Nonemergency Medical Transportation and Health Care Visits among Chronically Ill Urban and Rural Medicaid Beneficiaries

被引:13
作者
Thomas, Leela V. [1 ]
Wedel, Kenneth R. [2 ]
机构
[1] Delaware State Univ, Coll Educ Hlth & Publ Policy, Dept Social Work, Dover, DE 19901 USA
[2] Univ Oklahoma, Anne & Henry Zarrow Sch Social Work, Norman, OK 73019 USA
关键词
Medicaid; nonemergency medical transportation; NEMT; health care visit; CONGESTIVE-HEART-FAILURE; INSURANCE STATUS; ACCESS; SERVICES;
D O I
10.1080/19371918.2013.865292
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Inaccessibility to health care services due to lack of transportation affects the most vulnerable segments of the society. The effect of Medicaid-provided nonemergency medical transportation (NEMT) in Oklahoma on health care visits for the management of chronic illnesses is examined. Analyses of claims data show that African Americans are the highest users of NEMT. Medicaid beneficiaries who use NEMT services are significantly more likely to make the recommended number of annual visits for the management of chronic conditions than those who do not use NEMT. Increased use of NEMT by making the services more accommodating and convenient for beneficiaries is proposed.
引用
收藏
页码:629 / 639
页数:11
相关论文
共 39 条
  • [31] Community health centers and primary care access and quality for chronically-ill patients - a case-comparison study of urban Guangdong Province, China
    Shi, Leiyu
    Lee, De-Chih
    Liang, Hailun
    Zhang, Luwen
    Makinen, Marty
    Blanchet, Nathan
    Kidane, Ruth
    Lindelow, Magnus
    Wang, Hong
    Wu, Shaolong
    INTERNATIONAL JOURNAL FOR EQUITY IN HEALTH, 2015, 14
  • [32] Primary Care Medical Home Experience and Health-Related Quality of Life Among Adult Medicaid Patients with Type 2 Diabetes
    Stevens, Gregory D.
    Shi, Leiyu
    Vane, Christina
    Nie, Xiaoyu
    Peters, Anne L.
    JOURNAL OF GENERAL INTERNAL MEDICINE, 2015, 30 (02) : 161 - 168
  • [33] Primary Care Medical Home Experience and Health-Related Quality of Life Among Adult Medicaid Patients with Type 2 Diabetes
    Gregory D. Stevens
    Leiyu Shi
    Christina Vane
    Xiaoyu Nie
    Anne L. Peters
    Journal of General Internal Medicine, 2015, 30 : 161 - 168
  • [34] Voluntary HIV testing and risky sexual behaviours among health care workers: a survey in rural and urban Burkina Faso
    Kirakoya-Samadoulougou, Fati
    Yaro, Seydou
    Deccache, Alain
    Fao, Paulin
    Defer, Marie-Christine
    Meda, Nicolas
    Robert, Annie
    Nagot, Nicolas
    BMC PUBLIC HEALTH, 2013, 13
  • [35] Mental Health and Substance Use Care Among Young Adults Before and After Affordable Care Act (ACA) Implementation: A Rural and Urban Comparison
    Chavez, Laura J.
    Kelleher, Kelly J.
    Matson, Steven C.
    Wickizer, Thomas M.
    Chisolm, Deena J.
    JOURNAL OF RURAL HEALTH, 2018, 34 (01) : 42 - 47
  • [36] The Association Between the New Rural Cooperative Medical System and Health Care Seeking Behavior Among Middle-Aged and Older Chinese
    Li, Min
    Wang, Cuntong
    JOURNAL OF AGING & SOCIAL POLICY, 2017, 29 (02) : 168 - 181
  • [37] Rural-urban trends in health care utilization, treatment, and mortality among US veterans with congestive heart failure: A retrospective cohort study
    Aboumrad, Maya
    Peritz, David
    Friedman, Scott
    Zwain, Gabrielle
    Watts, Bradley V.
    Taub, Cynthia
    JOURNAL OF RURAL HEALTH, 2023, 39 (04) : 844 - 852
  • [38] Urban-Rural Differences in Mental and Physical Health among Primary Care Patients with Multiple Chronic Conditions: A Secondary Analysis from a Randomized Clinical Trial
    Bonnell, Levi N.
    Clifton, Jessica
    Rose, Gail L.
    Waddell, Elizabeth N.
    Littenberg, Benjamin
    INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH, 2022, 19 (23)
  • [39] Effects of the Implementation of Transport-Driven Poverty Alleviation Policy on Health Care-Seeking Behavior and Medical Expenditure Among Older People in Rural Areas: Quasi-Experimental Study
    Wu, Yuanyang
    Wang, Qianning
    Zheng, Feiyang
    Yu, Tiantian
    Wang, Yanting
    Fan, Si
    Zhang, Xinping
    Yang, Lianping
    JMIR PUBLIC HEALTH AND SURVEILLANCE, 2023, 9