Evidence map›Paper›PMID 34514368›Full record

ReviewTransportation research interdisciplinary perspectives2021

How is the COVID-19 pandemic shaping transportation access to health care?

Katherine L Chen, Madeline Brozen, Jeffrey E Rollman, Tayler Ward, Keith C Norris, Kimberly D Gregory, Frederick J Zimmerman

Open access · goldAbstract readReview
In one paragraph

Review in Transportation research interdisciplinary perspectives, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed
6.3field-weighted citation impact, top 2% of its field
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

38 citing papers in PubMed, 83 citations in OpenAlex.

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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

7 authors at 3 institutions in 1 country.

Katherine L ChenNational Clinician Scholars Program, University of California (UCLA), Los Angeles, CA, USA.
Madeline BrozenLewis Center for Regional Policy Studies at the UCLA Luskin School of Public Affairs, Los Angeles, CA, USA.
Jeffrey E RollmanDepartment of Health Policy & Management, UCLA Fielding School of Public Health, Los Angeles, CA, USA.
Tayler WardLewis Center for Regional Policy Studies at the UCLA Luskin School of Public Affairs, Los Angeles, CA, USA.
Keith C NorrisDivision of General Internal Medicine & Health Services Research, UCLA, Los Angeles, CA, USA.
Kimberly D GregoryDepartment of Obstetrics and Gynecology, Division of Maternal Fetal Medicine, Cedars Sinai Medical Center & Burnes and Allen Research Institute, Los Angeles, CA, USA.
Frederick J ZimmermanDepartment of Health Policy & Management, UCLA Fielding School of Public Health, Los Angeles, CA, USA.
UCLA Health · USCedars-Sinai Medical Center · USCenter For Policy Research · US

Funding

NRSA Training CoreTL1TR001883 · NCATS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI ALEX BUI, Nina Thawata Harawa · 2016 to 2026
$8.6M
NCATS NIH HHS TL1 TR001883
6 · The paper itself

Abstract

The Coronavirus disease 19 (COVID-19) pandemic has disrupted both transportation and health systems. While about 40% of Americans have delayed seeking medical care during the pandemic, it remains unclear to what extent transportation is contributing to missed care. To understand the relationship between transportation and unmet health care needs during the pandemic, this paper synthesizes existing knowledge on transportation patterns and barriers across five types of health care needs. While the literature is limited by the absence of detailed data for trips to health care, key themes emerged across populations and settings. We find that some patients, many of whom already experience transportation disadvantage, likely need extra support during the pandemic to overcome new travel barriers related to changes in public transit or the inability to rely on others for rides. Telemedicine is working as a partial substitute for some visits but cannot fulfill all health care needs, especially for vulnerable groups. Structural inequality during the pandemic has likely compounded health care access barriers for low-income individuals and people of color, who face not only disproportionate health risks, but also greater difficulty in transportation access and heightened economic hardship due to COVID-19. Partnerships between health and transportation systems hold promise for jointly addressing disparities in health- and transportation-related challenges but are largely limited to Medicaid-enrolled patients. Our findings suggest that transportation and health care providers should look for additional strategies to ensure that transportation access is not a reason for delayed medical care during and after the COVID-19 pandemic.

Indexed as

Access to careCOVID-19Health careNEMTNon-emergency medical transportationTransportation equity

Identifiers

PMID34514368
PMCPMC8422279
OpenAlexW3139501103

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.