Mobile Clinics Making Waves: Dr. Kathleen Page on Baltimore's Integrated Care Vans
Episode Overview
Dr. Kathleen Page discusses the integrated care van and its objectives to provide a range of healthcare services for individuals with substance use disorder. The study used a cluster randomized trial methodology to assess the impact of the van on patient outcomes. Challenges like the COVID-19 pandemic and population differences affected the study results. Dr. Page highlights the need for low-barrier access to buprenorphine and coordinated care for substance use disorder. Policy recommendations include expanding access to integrated care vans and improving coordination between social services and treatment programs.
I don't know that I can say with 100% certainty that we're... that these vans are amazing resources and improve outcomes. But at the same time, they definitely don't cause any harm.
What happens when healthcare goes mobile? In this episode, Ben Scher sits down with Dr. Kathleen Page to discuss her fascinating study on the effectiveness of an integrated care van in Baltimore. Imagine a van that not only provides healthcare services but also prescribes buprenorphine to those struggling with substance use disorder. Dr. Page's research dives into whether these mobile clinics can make a real difference in neighborhoods that are often overlooked by traditional healthcare systems. Dr.
Page shares the highs and lows of conducting a cluster-randomized trial, comparing outcomes in areas where the van operated versus those it didn’t. The findings? Eye-opening. From the unique needs of people who inject drugs to the impact of COVID-19 on the research, this episode covers it all.
“When you go out on the van you really are serving a different group, a much more under-served group of people who generally mistrust or don't access the health system unless it's an emergency”, says Dr. Page. This episode is perfect for anyone curious about innovative healthcare solutions, especially those involved in addiction treatment or public health policy.
Whether you're a researcher, clinician, or someone with lived experience, you'll find valuable insights into how mobile clinics can bridge gaps in care and build trust in communities that need it most.