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Missed or Delayed Medical Care Appointments by Older Users of Nonemergency Medical Transportation
Kara E MacLeod1, David R Ragland2, Thomas R Prohaska3
1Safe Transportation Research & Education Center, University of California, Berkeley. School of Public Health, University of California at Berkeley. kara.e.m@gmail.com.
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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