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    Rideshare-based nonemergency medical transportation (RB-NEMT) can address unmet needs and reduce system strain. It is most suitable for specific patient and ride types, offering cost-effective solutions.

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    Area of Science:

    • Healthcare Access and Transportation
    • Public Health Policy
    • Health Services Research

    Background:

    • Nonemergency medical transportation (NEMT) is crucial for healthcare access, particularly for vulnerable populations.
    • Existing NEMT systems face challenges including strain and unmet demands for on-demand, cost-effective solutions.
    • Ridesharing services present a nascent but potentially growing option within the NEMT landscape.

    Purpose of the Study:

    • To identify rider and ride characteristics most appropriate for rideshare-based NEMT (RB-NEMT).
    • To estimate the population segments that could benefit from RB-NEMT.
    • To analyze the potential of RB-NEMT to address current NEMT challenges.

    Main Methods:

    • Building on existing healthcare access research.
    • Identifying specific rider profiles and ride types suitable for RB-NEMT.
    • Utilizing population estimates from three nationally representative data sources.

    Main Results:

    • RB-NEMT can alleviate system strain and meet demands for on-demand, cost-effective NEMT.
    • Optimal users include individuals needing rides due to medical conditions and those using specific transit modes (e.g., Door2Door, Curb2Curb).
    • Ideal rides include discharges, on-demand trips, backup for failed transport, and those needing minimal assistance.

    Conclusions:

    • RB-NEMT offers a unique, economical, and efficient niche within the NEMT ecosystem.
    • Policymakers should recognize transportation as fundamental to healthcare access and RB-NEMT's role in serving vulnerable populations.
    • Further research is recommended on RB-NEMT outcomes, program efficiency, and service projections for diverse populations.