Missed or Delayed Medical Care Appointments by Older Users of Nonemergency Medical Transportation

Kara E. MacLeod · David R. Ragland · THOMAS R. PROHASKA · Matthew Lee Smith · Cheryl Irmiter · William A. Satariano

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Transportation Planning and Optimization Healthcare Policy and Management Older Adults Driving Studies

Abstract

PURPOSE OF THE STUDY: This study identified factors associated with canceling nonemergency medical transportation appointments among older adult Medicaid patients. DESIGN AND METHODS: Data from 125,913 trips for 2,913 Delaware clients were examined. Mediation analyses, as well as, multivariate logistic regressions were conducted. RESULTS: Over half of canceled trips were attributed to client reasons (e.g., no show, refusal). Client characteristics (e.g., race, sex, functional status) were associated with cancelations; however, these differed based on the cancelation reason. Regularly scheduled trips were less likely to be canceled. IMPLICATIONS: The evolving American health care system may increase service availability. Additional policies can improve service accessibility and overcome utilization barriers.

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References

2005The Epidemiologic Transition: A Theory of the Epidemiology of Population Change 2005Societal and Individual Determinants of Medical Care Utilization in the United States 1973Societal and Individual Determinants of Medical Care Utilization in the United States 2004Barriers to Health Care Access Among the Elderly and Who Perceives Them

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