Mobile Mammography Outreach in Texas Communities with unmet health needs: Appointment Outcomes and Operational Insights (2022-2024)

Mobile mammography outreach was evaluated across different sites and counties in Texas from March 2022 to November 2024. Among 1,295 scheduled appointments during 56 mobile mammogram events, 64.3% were completed, 25.1% were no-shows, and 10.6% were cancelled. Federally qualified health centers accounted for the highest volume (701 schedules, 418 services provided) and the highest share of missed appointments. County-level patterns mirrored overall rates. No significant monthly trends were observed ( p > 0.45). Qualitative feedback highlighted the role of faith-based outreach in trust building. Embedding services in established workflows and implementing reminder systems and transportation support may enhance uptake and reduce disproportionate outcomes.