Evidence map›Paper›PMID 35254938›Full record

ArticleHealth affairs (Project Hope)2022

Evaluating A Nonemergency Medical Transportation Benefit For Accountable Care Organization Members.

Seth A Berkowitz, Katharine Ball Ricks, Jingyan Wang, Morgan Parker, Ram Rimal, Darren A DeWalt

Abstract read
In one paragraph

Article in Health affairs (Project Hope), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–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

15 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Transportation Justice and Health.The Milbank quarterly · 2024
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
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

6 authors.

Seth A BerkowitzSeth A. Berkowitz (seth_berkowitz@med.unc.edu), University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
Katharine Ball RicksKatharine Ball Ricks, University of North Carolina at Chapel Hill.
Jingyan WangJingyan Wang, UNC Health Care System, Morrisville, North Carolina.
Morgan ParkerMorgan Parker, University of North Carolina at Chapel Hill.
Ram RimalRam Rimal, UNC Health Care System.
Darren A DeWaltDarren A. DeWalt, University of North Carolina at Chapel Hill.

Funding

Research BaseP30DK092926 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MARY ELLEN MICHELE HEISLER, ADESUWA B OLOMU · 2011 to 2026
$10.0M
Understanding & Overcoming Food Insecurity in Diabetes PatientsK23DK109200 · NIDDK · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BERKOWITZ, SETH A · 2016 to 2020
$973k
NIDDK NIH HHS K23 DK109200NIDDK NIH HHS P30 DK092926
6 · The paper itself

Abstract

Nonemergency medical transportation benefits, often using smartphone application-based ridesharing services, are increasingly being offered as part of population health management programs. However, the impact of these programs on health care use and costs remains understudied. We conducted a mixed-methods evaluation of a nonemergency medical transportation benefit offered to members of a Medicare accountable care organization (ACO) within a large academic health system, the UNC Health Alliance ACO. Participation in the transportation program was associated with a greater number of per person per year outpatient visits (9.2) and higher outpatient spending ($4,420) than in a comparison group. However, there was no difference in inpatient admissions or emergency department visits, and the program was not cost saving. Qualitative analyses revealed that participants were highly satisfied with the program, reporting that it eased financial burdens and made them feel safer, more empowered, and better able to take control of their health. These findings suggest that although transportation programs are commonly introduced as ways to contain health care spending, it may be better to think of them as programs to improve health care access for people facing difficult circumstances.

Indexed as

Accountable Care OrganizationsAgedHospitalizationHumansMedicareUnited States

Identifiers

PMID35254938
PMCPMC9400526

What OpenQuestion holds

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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.