Using Mobile DXA to Improve Access to Osteoporosis Care

Osteoporosis diagnosis and monitoring is best accomplished with dual X-ray absorptiometry (DXA), but technology availability can hinder access to care. We designed a mobile DXA program incorporating a Hologic Delphi-CTM bone densitometer housed in a specially configured 30-ft WinnebagoTM. The mobile DXA program provided osteoporosis testing and education at the convenience of the patient’s primary care site within our rural health care system. DXA results were sent electronically to the patient’s physician within 48–72 h. The mobile DXA patient group tended to be older and at high risk for future fracture. The service provided was rated as excellent by patients. Given the volume of patients studied, the program was financially self-sustaining. Other healthcare systems or groups should consider development of a similar program.