The Public Health Case for Addressing Transportation-Related Barriers to Care

The many ways in which the US health care system does not fully meet the needs of the population are well documented. Issues abound in health care encounters, but problems with the system are most pervasive when people cannot even get inside the door. Access to care, encompassing availability, accom...

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Published inAmerican journal of public health (1971) Vol. 110; no. 6; pp. 763 - 764
Main Author Henning-Smith, Carrie
Format Journal Article
LanguageEnglish
Published United States American Public Health Association 01.06.2020
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Abstract The many ways in which the US health care system does not fully meet the needs of the population are well documented. Issues abound in health care encounters, but problems with the system are most pervasive when people cannot even get inside the door. Access to care, encompassing availability, accommodation, affordability, acceptability, and accessibility,1 is an enormous challenge in the United States, with its fragmented system of payers, providers, and types of care. An inordinate amount of time is spent thinking about how to improve access to care by expanding insurance coverage and reducing out-of-pocket costs. Yet, it is equally important to consider the basic mechanics of how people get to health care settings, an essential component of physical accessibility to care. In this issue of AJPH, Wolfe et al. (p. 815) show that millions of Americans delay health care every year simply because they do not have the transportation to get to the doctor's office. Despite all ofthe efforts to improve access to care and address social determinants in recent years, the percentage of Americans with transportation-related barriers to care did not change between 1997 and 2018, stubbornly holding fast at 1.8%. As the US population has grown, the number of people affected by transportation barriers to care has risen from 4.8 to 5.8 million annually.
AbstractList The many ways in which the US health care system does not fully meet the needs of the population are well documented. Issues abound in health care encounters, but problems with the system are most pervasive when people cannot even get inside the door. Access to care, encompassing availability, accommodation, affordability, acceptability, and accessibility,1 is an enormous challenge in the United States, with its fragmented system of payers, providers, and types of care. An inordinate amount of time is spent thinking about how to improve access to care by expanding insurance coverage and reducing out-of-pocket costs. Yet, it is equally important to consider the basic mechanics of how people get to health care settings, an essential component of physical accessibility to care. In this issue of AJPH, Wolfe et al. (p. 815) show that millions of Americans delay health care every year simply because they do not have the transportation to get to the doctor's office. Despite all ofthe efforts to improve access to care and address social determinants in recent years, the percentage of Americans with transportation-related barriers to care did not change between 1997 and 2018, stubbornly holding fast at 1.8%. As the US population has grown, the number of people affected by transportation barriers to care has risen from 4.8 to 5.8 million annually.
Author Henning-Smith, Carrie
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CitedBy_id crossref_primary_10_1016_j_dhjo_2022_101425
crossref_primary_10_1080_1059924X_2021_1893881
crossref_primary_10_3390_healthcare10122509
crossref_primary_10_1016_j_cpha_2021_08_006
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Cites_doi 10.1353/sgo.2015.0036
10.1001/jamainternmed.2019.2234
10.1097/MLR.0b013e3182a95d65
10.1097/00005650-198102000-00001
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SubjectTerms Access to Care
Barriers
Disabled Persons - statistics & numerical data
Employment
Environmental effects
Female
Geography
Guidelines as Topic
Health care
Health care access
Health care policy
Health services
Health Services Accessibility - standards
Health Services Accessibility - statistics & numerical data
Humans
Insurance coverage
Male
Medicaid
Public health
Public Health - standards
Public Health - statistics & numerical data
Public transportation
Racism
Roads & highways
Rural areas
Socioeconomic Factors
Telemedicine
Transportation
Transportation - standards
Transportation - statistics & numerical data
Transportation planning
Transportation systems
United States
Urban areas
Urban planning
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