on two days a week in a three-week interval. It is constructed from a standard van with a custom box body fully equipped for general care needs. Actually treated care cases meet expectations and are acute as well as chronicle symptoms. Case numbers range from 6 to 50 visits in 5 month. We showed that almost full ranged mobile medical care, as supplement to general medical supply is possible.
authors.affiliation: Peter L. Reichertz Institute for Medical Informatics, University of Braunschweig - Institute of Technology and Hannover Medical School, Braunschweig, Germany.
authors.forename: Jonas
authors.initials: J
authors.lastname: Schwartze
authors.affiliation: Peter L. Reichertz Institute for Medical Informatics, University of Braunschweig - Institute of Technology and Hannover Medical School, Braunschweig, Germany.
authors.forename: Klaus-Hendrik
authors.initials: KH
authors.lastname: Wolf
authors.affiliation: Peter L. Reichertz Institute for Medical Informatics, University of Braunschweig - Institute of Technology and Hannover Medical School, Braunschweig, Germany.
authors.forename: Tobias
authors.initials: T
authors.lastname: Von Bargen
authors.affiliation: Braunschweig Centre of Informatics and Technology GmbH (BITZ), Braunschweig, Germany.
authors.forename: Maike
authors.initials: M
authors.lastname: Rochon
authors.affiliation: Braunschweig Centre of Informatics and Technology GmbH (BITZ), Braunschweig, Germany.
authors.forename: Markus
authors.initials: M
authors.lastname: Wagner
authors.affiliation: Wolfsburg AG, Wolfsburg, Germany.
authors.forename: Uwe
authors.initials: U
authors.lastname: Bannenberg
authors.affiliation: University of Braunschweig - Institute of Technology, Braunschweig, Germany.
authors.forename: Markus
authors.initials: M
authors.lastname: Drews
authors.affiliation: Sozialversicherung für Landwirtschaft, Forsten und Gartenbau, Kassel.
authors.forename: Thomas
authors.initials: T
authors.lastname: Fischer
authors.affiliation: Wolfsburg AG, Wolfsburg, Germany.
authors.forename: Torben
authors.initials: T
authors.lastname: Hellwig
authors.affiliation: Association of Statutory Health Insurance Physicians Lower Saxony, Braunschweig, Germany.
authors.forename: Stefan
authors.initials: S
authors.lastname: Hofmann
authors.affiliation: AOK - Die Gesundheitskasse für Niedersachsen, Hannover, Germany.
authors.forename: Petra
authors.initials: P
authors.lastname: Höft-Budde
authors.affiliation: Wolfsburg AG, Wolfsburg, Germany.
authors.forename: Ralf
authors.initials: R
authors.lastname: Jäger
authors.affiliation: Deutsche BKK, Wolfsburg, Germany.
authors.forename: Stefan
authors.initials: S
authors.lastname: Lorenz
authors.affiliation: Integrated Municipality Schöppenstedt, Schöppenstedt, Germany.
authors.forename: Ruth
authors.initials: R
authors.lastname: Naumann
authors.affiliation: Braunschweig Centre of Informatics and Technology GmbH (BITZ), Braunschweig, Germany.
authors.forename: Maik
authors.initials: M
authors.lastname: Plischke
authors.affiliation: AOK - Die Gesundheitskasse für Niedersachsen, Hannover, Germany.
authors.forename: Jörg
authors.initials: J
authors.lastname: Reytarowski
authors.affiliation: Association of Statutory Health Insurance Physicians Lower Saxony, Braunschweig, Germany.
authors.forename: Constanze
authors.initials: C
authors.lastname: Richter
authors.affiliation: County of Wolfenbüttel, Wolfenbüttel, Germany.
authors.forename: Christina
authors.initials: C
authors.lastname: Steinbrügge
authors.affiliation: County of Wolfenbüttel, Wolfenbüttel, Germany.
authors.forename: Anja
authors.initials: A
authors.lastname: Ziegenspeck
authors.affiliation: Wolfsburg AG, Wolfsburg, Germany.
authors.forename: Julius
authors.initials: J
authors.lastname: Von Ingelheim
authors.affiliation: Peter L. Reichertz Institute for Medical Informatics, University of Braunschweig - Institute of Technology and Hannover Medical School, Braunschweig, Germany.
authors.forename: Reinhold
authors.initials: R
authors.lastname: Haux
mesh_terms: D000553:Ambulatory Care / Q000706:statistics & numerical data*; D002908:Chronic Disease / Q000453:epidemiology / Q000628:therapy*; D005240:Feasibility Studies; D058006:General Practice / Q000295:instrumentation / Q000458:organization & administration / Q000706:statistics & numerical data*; D005858:Germany / Q000453:epidemiology; D006801:Humans; D008952:Mobile Health Units / Q000706:statistics & numerical data*; D017060:Patient Satisfaction / Q000706:statistics & numerical data*; D010865:Pilot Projects; D019035:Rural Health Services / Q000706:statistics & numerical data*; D014600:Utilization Review