Evidence map›Paper›PMID 35449011›Full record

SynthesisBMC public health2022

Effect of interventions for non-emergent medical transportation: a systematic review and meta-analysis.

Paul G Shekelle, Meron M Begashaw, Isomi M Miake-Lye, Marika Booth, Bethany Myers, Andrew Renda

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in BMC public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing 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

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

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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

6 authors.

Paul G ShekelleWest Los Angeles Veterans Affairs Medical Center, 11301 Wilshire Blvd., Los Angeles, CA, 90073-1003, USA. Paul.Shekelle@va.gov.
Meron M BegashawWest Los Angeles Veterans Affairs Medical Center, 11301 Wilshire Blvd., Los Angeles, CA, 90073-1003, USA.
Isomi M Miake-LyeWest Los Angeles Veterans Affairs Medical Center, 11301 Wilshire Blvd., Los Angeles, CA, 90073-1003, USA.
Marika BoothRAND Corporation, Southern California Evidence-Based Practice Center, 1776 Main St, Santa Monica, CA, 90401-3208, USA.
Bethany MyersLouise M. Darling Biomedical Library, University of California Los Angeles (UCLA), 12-077 Center for Health Sciences, Los Angeles, CA, 90095, USA.
Andrew RendaHumana, Inc, 500 W. Main Street, HUM 14, Louisville, KY, 40202, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionTransportation is an important social determinant of health. We conducted a systematic review of the associations on health and health care utilization of interventions aimed at reducing barriers to non-emergency transportation and non-medical transportation.

methodsWe searched three databases and the gray literature through mid-January 2022. Included studies needed to assess an intervention targeted at non-emergency or non-medical transportation barriers, report missed (or kept) visits, health care utilization, costs, or health outcomes. Data extraction was performed in duplicate and included information about study design, results, and risk of bias. Primary outcomes were frequency of missed appointments, health care utilization, costs, and health outcomes. Synthesis was both narrative and meta-analytic using a random effects model.

resultsTwelve studies met inclusion criteria, three randomized trials, one controlled trial, and eight observational studies. All included studies had some element of risk of bias. Populations studied usually had chronic or serious health conditions or were poor. Interventions included van rides, bus or taxi vouchers, ride-sharing services, and others. Meta-analysis of seven studies (three trials, four observational studies) yielded a pooled estimate of missed appointments = 0.63 (95% confidence interval [CI] 0.48, 0.83) favoring interventions. Evidence on cost, utilization, and health outcomes were too sparse to support conclusions. Evidence on the effect of non-medical transportation is limited to a single study. CONCLUSIONS AND RELEVANCE: Interventions aimed at non-emergency transportation barriers to access health care are associated with fewer missed appointments; the association with costs, utilization or health outcomes is insufficiently studied to reach conclusions. This review was registered in PROSPERO as ID CRD42020201875.

Indexed as

Delivery of Health CareTransportationHumansPatient Acceptance of Health CareHealth outcomesNon-emergency medical transportationSystematic review

Identifiers

PMID35449011
PMCPMC9026972

What OpenQuestion holds

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LicenceCC BY
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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.