Archive of Preventive Care

Transportation Barriers to Health Care: Assessing the Texas Medicaid Program

May, 2006

Many elderly, low-income, and minority individuals who need preventive care are transportation disadvantaged. The problem is particularly acute in Texas. The Texas Legislature’s Sunset Advisory Commission issued the following statement in a 1998 report: “Transportation is among the most frequently cited barriers to service delivery for health and human services clients in Texas. Without transportation, […]

Author

Stephen Boyce Borders

Cost-Effectiveness of Access to Nonemergency Medical Transportation

January, 2006

For the five preventive conditions examined (including two types of cancer screening), it was determined that the provision of increased access to NEMT for the transportation-disadvantaged population is cost-effective for all five, because projected improvements in life expectancy and quality of life are large enough to justify the net cost increases.

Author

Richard Wallace, Paul Hughes-Cromwick, and Hillary Mull

Cost-Effectiveness of Access to Nonemergency Medical Transportation

January, 2006

Authors find that the provision of NEMT to those who currently lack it results in a net cost savings across the transportation and health care domains for four of these conditions (prenatal care, asthma, heart disease, and diabetes) and is cost-effective for the remaining eight conditions (influenza vaccinations, breast cancer screening, colorectal cancer screening, dental […]

Author

Richard Wallace, Paul Hughes-Cromwick, and Hillary Mull

Access to Health Care and Nonemergency Medical Transportation: Two Missing Links, Transportation Research Record Journal of the Transportation Research Board

January, 2005

In the preventive arena, lack of transportation can lead to underimmunization, difficulties in administering screening programs, failure to attend pediatric checkups, and lack of prenatal care for poor women.For chronic problems, numerous studies have documented a lack of care because of transportation barriers. Conover and Whetten-Goldstein, for example, found that 16.7% of AIDS and HIV […]

Author

Richard Wallace, Paul Hughes-Cromwick, Hillary Mull, and Snehamay Khasnabis, Wayne State