Bellamy Gail R, Stone Kendall, Richardson Sally K, Goldsteen Raymond L
West Virginia Institute for Health Policy Research, 3110 MacCorkle Ave, SE, Charleston, WV 25302, USA.
J Rural Health. 2003;19 Suppl:397-406. doi: 10.1111/j.1748-0361.2003.tb01060.x.
With funding from the 21st Century Challenge Fund, the West Virginia Rural Health Access Program created Transportation for Health, a demonstration project for rural nonemergency medical transportation. The project was implemented in 3 sites around the state, building on existing transportation systems--specifically, a multicounty transit authority, a joint senior center/transit system, and a senior services center. An evaluation of the project was undertaken to answer 3 major questions: (1) Did the project reach the population of people who need transportation assistance? (2) Are users of the transportation project satisfied with the service? (3) Is the program sustainable? Preliminary results from survey data indicate that the answers to questions 1 and 2 are affirmative. A break-even analysis of all 3 sites begins to identify programmatic and policy issues that challenge the likelihood of financial sustainability, including salary expenses, unreimbursed mileage, and reliance on Medicaid reimbursement.
在21世纪挑战基金的资助下，西弗吉尼亚农村医疗服务接入项目设立了“健康交通”项目，这是一个农村非紧急医疗运输示范项目。该项目在全州3个地点实施，以现有的运输系统为基础——具体来说，是一个多县运输管理局、一个联合老年中心/运输系统和一个老年服务中心。对该项目进行了评估，以回答3个主要问题：（1）该项目是否覆盖了需要交通援助的人群？（2）交通项目的用户对服务是否满意？（3）该项目是否可持续？调查数据的初步结果表明，问题1和问题2的答案是肯定的。对所有3个地点的收支平衡分析开始确定一些方案和政策问题，这些问题对财务可持续性的可能性构成挑战，包括工资支出、未报销里程以及对医疗补助报销的依赖。
