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


  • 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.

altmetric score

  • 33.35

author list (cited authors)

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

citation count

  • 14

publication date

  • December 2015