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December 22, 2021Open Access

Transportation barriers to care among frequent health care users during the COVID pandemic

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Authors

ACAbigail L. CochranUniversity of North Carolina at Chapel HillNMNoreen McDonaldUniversity of North Carolina at Chapel HillLPLauren PrunklUniversity of North Carolina at Chapel Hill

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Overview

Survey study reveals transportation barriers delay or prevent care for one in three frequent health care users, highlighting the need for targeted mobility support.

Key Points

  • To investigate transportation barriers to accessing medical care during the COVID-19 pandemic among high-frequency health care users enrolled in public health insurance.
  • Analyzed complete web-based survey responses from 323 adult patients in the UNC Health system (North Carolina) enrolled in Medicaid or Medicare with at least six outpatient visits in the prior year.
  • Conducted multivariate logistic regression analyses to identify demographic factors linked to transportation barriers, complemented by qualitative analyses of open-ended text responses.
  • Approximately 1 in 3 respondents experienced transportation barriers between June 2020 and June 2021 that resulted in arriving late, delaying, or missing medical care.
  • Multivariate logistic regressions showed that individuals aged 18–64 were significantly more likely to encounter transportation barriers than older adults.
  • Major reported obstacles included travel costs, absence of an available vehicle or driver, and complex intersecting issues related to personal finances and health.

Cite This Study

Cochran et al. (2021) studied this question.

synapsesocial.com/papers/6a723efefebe604dd70a81d6https://doi.org/10.31235/osf.io/qf7kt
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