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Measuring the Motor Aspect of Cancer-Related Fatigue using a Handheld Dynamometer
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Addressing Transportation Insecurity Among Patients With Cancer.

Evan M Graboyes1,2, Krisda H Chaiyachati3,4, Jennifer Sisto Gall5,6

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Transportation insecurity affects many cancer patients, leading to missed or delayed care and potentially worse outcomes. Addressing this critical social determinant of health is vital for equitable cancer care delivery.

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Area of Science:

  • Oncology
  • Health Services Research
  • Social Determinants of Health

Background:

  • Health-care-related transportation insecurity is a prevalent issue in the United States, disproportionately affecting vulnerable populations.
  • Patients with cancer face unique challenges due to the episodic, prolonged, and intensive nature of their treatment, often leading to financial hardship and exacerbating transportation barriers.

Purpose of the Study:

  • To discuss the heterogeneous nature and prevalence of transportation insecurity among patients with cancer across the care continuum.
  • To examine the multilevel consequences of transportation insecurity on patients, caregivers, providers, and the health system.
  • To highlight ongoing efforts, suggest policy levers, and outline a research agenda to address transportation insecurity in cancer care.

Main Methods:

  • This commentary synthesizes findings and discussions from a series of webinars sponsored by the National Cancer Policy Forum.
  • It reviews existing literature and expert insights on transportation insecurity as a social determinant of health in oncology.
  • The content addresses the nature, prevalence, consequences, measurement, and interventions related to transportation insecurity in cancer patients.

Main Results:

  • Transportation insecurity is a complex issue with varied manifestations and significant prevalence throughout the cancer care journey.
  • It leads to adverse outcomes, including foregoing or delaying care, potentially increasing cancer recurrence and mortality rates, and worsening health disparities.
  • Negative impacts extend to informal caregivers, healthcare providers, health systems, and society.

Conclusions:

  • Transportation insecurity is a critical barrier to equitable and effective cancer care, necessitating targeted interventions and policy changes.
  • Developing evidence-based protocols for screening and addressing transportation needs is essential for improving patient outcomes.
  • Further research is needed to fill knowledge gaps and inform comprehensive strategies to mitigate the impact of transportation insecurity on patients with cancer.