Missed or Delayed Medical Care Appointments by Older Users of Nonemergency Medical Transportation. Academic Article

abstract

• PURPOSE OF THE STUDY: This study identified factors associated with canceling nonemergency medical transportation appointments among older adult Medicaid patients. DESIGN AND METHODS: Data from 125,913 trips for 2,913 Delaware clients were examined. Mediation analyses, as well as, multivariate logistic regressions were conducted. RESULTS: Over half of canceled trips were attributed to client reasons (e.g., no show, refusal). Client characteristics (e.g., race, sex, functional status) were associated with cancelations; however, these differed based on the cancelation reason. Regularly scheduled trips were less likely to be canceled. IMPLICATIONS: The evolving American health care system may increase service availability. Additional policies can improve service accessibility and overcome utilization barriers.

authors

• Smith, Matthew

published proceedings

• Gerontologist

altmetric score

• 145

author list (cited authors)

• MacLeod, K. E., Ragland, D. R., Prohaska, T. R., Smith, M. L., Irmiter, C., & Satariano, W. A.

citation count

• 17

complete list of authors

• MacLeod, Kara E||Ragland, David R||Prohaska, Thomas R||Smith, Matthew Lee||Irmiter, Cheryl||Satariano, William A

publication date

• December 2015

publisher

• Oxford University Press (OUP)  Publisher

published in

• The Gerontologist  Journal

keywords

• Aged
• Aging
• Appointments And Schedules
• Delivery Of Health Care
• Female
• Humans
• Male
• Medicaid
• Older Adults
• Retrospective Studies
• Time Factors
• Transportation
• Transportation Of Patients
• United States

PubMed Central ID

• 24558264

Digital Object Identifier (DOI)

• 10.1093/geront/gnu002

start page

• 1026

end page

• 1037

volume

• 55

issue

• 6

URL

• http://dx.doi.org/10.1093/geront/gnu002