Evidence map›Paper›PMID 32791235›Full record

ArticleJournal of the American College of Radiology : JACR2021

Analysis of the Effects of a Patient-Centered Rideshare Program on Missed Appointments and Timeliness for MRI Appointments at an Academic Medical Center.

Debra S Whorms, Anand K Narayan, Ali Pourvaziri, Randy C Miles, McKinley Glover, Jeremy Herrington, Sanjay Saini, James A Brink, Efren J Flores

Abstract read
In one paragraph

Article in Journal of the American College of Radiology : JACR, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Review
  6. Article
  7. Factors Associated With Timeliness and Equity of Access to Outpatient MRI Examinations.Journal of the American College of Radiology : JACR · 2024
    Article
  8. Review
  9. Social Determinants of Health in Imaging-based Cancer Screening: A Case-based Primer with Strategies for Care Improvement.Radiographics : a review publication of the Radiological Society of North America, Inc · 2023
    Article
  10. A Framework for Developing Health Equity Initiatives in Radiology.Journal of the American College of Radiology : JACR · 2023
    Article
  11. Article
  12. Reducing disparities and achieving health equity in colorectal cancer screening.Techniques and innovations in gastrointestinal endoscopy · 2023
    Article
  13. Article
  14. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Debra S WhormsDepartment of Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts; Department of Radiology, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania.
Anand K NarayanCo-Chair, Diversity, Equity and Inclusion Committee, Department of Radiology, Massachusetts General Hospital, Boston, Massacusetts.
Ali PourvaziriDepartment of Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts.
Randy C MilesDepartment of Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts.
McKinley GloverDepartment of Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts.
Jeremy HerringtonDirector of Clincal Operations, Department of Radiology, Massachusetts General Hospital, Boston, Massachusetts.
Sanjay SainiVice-chair for Finance and Quality, Department of Radiology, Massachusetts General Hospital, Boston, Massachusetts.
James A BrinkJuan M. Taveras Professor of Radiology; Radiologist-in-Chief, Department of Radiology, Massachusetts General Hospital, Boston, Massachusetts.
Efren J FloresFaculty, The Mongan Institute, Officer, Radiology Community Health and Equity, Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts. Electronic address: ejflores@mgh.harvard.edu.

Funding

Research Diversity Supplement Assessing the Integration of Tobacco Cessation Treatment into Lung Cancer ScreeningR01CA218123 · NCI · MASSACHUSETTS GENERAL HOSPITAL · PI HAAS, JENNIFER S, PARK, ELYSE R. · 2018 to 2022
$4.4M
NCI NIH HHS R01 CA218123
6 · The paper itself

Abstract

purposeThe aim of this study was to assess the differences in timeliness to MRI appointments and missed MRI appointment rates before and after the implementation of a rideshare program.

methodsRetrospective analysis of a rideshare program was performed 9 months after implementation to compare the effects before and after implementation. Variables obtained included demographics, MRI appointment variables, and data related to rideshare use. Descriptive statistics and linear and logistic regression analyses were used to compare demographic characteristics among patients using the rideshare program with (1) those who did not use the rideshare program after implementation and (2) patients before rideshare implementation. Rates of missed appointments derived from patient-related, same-day appointment cancellations were analyzed using logistic regression analyses. Timeliness was analyzed using linear regression analyses. All analyses were adjusted for potential confounders.

resultsOf 7,707 patients scheduled for MRI appointments during the postintervention period, 151 patients used the rideshare service (1.95%). There were no statistically significant differences in missed appointment rates after rideshare implementation (adjusted odds ratio, 1.09; 95% confidence interval, 0.93-1.27; P = .275). Patients using the rideshare service were more likely to be on time (adjusted coefficient = 13.0; 95% confidence interval, 5.4-20.5; P = .001). Older patients (P = .001), unemployed patients (P < .001), and patients without commercial insurance (P < .001) were more likely to use the rideshare service.

conclusionsImplementation of a rideshare program did not significantly decrease missed appointment rates, but it significantly improved timeliness to MRI appointments while assisting at-risk patient populations reporting transportation barriers.

Indexed as

Appointments and SchedulesMagnetic Resonance ImagingAcademic Medical CentersHumansPatient-Centered CareRetrospective StudiesHealth care disparitiesmissed appointmentsnonemergency medical transportationrideshare programtransportation barriers

Identifiers

PMID32791235
PMCPMC10353307

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.