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Addressing transportation barriers in oncology: existing programs and new solutions
Sophia Pringle1, Emily M Ko2,3,4, Meredith Doherty3,4,5
1Leonard Davis Institute of Health Economics, Saint Joseph's University, Philadelphia, PA, USA.
Summary
Transportation access is a key barrier to cancer care and clinical trials. Addressing these needs through services and financial aid improves patient satisfaction, visit completion, and trial enrollment, especially for diverse populations.
Area of Science:
- Oncology
- Health Services Research
- Transportation Studies
Background:
- Transportation is a significant, yet often overlooked, barrier to accessing cancer care.
- This barrier particularly affects participation in clinical trials.
- Modifiable factors related to transportation can be addressed by healthcare providers, insurers, and health systems.
Purpose of the Study:
- To highlight transportation as a modifiable barrier in cancer care access.
- To emphasize the role of transportation interventions in improving clinical trial enrollment.
- To identify strategies for overcoming transportation challenges in oncology.
Main Methods:
- Review of existing literature and practices regarding transportation barriers in cancer care.
- Analysis of the impact of direct transportation services (e.g., ride-sharing, insurance-provided) on patient outcomes.
- Evaluation of patient financial reimbursement programs as a strategy to mitigate transportation barriers.
Main Results:
- Direct transportation services demonstrate high patient satisfaction and improve visit completion rates.
- Financial reimbursements can counteract transportation barriers, leading to increased clinical trial enrollment.
- These interventions are particularly beneficial for patients from low socioeconomic status and diverse racial/ethnic backgrounds.
Conclusions:
- Transportation interventions are crucial for enhancing access to cancer care and clinical trials.
- Addressing systemic, service, and knowledge gaps in transportation support can improve patient outcomes.
- Expanding transportation solutions is essential for equitable cancer care delivery and research participation.
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