非紧急医疗运输老年用户错过或延迟医疗预约情况
Missed or Delayed Medical Care Appointments by Older Users of Nonemergency Medical Transportation.
作者信息
MacLeod Kara E, Ragland David R, Prohaska Thomas R, Smith Matthew Lee, Irmiter Cheryl, Satariano William A
机构信息
Safe Transportation Research & Education Center, University of California, Berkeley. School of Public Health, University of California at Berkeley.
College of Health and Human Services, George Mason University, Fairfax, Virginia.
出版信息
Gerontologist. 2015 Dec;55(6):1026-37. doi: 10.1093/geront/gnu002. Epub 2014 Feb 20.
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.
摘要
研究目的
本研究确定了与老年医疗补助患者取消非紧急医疗运输预约相关的因素。
设计与方法
对特拉华州2913名客户的125913次行程数据进行了检查。进行了中介分析以及多变量逻辑回归分析。
结果
超过一半的取消行程归因于客户原因（例如，未出现、拒绝）。客户特征（例如，种族、性别、功能状态）与取消情况相关；然而，这些特征因取消原因而异。定期安排的行程被取消的可能性较小。
启示
不断发展的美国医疗保健系统可能会提高服务可用性。额外的政策可以改善服务可及性并克服利用障碍。
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