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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
Summary
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.
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