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Cancer therapies are various modes of treatment, such as surgery, radiation therapy, and chemotherapy that are administered to cancer patients.
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Author Spotlight: Improving Radiation Therapy Access with Radiation Planning Assistant
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An Analysis of Cancer Center-Provided Rideshare Utilization for Radiation Therapy.

Eric Chen1, Alok Deshane2, Nicholas Damico1

  • 1Resident, Department of Radiation Oncology, University Hospitals Seidman Cancer Center, Cleveland, Ohio.

Journal of the American College of Radiology : JACR
|December 29, 2022
PubMed
Summary
This summary is machine-generated.

Hospital-provided rideshare services improve radiation therapy (RT) completion rates for patients facing transportation barriers. This cost-effective solution enhances access to cancer care for underserved communities.

Keywords:
Health care costsradiation oncologyrideshare servicesocial determinants of health (SDOH)transportation insecurity

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Area of Science:

  • Oncology
  • Health Services Research
  • Transportation Equity

Background:

  • Timely radiation therapy (RT) is crucial for cancer treatment outcomes.
  • Transportation barriers disproportionately affect resource-limited patients, impacting treatment adherence.
  • The role of rideshare services in facilitating RT delivery remains understudied.

Purpose of the Study:

  • To evaluate the effectiveness and economic feasibility of hospital-provided rideshare services for radiation therapy patients.
  • To assess the impact of rideshare utilization on treatment completion rates.
  • To analyze the demographic and geospatial characteristics of patients using rideshare services.

Main Methods:

  • Retrospective analysis of 63 patients receiving 73 RT courses (1,513 fractions) utilizing a free hospital rideshare service.
  • Multidimensional analysis including demographic, disease, and treatment completion data.
  • Revenue and geospatial analyses to assess financial impact and community-level resource deprivation.

Main Results:

  • Patients using rideshare were predominantly female, Black, not working, uninsured, and from resource-deprived areas.
  • 100% of rideshare-facilitated treatments were completed, compared to 85.4% for non-users (P=.001).
  • Rideshare services were economically feasible, with high utilization associated with shorter treatment courses and lower doses.

Conclusions:

  • Free hospital-provided rideshare services are economically viable and significantly improve radiation therapy completion rates.
  • This service can enhance the quality of radiation care for patients from resource-limited backgrounds.
  • Rideshare programs represent a valuable strategy for overcoming transportation barriers in cancer care.