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

doi:10.1093/geront/gnu002

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 journal › Article › peer-review

28 Scopus citations

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.

Original language	English (US)
Pages (from-to)	1026-1037
Number of pages	12
Journal	Gerontologist
Volume	55
Issue number	6
DOIs	https://doi.org/10.1093/geront/gnu002
State	Published - Dec 1 2015

Keywords

Aging
Medicaid
Older adults
Transportation

ASJC Scopus subject areas

Gerontology
Geriatrics and Gerontology

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10.1093/geront/gnu002

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title = "Missed or delayed medical care appointments by older users of nonemergency medical transportation",

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.",

keywords = "Aging, Medicaid, Older adults, Transportation",

author = "MacLeod, {Kara E.} and Ragland, {David R.} and Prohaska, {Thomas R.} and Smith, {Matthew Lee} and Cheryl Irmiter and Satariano, {William A.}",

note = "Funding Information: The study is part of a project that is a collaboration of Easter Seals Project Action, the American Medical Association, and LogistiCare and was funded by the U.S. Department of Transportation Federal Transit Administration cooperative agreements Easter Seals Project Action and the National Center on Senior Transportation (PI: Dr. T. R. Prohaska). Ms. MacLeod was partially supported by Award Number T32AA007240, Graduate Research Training on Alcohol Problems, from the National Institute on Alcohol Abuse and Alcoholism. Publisher Copyright: {\textcopyright} The Author 2014.",

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doi = "10.1093/geront/gnu002",

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AU - MacLeod, Kara E.

AU - Ragland, David R.

AU - Prohaska, Thomas R.

AU - Smith, Matthew Lee

AU - Irmiter, Cheryl

AU - Satariano, William A.

N1 - Funding Information: The study is part of a project that is a collaboration of Easter Seals Project Action, the American Medical Association, and LogistiCare and was funded by the U.S. Department of Transportation Federal Transit Administration cooperative agreements Easter Seals Project Action and the National Center on Senior Transportation (PI: Dr. T. R. Prohaska). Ms. MacLeod was partially supported by Award Number T32AA007240, Graduate Research Training on Alcohol Problems, from the National Institute on Alcohol Abuse and Alcoholism. Publisher Copyright: © The Author 2014.

PY - 2015/12/1

Y1 - 2015/12/1

N2 - 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.

AB - 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.

KW - Aging

KW - Medicaid

KW - Older adults

KW - Transportation

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

Abstract

Keywords

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