{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T12:55:35Z","timestamp":1791809735349,"version":"4.3.4"},"reference-count":78,"publisher":"MDPI AG","issue":"4","license":[{"start":{"date-parts":[[2026,4,4]],"date-time":"2026-04-04T00:00:00Z","timestamp":1775260800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"National Cancer Institute","award":["U54CA280808"],"award-info":[{"award-number":["U54CA280808"]}]},{"award":["U54CA280808"],"award-info":[{"award-number":["U54CA280808"]}],"id":[{"id":"https:\/\/ror.org\/02t771148","id-type":"ROR","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Objective: This review aimed to synthesize evidence on the design characteristics, implementation considerations, and operational challenges of mobile cancer screening units. Methods: A PRISMA-guided review was conducted. Data extracted included screening type, target population, program characteristics, mobile unit features, and reported implementation barriers. Study quality was assessed using the Mixed Methods Appraisal Tool (MMAT). Results: Sixty-four articles published across 13 countries met the inclusion criteria. Most interventions focused on breast cancer screening (n = 37), followed by lung (n = 11), cervical (n = 6), colorectal, skin, prostate, and multi-cancer screening programs. MSUs were most frequently deployed in urban areas (21 urban\/18 rural\/17 both). Several comparative studies (fixed programs vs. MSUs) reported higher screening uptake in mobile programs, although findings varied substantially by setting, population, and study design. However, adherence and clinical outcomes varied, often reflecting baseline socioeconomic differences in the populations served. Common implementation barriers included follow-up coordination challenges, program costs, equipment and space limitations, and gaps in referral and reimbursement systems. Conclusions: These findings highlight the potential of mobile screening units as public health strategies to expand access to cancer screening while underscoring the need for stronger implementation frameworks and long-term evaluation of program outcomes.<\/jats:p>","DOI":"10.3390\/ijerph23040465","type":"journal-article","created":{"date-parts":[[2026,4,6]],"date-time":"2026-04-06T04:10:27Z","timestamp":1775448627000},"page":"465","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Mobile Cancer Screening Programs: A Systematic Review of Implementation Challenges and Population Access"],"prefix":"10.3390","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4293-0404","authenticated-orcid":false,"given":"Safa","family":"ElKefi","sequence":"first","affiliation":[{"name":"School of System Science & Industrial Engineering, The Thomas J. Watson College of Engineering and Applied Science, Binghamton University, Binghamton, NY 13902, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roberta","family":"Scheinmann","sequence":"additional","affiliation":[{"name":"School of Nursing, Columbia University, New York, NY 10032, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0074-681X","authenticated-orcid":false,"given":"Alicia K.","family":"Matthews","sequence":"additional","affiliation":[{"name":"School of Nursing, Columbia University, New York, NY 10032, USA"},{"name":"College of Nursing, Rush University, Chicago, IL 60612, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6803-2442","authenticated-orcid":false,"given":"Erica","family":"Phillips","sequence":"additional","affiliation":[{"name":"Division of General Internal Medicine, Weill Cornell Medical College, Cornell University, New York, NY 10021, USA"},{"name":"Cancer Prevention and Control Program, Sandra and Edward Meyer Cancer Center at Weill Cornell Medical College, Cornell University, New York, NY 10021, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,4,4]]},"reference":[{"key":"ref_1","unstructured":"World Health Organization (2024). Global Cancer Burden Growing, Amidst Mounting Need for Services, World Health Organization."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"106400","DOI":"10.1016\/j.ypmed.2020.106400","article-title":"Cervical Cancer Screening in the United States: Challenges and Potential Solutions for Underscreened Groups","volume":"144","author":"Fuzzell","year":"2021","journal-title":"Prev. Med."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"374","DOI":"10.1186\/s12931-022-02255-8","article-title":"Understanding Patient Barriers and Facilitators to Uptake of Lung Screening Using Low Dose Computed Tomography: A Mixed Methods Scoping Review of the Current Literature","volume":"23","author":"Cavers","year":"2022","journal-title":"Respir. Res."},{"key":"ref_4","unstructured":"Center for Diseases Control (2024). Reducing Structural Barriers Planning Guide, Center for Diseases Control."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"1679","DOI":"10.1158\/1055-9965.EPI-17-0454","article-title":"Mobile Screening Units for the Early Detection of Cancer: A Systematic Review","volume":"26","author":"Greenwald","year":"2017","journal-title":"Cancer Epidemiol. Biomark. Prev."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"e006960","DOI":"10.1136\/bmjopen-2014-006960","article-title":"Mammograms on-the-Go\u2014Predictors of Repeat Visits to Mobile Mammography Vans in St Louis, Missouri, USA: A Case\u2013Control Study","volume":"5","author":"Drake","year":"2015","journal-title":"BMJ Open"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"2246","DOI":"10.1002\/ijc.35169","article-title":"The Man Van: A Pilot Study of Using Mobile Targeted Case-Finding to Address Health Inequalities in Prostate Cancer","volume":"155","author":"Moghul","year":"2024","journal-title":"Int. J. Cancer"},{"key":"ref_8","unstructured":"(2026, February 25). Protocol Registration. Mobile Screening Units and Cancer, Protocol. Available online: https:\/\/osf.io\/spgwh."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"e41891","DOI":"10.2196\/41891","article-title":"Implementation of E\u2013Mental Health Interventions for Informal Caregivers of Adults with Chronic Diseases: Mixed Methods Systematic Review with a Qualitative Comparative Analysis and Thematic Synthesis","volume":"9","author":"Coumoundouros","year":"2022","journal-title":"JMIR Ment. Health"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"201","DOI":"10.1002\/hpm.4740050305","article-title":"A Mobile Breast Screening Project in Scotland: Lessons Learned for National Screening","volume":"5","author":"Haiart","year":"1990","journal-title":"Int. J. Health Plan. Manag."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"774","DOI":"10.1002\/1097-0142(197209)30:3<774::AID-CNCR2820300327>3.0.CO;2-C","article-title":"Multiphasic Mobile Cancer Screening: A Positive Approach to Early Cancer Detection and Control","volume":"30","author":"Lynch","year":"1972","journal-title":"Cancer"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"165","DOI":"10.1016\/S0033-3506(76)80036-4","article-title":"Response to a Mobile Cervical Screening Unit in an Industrial Area of England","volume":"90","author":"Brindle","year":"1976","journal-title":"Public Health"},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"559","DOI":"10.1002\/pros.2990050511","article-title":"A Mobile Mass Screening Unit for Prostatic Disease","volume":"5","author":"Watanabe","year":"1984","journal-title":"Prostate"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"12","DOI":"10.1016\/j.lungcan.2020.07.027","article-title":"Baseline Results of the West London Lung Cancer Screening Pilot Study\u2013Impact of Mobile Scanners and Dual Risk Model Utilisation","volume":"148","author":"Bartlett","year":"2020","journal-title":"Lung Cancer"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"1147","DOI":"10.1016\/j.athoracsur.2020.03.093","article-title":"Mobile Lung Screening: Should We All Get on the Bus?","volume":"110","author":"Headrick","year":"2020","journal-title":"Ann. Thorac. Surg."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"106156","DOI":"10.1016\/j.ypmed.2020.106156","article-title":"Do Mobile Units Contribute to Spatial Accessibility to Mammography for Uninsured Women?","volume":"138","author":"Hughes","year":"2020","journal-title":"Prev. Med."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"107","DOI":"10.1148\/radiology.179.1.2006259","article-title":"Corporate-Sponsored Breast Cancer Screening at the Work Site: Results of a Statewide Program","volume":"179","author":"Kessler","year":"1991","journal-title":"Radiology"},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"415","DOI":"10.1148\/radiology.184.2.1620839","article-title":"Mobile Mammographic Screening of Self-Referred Women: Results of 22,540 Screenings","volume":"184","author":"Dershaw","year":"1992","journal-title":"Radiology"},{"key":"ref_19","first-page":"369","article-title":"Multistrategy Health Education Program to Increase Mammography Use among Women Ages 65 and Older","volume":"107","author":"Rimer","year":"1992","journal-title":"Public Health Rep."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"239","DOI":"10.1016\/S0033-3506(05)80472-X","article-title":"Mobile Breast Screening: Factors Affecting Uptake, Efforts to Increase Response and Acceptability","volume":"104","author":"McQueen","year":"1990","journal-title":"Public Health"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"51","DOI":"10.1093\/oxfordjournals.pubmed.a042506","article-title":"Compliance with Breast Cancer Screening Achieved by the Aylesbury Vale Mobile Service (1984\u20131988)","volume":"12","author":"Williams","year":"1990","journal-title":"J. Public Health"},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"10732748221121385","DOI":"10.1177\/10732748221121385","article-title":"Implementation of an Integrated Lung Cancer Prevention and Screening Program Using a Mobile Computed Tomography (Ct) Unit in Brazil","volume":"29","author":"Chiarantano","year":"2022","journal-title":"Cancer Control"},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"778","DOI":"10.1016\/j.jacr.2023.10.025","article-title":"Results from Lung Cancer Screening Outreach Utilizing a Mobile Ct Scanner in an Urban Area","volume":"21","author":"Pua","year":"2024","journal-title":"J. Am. Coll. Radiol."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"100354","DOI":"10.1016\/j.jcpo.2022.100354","article-title":"Estimating Lifetime Risk for Breast Cancer as a Screening Tool for Identifying Those Who Would Benefit from Additional Services among Women Utilizing Mobile Mammography","volume":"34","author":"Wetmore","year":"2022","journal-title":"J. Cancer Policy"},{"key":"ref_25","first-page":"4599","article-title":"Analysis of a Decade of Skin Cancer Prevention Using a Mobile Unit in Brazil","volume":"19","author":"Silveira","year":"2019","journal-title":"Rural Remote Health"},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"102","DOI":"10.1006\/pmed.1997.0110","article-title":"Community Education Programs to Promote Mammography Participation in Rural New York State","volume":"26","author":"Flynn","year":"1997","journal-title":"Prev. Med."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"e288","DOI":"10.1016\/j.clbc.2024.11.012","article-title":"Mobile Mammography Utilization and Breast Cancer Screening Adherence among Medicare Fee-for-Service Beneficiaries","volume":"25","author":"Pelzl","year":"2025","journal-title":"Clin. Breast Cancer"},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"1426","DOI":"10.2214\/AJR.16.17670","article-title":"Effectiveness of a Mobile Mammography Program","volume":"209","author":"Stanley","year":"2017","journal-title":"Am. J. Roentgenol."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"188","DOI":"10.1016\/j.ijsu.2017.01.107","article-title":"An Innovative Solution to Raise Public Awareness Using a Mobile Colorectal Clinic-the \u2018Bowel Bus\u2019","volume":"39","author":"Naguib","year":"2017","journal-title":"Int. J. Surg."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"900","DOI":"10.1007\/s10900-013-9696-7","article-title":"Mobile Mammography in Underserved Populations: Analysis of Outcomes of 3,923 Women","volume":"38","author":"Brooks","year":"2013","journal-title":"J. Community Health"},{"key":"ref_31","first-page":"71","article-title":"Outcomes of Recommendations for Breast Biopsies in Women Receiving Mammograms from a County Health Van","volume":"113","author":"Kann","year":"1998","journal-title":"Public Health Rep."},{"key":"ref_32","first-page":"233","article-title":"The Performance of Mobile Screening Units in a Breast Cancer Screening Program in Brazil","volume":"29","author":"Greenwald","year":"2018","journal-title":"Cancer Causes Control"},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"2","DOI":"10.1109\/4233.908348","article-title":"Telemedicine System Using Computed Tomography Van of High-Speed Telecommunication Vehicle","volume":"5","author":"Takizawa","year":"2001","journal-title":"IEEE Trans. Inf. Technol. Biomed."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"1242","DOI":"10.1016\/S0140-6736(97)08229-9","article-title":"Mass Screening for Lung Cancer with Mobile Spiral Computed Tomography Scanner","volume":"351","author":"Sone","year":"1998","journal-title":"Lancet"},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"20","DOI":"10.1111\/jdv.13404","article-title":"Real-Time Mobile Teledermoscopy for Skin Cancer Screening Targeting an Agricultural Population: An Experiment on 289 Patients in France","volume":"30","author":"Hue","year":"2016","journal-title":"J. Eur. Acad. Dermatol. Venereol."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"125","DOI":"10.1007\/s10897-012-9523-9","article-title":"A Mobile Colonoscopic Unit for Lynch Syndrome: Trends in Surveillance Uptake and Patient Experiences of Screening in a Developing Country","volume":"22","author":"Bruwer","year":"2013","journal-title":"J. Genet. Couns."},{"key":"ref_37","doi-asserted-by":"crossref","unstructured":"Mainardi, V., Benedetto, V., Damone, A., Di Stefano, L., Ciuti, G., and Nuti, S. (2024). A Proximity Care Paradigm for Cancer Screening with a Mobile Multi-Screening Unit in Inner Areas. Proceedings of the Paper Presented at the 2024 IEEE International Conference on Pervasive Computing and Communications Workshops and Other Affiliated Events (PerCom Workshops), Biarritz, France, 11\u201315 2024, IEEE.","DOI":"10.1109\/PerComWorkshops59983.2024.10503159"},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"1365","DOI":"10.1111\/j.1532-5415.1997.tb02938.x","article-title":"Acceptability of Mobile Mammography among Community-Dwelling Older Women","volume":"45","author":"Levin","year":"1997","journal-title":"J. Am. Geriatr. Soc."},{"key":"ref_39","doi-asserted-by":"crossref","unstructured":"Gupta, G., Jamwal, N., and Gupta, R. (2024). The Chiraiya Project: A Retrospective Analysis of Breast Cancer Detection Gaps Addressed Via Mobile Mammography in Jammu Province, India. BMC Public Health, 24.","DOI":"10.1186\/s12889-024-19622-3"},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"84","DOI":"10.1016\/j.ypmed.2017.04.006","article-title":"Could Mobile Mammography Reduce Social and Geographic Inequalities in Breast Cancer Screening Participation?","volume":"100","author":"Guillaume","year":"2017","journal-title":"Prev. Med."},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"1067","DOI":"10.1016\/S1076-6332(05)80517-3","article-title":"Patient Compliance in Mobile Screening Mammography","volume":"2","author":"Pisano","year":"1995","journal-title":"Acad. Radiol."},{"key":"ref_42","first-page":"195","article-title":"Breast Cancer Screening in Underserved Women in the Bronx","volume":"91","author":"Frelix","year":"1999","journal-title":"J. Natl. Med. Assoc."},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"1492","DOI":"10.1353\/hpu.2023.a912732","article-title":"Providing Free Mammography Screening to Uninsured Muslim Women in South Florida","volume":"34","author":"Garba","year":"2023","journal-title":"J. Health Care Poor Underserved"},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"944","DOI":"10.1016\/j.acra.2021.03.014","article-title":"Adherence to Screening among American Indian Women Accessing a Mobile Mammography Unit","volume":"28","author":"Roubidoux","year":"2021","journal-title":"Acad. Radiol."},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"e777","DOI":"10.1634\/theoncologist.2019-0802","article-title":"Initial Results from Mobile Low-Dose Computerized Tomographic Lung Cancer Screening Unit: Improved Outcomes for Underserved Populations","volume":"25","author":"Raghavan","year":"2020","journal-title":"Oncologist"},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"1176","DOI":"10.1136\/thoraxjnl-2018-212601","article-title":"Attendees of Manchester\u2019s Lung Health Check Pilot Express a Preference for Community-Based Lung Cancer Screening","volume":"74","author":"Balata","year":"2019","journal-title":"Thorax"},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"493","DOI":"10.1093\/ije\/24.3.493","article-title":"Effect of a Mobile Unit on Changes in Knowledge and Use of Cervical Cancer Screening among Rural Thai Women","volume":"24","author":"Swaddiwudhipong","year":"1995","journal-title":"Int. J. Epidemiol."},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"229","DOI":"10.1097\/LGT.0000000000000112","article-title":"The Impact of Accessible Cervical Cancer Screening in Peru\u2014The D\u00eda Del Mercado Project","volume":"19","author":"Ferris","year":"2015","journal-title":"J. Low. Genit. Tract Dis."},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"413","DOI":"10.31557\/APJCP.2021.22.2.413","article-title":"Mobile Screening Unit (Msu) for the Implementation of the \u2018Screen and Treat\u2019programme for Cervical Cancer Prevention in Pune, India","volume":"22","author":"Joshi","year":"2021","journal-title":"Asian Pac. J. Cancer Prev. APJCP"},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"738","DOI":"10.1038\/sj.bjc.6603633","article-title":"Effectiveness, Safety and Acceptability of \u2018See and Treat\u2019with Cryotherapy by Nurses in a Cervical Screening Study in India","volume":"96","author":"Sankaranarayanan","year":"2007","journal-title":"Br. J. Cancer"},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"102486","DOI":"10.1016\/j.pmedr.2023.102486","article-title":"Addressing Cervical Cancer Disparities in Texas: Expansion of a Community-Based Prevention Initiative for Medically Underserved Populations","volume":"36","author":"Batman","year":"2023","journal-title":"Prev. Med. Rep."},{"key":"ref_52","doi-asserted-by":"crossref","unstructured":"Mauad, E.C., Silva, T.B., Latorre, M.R., Vieira, R.A., Haikel, R.L., Vazquez, V.L., and Longatto-Filho, A. (2011). Opportunistic Screening for Skin Cancer Using a Mobile Unit in Brazil. BMC Dermatol., 11.","DOI":"10.1186\/1471-5945-11-12"},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"1052","DOI":"10.1016\/j.urology.2010.02.044","article-title":"Program for Prostate Cancer Screening Using a Mobile Unit: Results from Brazil","volume":"76","author":"Faria","year":"2010","journal-title":"Urology"},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"208","DOI":"10.1136\/jech.200X.038398","article-title":"Socioeconomic Deprivation, Travel Distance, Location of Service, and Uptake of Breast Cancer Screening in North Derbyshire, Uk","volume":"60","author":"Maheswaran","year":"2006","journal-title":"J. Epidemiol. Community Health"},{"key":"ref_55","doi-asserted-by":"crossref","first-page":"1203","DOI":"10.1097\/00004424-199312000-00115","article-title":"Patient Compliance in Mobile Screening Mammography","volume":"28","author":"Ghate","year":"1993","journal-title":"Investig. Radiol."},{"key":"ref_56","doi-asserted-by":"crossref","first-page":"105","DOI":"10.1188\/04.ONF.105-110","article-title":"An Intervention to Increase Mammography Use by Korean American Women","volume":"31","author":"Kim","year":"2004","journal-title":"Oncol. Nurs. Forum"},{"key":"ref_57","first-page":"320","article-title":"Factors Affecting Women\u2019s Response to an Invitation to Attend for a Second Breast Cancer Screening Examination","volume":"41","author":"Orton","year":"1991","journal-title":"Br. J. Gen. Pract."},{"key":"ref_58","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1016\/j.jacr.2017.08.030","article-title":"Mobile Versus Fixed Facility: Latinas\u2019 Attitudes and Preferences for Obtaining a Mammogram","volume":"15","author":"Scheel","year":"2018","journal-title":"J. Am. Coll. Radiol."},{"key":"ref_59","first-page":"398","article-title":"Mobile Mammography: Assessment of Self-Referral in Reaching Medically Underserved Women","volume":"99","author":"Peek","year":"2007","journal-title":"J. Natl. Med. Assoc."},{"key":"ref_60","doi-asserted-by":"crossref","unstructured":"Haikel, R.L., Mauad, E.C., Silva, T.B., Mattos, J.S., Chala, L.F., Longatto-Filho, A., and de Barros, N. (2012). Mammography-Based Screening Program: Preliminary Results from a First 2-Year Round in a Brazilian Region Using Mobile and Fixed Units. BMC Women\u2019s Health, 12.","DOI":"10.1186\/1472-6874-12-32"},{"key":"ref_61","doi-asserted-by":"crossref","first-page":"698","DOI":"10.1007\/s10900-013-9667-z","article-title":"Do Appalachian Women Attending a Mobile Mammography Program Differ from Those Visiting a Stationary Mammography Facility?","volume":"38","author":"Vyas","year":"2013","journal-title":"J. Community Health"},{"key":"ref_62","doi-asserted-by":"crossref","first-page":"2200483","DOI":"10.1183\/13993003.00483-2022","article-title":"Participation in Community-Based Lung Cancer Screening: The Yorkshire Lung Screening Trial","volume":"60","author":"Crosbie","year":"2022","journal-title":"Eur. Respir. J."},{"key":"ref_63","doi-asserted-by":"crossref","first-page":"331","DOI":"10.1111\/j.1524-4741.1997.tb00189.x","article-title":"Breast Cancer Detection Rates by Screening Mammography in Elderly Women","volume":"3","author":"Harrison","year":"1997","journal-title":"Breast J."},{"key":"ref_64","doi-asserted-by":"crossref","first-page":"338","DOI":"10.1097\/00007611-199303000-00018","article-title":"Low-Cost Screening Mammography: Results of 21,141 Consecutive Examinations in a Community Program","volume":"86","author":"Lynde","year":"1993","journal-title":"South. Med. J."},{"key":"ref_65","first-page":"1031","article-title":"Mobile Breast Screening Services in Australia: A Qualitative Exploration of Perceptions and Experiences among Rural and Remote Women Aged \u2265 75 Years","volume":"32","author":"Adams","year":"2024","journal-title":"Aust. J. Rural Health"},{"key":"ref_66","doi-asserted-by":"crossref","first-page":"299","DOI":"10.1097\/00008469-199508000-00005","article-title":"Herault Breast Screening Programme: Results after 30 Months of a Mobile French Schedule","volume":"4","author":"Daures","year":"1995","journal-title":"Eur. J. Cancer Prev."},{"key":"ref_67","doi-asserted-by":"crossref","first-page":"2034","DOI":"10.1002\/1097-0142(19941001)74:7+<2034::AID-CNCR2820741708>3.0.CO;2-E","article-title":"Breast Cancer Screening in Older Black Women","volume":"74","author":"Roberson","year":"1994","journal-title":"Cancer"},{"key":"ref_68","doi-asserted-by":"crossref","first-page":"04190","DOI":"10.7189\/jogh.14.04190","article-title":"Breast Cancer Incidence in Mobile Screening Vs. In-Hospital Screening Programmes Based on 6 313 607 Mammograms in 2 387 756 Women in Taiwan","volume":"14","author":"Vy","year":"2024","journal-title":"J. Glob. Health"},{"key":"ref_69","doi-asserted-by":"crossref","first-page":"40","DOI":"10.1186\/s12939-020-1135-7","article-title":"Mobile Health Clinics in the United States","volume":"19","author":"Malone","year":"2020","journal-title":"Int. J. Equity Health"},{"key":"ref_70","doi-asserted-by":"crossref","unstructured":"Hotchkiss, D.R., Eisele, T.P., Djibuti, M., Silvestre, E.A., and Rukhadze, N. (2006). Health System Barriers to Strengthening Vaccine-Preventable Disease Surveillance and Response in the Context of Decentralization: Evidence from Georgia. BMC Public Health, 6.","DOI":"10.1186\/1471-2458-6-175"},{"key":"ref_71","doi-asserted-by":"crossref","first-page":"51","DOI":"10.1186\/s13012-023-01304-0","article-title":"A Scoping Review of Equity-Focused Implementation Theories, Models and Frameworks in Healthcare and Their Application in Addressing Ethnicity-Related Health Inequities","volume":"18","author":"Gustafson","year":"2023","journal-title":"Implement. Sci."},{"key":"ref_72","doi-asserted-by":"crossref","unstructured":"Welch, V.A., Petkovic, J., Jull, J., Hartling, L., Klassen, T., Kristjansson, E., Pardo, J.P., Petticrew, M., Stott, D.J., and Thomson, D. (2019). Equity and Specific Populations. Cochrane Handbook for Systematic Reviews of Interventions, John Wiley & Sons Ltd.","DOI":"10.1002\/9781119536604.ch16"},{"key":"ref_73","unstructured":"Alyafei, A., and Easton-Carr, R. (2024). The Health Belief Model of Behavior Change, StatPearls."},{"key":"ref_74","doi-asserted-by":"crossref","first-page":"107069","DOI":"10.1016\/j.ypmed.2022.107069","article-title":"Outreach to Primary Care Patients in Lung Cancer Screening: A Randomized Controlled Trial","volume":"159","author":"DiCarlo","year":"2022","journal-title":"Prev. Med."},{"key":"ref_75","doi-asserted-by":"crossref","first-page":"e2500174","DOI":"10.1200\/CCI-25-00174","article-title":"Health Informatics in Promoting Breast Cancer Screening: A Systematic Review of Benefits and Challenges","volume":"9","author":"Wu","year":"2025","journal-title":"JCO Clin. Cancer Inform."},{"key":"ref_76","doi-asserted-by":"crossref","unstructured":"Elkefi, S., Gaillard, N., and Wu, R. (2025). Effectiveness of Technology-Based Interventions in Promoting Lung Cancer Screening Uptake and Decision-Making among Patients. Int. J. Environ. Res. Public Health, 22.","DOI":"10.3390\/ijerph22081250"},{"key":"ref_77","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1186\/s13012-021-01181-5","article-title":"Conceptualizing Outcomes for Use with the Consolidated Framework for Implementation Research (Cfir): The Cfir Outcomes Addendum","volume":"17","author":"Damschroder","year":"2022","journal-title":"Implement. Sci."},{"key":"ref_78","doi-asserted-by":"crossref","first-page":"721","DOI":"10.1089\/tmj.2013.0240","article-title":"A Mobile Phone-Based, Community Health Worker Program for Referral, Follow-up, and Service Outreach in Rural Zambia: Outcomes and Overview","volume":"20","author":"Schuttner","year":"2014","journal-title":"Telemed. e-Health"}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/23\/4\/465\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,7]],"date-time":"2026-04-07T04:12:50Z","timestamp":1775535170000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/23\/4\/465"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,4]]},"references-count":78,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2026,4]]}},"alternative-id":["ijerph23040465"],"URL":"https:\/\/doi.org\/10.3390\/ijerph23040465","relation":{},"ISSN":["1660-4601"],"issn-type":[{"value":"1660-4601","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,4]]}}}