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Showing up for no-shows: Why transportation equity matters

Anne Hicks1, Laleh Behjat2, Merkebe Getachew Demissie3

  • 1Department of Pediatrics, University of Alberta, Edmonton, Alberta, Canada.

Paediatrics & Child Health
|October 6, 2025
PubMed

Insights

Pediatricians face challenges with patient no-shows, often linked to transportation barriers. Addressing transportation deserts can improve healthcare access and reduce missed appointments for children.

Area of Science:

  • Pediatric Healthcare Access
  • Health Equity
  • Transportation Barriers in Medicine

Background:

  • Pediatric care aims to prevent disease and support families, but appointment non-attendance is a significant challenge.
  • Serial no-shows create dilemmas for pediatricians regarding patient discharge and waitlist management.
  • Sociodemographic factors, particularly inequitable transportation, create substantial barriers to healthcare access for pediatric patients.

Purpose of the Study:

  • To explore the impact of 'transportation deserts' on pediatric patients.
  • To identify strategies for pediatricians to improve equitable healthcare access.
  • To reduce appointment 'no-shows' in pediatric care.

Main Methods:

  • Literature review on transportation barriers and healthcare access.
  • Analysis of sociodemographic factors influencing pediatric appointment attendance.
  • Exploration of potential interventions for pediatricians.

Main Results:

  • Transportation deserts disproportionately affect vulnerable pediatric populations.
  • Lack of reliable transportation is a primary driver of missed pediatric appointments.
  • Targeted interventions can mitigate transportation barriers and improve attendance.

Conclusions:

  • Addressing transportation inequities is crucial for enhancing pediatric healthcare access.
  • Pediatricians can implement strategies to overcome transportation barriers and reduce no-shows.
  • Improving access leads to better health outcomes for children and families.

Keywords:
health equityhealthcarehealthcare qualitypaediatrictransportation equity

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