A Systematic Review of Interventions to Minimize Transportation Barriers Among People with Chronic Diseases

Access to transportation is an important influence on health. Inadequate access to transportation affects the most vulnerable social groups, who suffer the highest burden of chronic diseases. Therefore, identification of services that improve access to transportation is crucial. The authors gathered information on the types and impact of actions addressing transportation to health care facilities. A literature search of studies that include interventions on transportation was performed using the PubMed, EMBASE, and CINAHL databases. Four hundred and seventy-eight titles and abstracts were screened. Two independent reviewers evaluated forty-one full-text articles and ten studies to meet criteria for inclusion in the authors’ study. Types of transportation assistance that were noted included: providing bus passes, taxi or transport vouchers or reimbursement of fares; connecting participants to suitable transportation modes; and free shuttle service. Transportation support was offered within multi-part programs including counseling, coordination of care, education, financial incentives, motivational interviews, and assistance with transportation system navigation. Community health and outreach workers, nurses, research and clinic staff were the most common helpers. Studies reported improvements in cancer screening rates, chronic disease management, hospital utilization, and linkage to follow-up care. Access to transportation is a well-documented barrier to obtaining care for chronic conditions among vulnerable people. The authors found evidence suggesting that good transportation services improve patients’ health prospects.


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  • Accession Number: 01744242
  • Record Type: Publication
  • Files: TRIS
  • Created Date: May 7 2020 12:15PM