Better Transportation to Health Care Will Improve Child Health and Lower Costs

Grant, Russell C.; Goldsmith, Grifin; Gracy, Delaney; Johnson, Dennis L.

doi:10.1016/j.yapd.2016.04.003

Cited by 7 publications

(6 citation statements)

References 19 publications

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“…18,19 During a primary care telemedicine visit, the physician can review the child’s immunization record and screening, and if the child has health care gaps, a visit to the primary care office can be scheduled during the telemedicine encounter. Telemedicine utilization for chronic follow-up visits may ease the burden on families requiring frequent visits, 20 and interaction with consistent care providers may strengthen the connection to primary care. 19,21 Telemedicine may serve as a new strategy to reconnect with families in need of primary care.…”

Section: Discussionmentioning

confidence: 99%

Integration and Impact of Telemedicine in Underserved Pediatric Primary Care

Walters

Johnson

Klein

et al. 2021

Clin Pediatr (Phila)

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Telemedicine, more novel in provision of pediatric care, rapidly expanded due to the recent coronavirus disease 2019 pandemic. This study aimed to determine the feasibility of telemedicine for acute and chronic care provision in an underserved pediatric primary care center. Items assessed included patient demographic data, chief complaint, and alternative care locations if telemedicine was not available. In our setting, 62% of telemedicine visits were for acute concerns and 38% for chronic concerns. Of acute telemedicine visits, 16.5% of families would have sought care in the Emergency Department/Urgent Care, and 11.3% would have opted for no care had telemedicine not been offered. The most common chronic issues addressed were attention deficit hyperactivity disorder (80.3%) and asthma (16.9%). Racial disparities existed among our telemedicine visits with Black patients utilizing telemedicine services less frequently than non-Black patients. Telemedicine is feasible for pediatric acute and chronic care, but systems must be designed to mitigate widening racial disparities.

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Section: Discussionmentioning

confidence: 99%

Integration and Impact of Telemedicine in Underserved Pediatric Primary Care

Walters

Johnson

Klein

et al. 2021

Clin Pediatr (Phila)

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“…Importantly, the effect of travel distance may differ depending on specialties and the type of medical conditions that confront consumers (Syed, Gerber, and Sharp 2013). Particularly affected, of course, are those with chronic conditions in need of frequent care (Grant et al 2016;Starbird et al 2019;Thomas and Wedel 2014).…”

Section: Discussionmentioning

confidence: 99%

“…In many cases, these costs may exceed out-of-pocket costs associated with the visit (Ray et al 2015). At times, these costs may push consumers into delaying or even avoiding care altogether, potentially leading to complications, and higher costs, later on (Grant et al 2016;Wallace et al 2005).…”

Section: Discussionmentioning

confidence: 99%

“…Yet there are also broader societal implications. Various studies have found that lower levels of health access add significant costs to the health care system and to society as a whole (Grant et al 2016;Wallace et al 2005).…”

Section: Distance As An Important Dimension In Assessing Access To Mementioning

confidence: 99%

“…These populations are disproportionately female, poorer, older, less educated, and of minority status (Blumenberg and Agrawal 2014;Goins et al 2006;Kim, Norton, and Stearns 2009;Wallace et al 2005). Many suffer from chronic diseases (Grant et al 2016;Starbird et al 2019;Thomas and Wedel 2014). Notably, both urban (Peipins et al 2011) and rural populations (Arcury et al 2005;Bellamy et al 2003;McGrail, Humphreys, and Ward 2015) are experiencing access restrictions because of transportation limitations.…”

Section: Distance As An Important Dimension In Assessing Access To Mementioning

confidence: 99%

See 2 more Smart Citations

Going the Extra Mile? How Provider Network Design Increases Consumer Travel Distance, Particularly for Rural Consumers

Haeder

Weimer

Mukamel

2020

Journal of Health Politics, Policy and Law

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Context: The practical accessibility to medical care facilitated by health insurance plans depends not just on the number of providers within their networks but also on distances consumers must travel to reach the providers. Long travel distances inconvenience almost all consumers and may substantially reduce choice and access to providers for some. Methods: We assess mean and median travel distances to cardiac surgeons and pediatricians for participants in (1) plans offered through Covered California, (2) comparable commercial plans, and (3) unrestricted open-network plans. We repeat the analysis for higher-quality providers. Findings: We find that in all areas, but especially in rural areas, Covered California plan subscribers must travel longer than subscribers in the comparable commercial plan; subscribers to either plan must travel substantially longer than consumers in open networks. Analysis of access to higherquality providers show somewhat larger travel distances. Differences between ACA and commercial plans are generally substantively small. Conclusions: While network design adds travel distance for all consumers, this may be particularly challenging for transportation-disadvantaged populations. As distance is relevant to both health outcomes and the cost of obtaining care, our analysis provides the basis for more appropriate measures of network adequacy than those currently in use.

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The Influence of Transportation Service Level on a Municipal Service Center’s Costs: A Numerical Study Based on Supply Chain Management Models

Shnaiderman

2017

Advances in Intelligent Systems and Computing

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Better Transportation to Health Care Will Improve Child Health and Lower Costs

Cited by 7 publications

References 19 publications

Integration and Impact of Telemedicine in Underserved Pediatric Primary Care

Integration and Impact of Telemedicine in Underserved Pediatric Primary Care

Going the Extra Mile? How Provider Network Design Increases Consumer Travel Distance, Particularly for Rural Consumers

The Influence of Transportation Service Level on a Municipal Service Center’s Costs: A Numerical Study Based on Supply Chain Management Models

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