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A pilot study: the impact of clinic-provided transportation on missed clinic visits and system costs among teenage mother–child dyads
Transportation insecurity has profound impacts on the health and wellbeing of teenage parents and their children, who are at particularly high risk for missed clinic visits. In other settings, clinic-offered rideshare interventions have reduced the rates of missed visits. We conducted a one-arm pre-...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Palgrave Macmillan UK
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9483513/ https://www.ncbi.nlm.nih.gov/pubmed/36159709 http://dx.doi.org/10.1057/s41599-022-01342-x |
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author | Allan-Blitz, Lao-Tzu Samad, Aaida Homsley, Kenya Ferguson, Sojourna Vais, Simone Nagin, Perry Joseph, Natalie |
author_facet | Allan-Blitz, Lao-Tzu Samad, Aaida Homsley, Kenya Ferguson, Sojourna Vais, Simone Nagin, Perry Joseph, Natalie |
author_sort | Allan-Blitz, Lao-Tzu |
collection | PubMed |
description | Transportation insecurity has profound impacts on the health and wellbeing of teenage parents and their children, who are at particularly high risk for missed clinic visits. In other settings, clinic-offered rideshare interventions have reduced the rates of missed visits. We conducted a one-arm pre-post time series analysis of missed visits before and after a pilot study rideshare intervention within a clinic specializing in the care of teenage parents and their children. We compared the number of missed visits during the study with the number during the preceding year (July 2019–March 2020), as well as the cost difference of missed visits, adjusting for inflation and clinic census. Of 153 rides scheduled, 106 (69.3%) were completed. Twenty-nine (29.9%) of 97 clinic visits were missed during the study period, compared to 145 (32.7%) of 443 comparison period visits (p-value = 0.59). The estimated cost difference of missed visits including intervention costs was a net savings of $90,830.32. However, the standardized cost difference was a net excess of $6.90 per clinic visit. We found no difference in rates of missed visits or costs, though likely impacted by the low census during the SARS-CoV-2 pandemic. Given the potential to improve health disparities exacerbated by the pandemic, further research is warranted into the impact and utility of clinic-offered rideshare interventions. |
format | Online Article Text |
id | pubmed-9483513 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Palgrave Macmillan UK |
record_format | MEDLINE/PubMed |
spelling | pubmed-94835132022-09-19 A pilot study: the impact of clinic-provided transportation on missed clinic visits and system costs among teenage mother–child dyads Allan-Blitz, Lao-Tzu Samad, Aaida Homsley, Kenya Ferguson, Sojourna Vais, Simone Nagin, Perry Joseph, Natalie Humanit Soc Sci Commun Article Transportation insecurity has profound impacts on the health and wellbeing of teenage parents and their children, who are at particularly high risk for missed clinic visits. In other settings, clinic-offered rideshare interventions have reduced the rates of missed visits. We conducted a one-arm pre-post time series analysis of missed visits before and after a pilot study rideshare intervention within a clinic specializing in the care of teenage parents and their children. We compared the number of missed visits during the study with the number during the preceding year (July 2019–March 2020), as well as the cost difference of missed visits, adjusting for inflation and clinic census. Of 153 rides scheduled, 106 (69.3%) were completed. Twenty-nine (29.9%) of 97 clinic visits were missed during the study period, compared to 145 (32.7%) of 443 comparison period visits (p-value = 0.59). The estimated cost difference of missed visits including intervention costs was a net savings of $90,830.32. However, the standardized cost difference was a net excess of $6.90 per clinic visit. We found no difference in rates of missed visits or costs, though likely impacted by the low census during the SARS-CoV-2 pandemic. Given the potential to improve health disparities exacerbated by the pandemic, further research is warranted into the impact and utility of clinic-offered rideshare interventions. Palgrave Macmillan UK 2022-09-16 2022 /pmc/articles/PMC9483513/ /pubmed/36159709 http://dx.doi.org/10.1057/s41599-022-01342-x Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . |
spellingShingle | Article Allan-Blitz, Lao-Tzu Samad, Aaida Homsley, Kenya Ferguson, Sojourna Vais, Simone Nagin, Perry Joseph, Natalie A pilot study: the impact of clinic-provided transportation on missed clinic visits and system costs among teenage mother–child dyads |
title | A pilot study: the impact of clinic-provided transportation on missed clinic visits and system costs among teenage mother–child dyads |
title_full | A pilot study: the impact of clinic-provided transportation on missed clinic visits and system costs among teenage mother–child dyads |
title_fullStr | A pilot study: the impact of clinic-provided transportation on missed clinic visits and system costs among teenage mother–child dyads |
title_full_unstemmed | A pilot study: the impact of clinic-provided transportation on missed clinic visits and system costs among teenage mother–child dyads |
title_short | A pilot study: the impact of clinic-provided transportation on missed clinic visits and system costs among teenage mother–child dyads |
title_sort | pilot study: the impact of clinic-provided transportation on missed clinic visits and system costs among teenage mother–child dyads |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9483513/ https://www.ncbi.nlm.nih.gov/pubmed/36159709 http://dx.doi.org/10.1057/s41599-022-01342-x |
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