Missed or delayed medical care appointments by older users of nonemergency medical transportation

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

Research output: Contribution to journalArticlepeer-review

23 Scopus citations


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.

Original languageEnglish (US)
Pages (from-to)1026-1037
Number of pages12
Issue number6
StatePublished - Dec 1 2015


  • Aging
  • Medicaid
  • Older adults
  • Transportation

ASJC Scopus subject areas

  • Gerontology
  • Geriatrics and Gerontology


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