Delivery of a nurse-led, mobile health clinic model for skin cancer detection in regional South Australia: A descriptive study

Background Regional Australians have higher skin cancer incidence and associated mortality than metropolitan populations. Nurse-led and mobile health models offer innovative solutions to improve skin cancer detection in these communities. Aim To describe the clinical outcomes of a nurse-led, mobile skin check clinic in regional South Australia. Methods Primary care nurses in regional South Australia were trained to conduct dermoscopic skin checks and deliver nurse-led mobile clinics at community events. Consumers completed a validated skin cancer risk survey, and those with suspicious lesions identified were advised to seek follow-up. Findings Twenty-nine regional primary care nurses completed dermoscopy training. Seven clinics were provided in six regional towns. A total of 637 people received a skin check, and 611 (95.9%) completed the survey. Overall, 151 (24.7%) participants were considered either above or very much above the average risk for melanoma, and 272 (44.5%) for keratinocyte cancer. A total of 297 lesions suspicious for malignancy were identified in 172 (27%) people. Of 102 people (70.8%) who could be contacted and received follow-up care, 52 lesions were later confirmed as malignant. Discussion Mobile skin check clinics led by nurses are well-engaged by regional communities and enable early detection of lesions suspicious for skin cancer. To ensure effective follow-up care, a coordinated approach is required, involving collaboration with local nurse practitioners, general practitioners, and dermatologists. Conclusion A nurse-led mobile for skin checks is an innovative approach for improved access to screening for regional South Australians who are at increased risk of skin cancer.