Document Detail


Traveling towards disease: transportation barriers to health care access.
MedLine Citation:
PMID:  23543372     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Transportation barriers are often cited as barriers to healthcare access. Transportation barriers lead to rescheduled or missed appointments, delayed care, and missed or delayed medication use. These consequences may lead to poorer management of chronic illness and thus poorer health outcomes. However, the significance of these barriers is uncertain based on existing literature due to wide variability in both study populations and transportation barrier measures. The authors sought to synthesize the literature on the prevalence of transportation barriers to health care access. A systematic literature search of peer-reviewed studies on transportation barriers to healthcare access was performed. Inclusion criteria were as follows: (1) study addressed access barriers for ongoing primary care or chronic disease care; (2) study included assessment of transportation barriers; and (3) study was completed in the United States. In total, 61 studies were reviewed. Overall, the evidence supports that transportation barriers are an important barrier to healthcare access, particularly for those with lower incomes or the under/uninsured. Additional research needs to (1) clarify which aspects of transportation limit health care access (2) measure the impact of transportation barriers on clinically meaningful outcomes and (3) measure the impact of transportation barrier interventions and transportation policy changes.
Authors:
Samina T Syed; Ben S Gerber; Lisa K Sharp
Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Journal of community health     Volume:  38     ISSN:  1573-3610     ISO Abbreviation:  J Community Health     Publication Date:  2013 Oct 
Date Detail:
Created Date:  2013-09-09     Completed Date:  2014-04-30     Revised Date:  2014-04-30    
Medline Journal Info:
Nlm Unique ID:  7600747     Medline TA:  J Community Health     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  976-93     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Appointments and Schedules
Chronic Disease / therapy
Ethnic Groups
Health Services Accessibility / organization & administration*,  statistics & numerical data*
Humans
Patient Compliance
Primary Health Care / organization & administration
Residence Characteristics
Socioeconomic Factors
Time Factors
Transportation*
United States
Grant Support
ID/Acronym/Agency:
T32 DK080674/DK/NIDDK NIH HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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