Medicine and Health

A pilot study: the impact of clinic-provided transportation on missed clinic visits and system costs among teenage mother-child dyads

L. Allan-blitz, A. Samad, et al.

Transportation insecurity can derail health access for teenage parents and their children. This pilot study investigates a clinic-provided rideshare intervention's effects on missed visits and costs, revealing surprising findings despite a significant cost saving. The research was conducted by Lao-Tzu Allan-Blitz, Aaida Samad, Kenya Homsley, Sojourna Ferguson, Simone Vais, Perry Nagin, and Natalie Joseph.

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Abstract

Transportation insecurity significantly impacts the health of teenage parents and their children, often leading to missed clinic visits. This pilot study examined the effect of a clinic-provided rideshare intervention on missed visits and costs among teenage mother-child dyads. A one-arm pre-post time series analysis compared missed visits before and after the intervention. While 69.3% of 153 scheduled rides were completed, the study found no significant difference in missed visit rates (29.9% vs. 32.7%, p=0.59). A net cost savings of $90,830.32 was observed, but the standardized cost difference showed a net excess of $6.90 per visit. The impact of the SARS-CoV-2 pandemic on clinic census likely influenced these results. Further research is needed to evaluate the effectiveness of clinic-offered rideshare interventions.

Publisher

Humanities and Social Sciences Communications

Published On

Sep 16, 2022

Authors

Lao-Tzu Allan-Blitz, Aaida Samad, Kenya Homsley, Sojourna Ferguson, Simone Vais, Perry Nagin, Natalie Joseph

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