Traveling Towards Disease: Transportation Barriers to Health Care Access

被引:1135
作者
Syed, Samina T. [1 ]
Gerber, Ben S. [2 ,3 ]
Sharp, Lisa K. [3 ]
机构
[1] Univ Illinois, Sect Endocrinol Diabet & Metab, Chicago, IL 60612 USA
[2] Jesse Brown Vet Affairs Med Ctr, Chicago, IL 60612 USA
[3] Univ Illinois, Inst Hlth Res & Policy, Chicago, IL 60608 USA
关键词
Healthcare access; Transportation barriers; Medication access; Healthcare barriers; INNER-CITY PATIENTS; MEDICAL-CARE; OLDER-ADULTS; FOLLOW-UP; PERCEIVED BARRIERS; RURAL RESIDENTS; UNITED-STATES; DEEP SOUTH; UNMET NEED; URBAN;
D O I
10.1007/s10900-013-9681-1
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
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.
引用
收藏
页码:976 / 993
页数:18
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