Evidence map›Paper›PMID 41729523›Full record

ArticleJAMA network open2026

Willingness of Older Adults to Travel for Medical Care.

Jeremy Burke, Tabasa Ozawa, Ying Liu, Wei Ye, Soeren Mattke

Abstract read
In one paragraph

Article in JAMA network open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

5 authors.

Jeremy BurkeThe USC Brain Health Observatory, University of Southern California, Los Angeles.
Tabasa OzawaThe USC Brain Health Observatory, University of Southern California, Los Angeles.
Ying LiuThe USC Brain Health Observatory, University of Southern California, Los Angeles.
Wei YeThe USC Brain Health Observatory, University of Southern California, Los Angeles.
Soeren MattkeThe USC Brain Health Observatory, University of Southern California, Los Angeles.

Funding

Policy options to improve access to memory care for disadvantaged individuals who are dually eligible for Medicare and MedicaidR01AG083189 · NIA · UNIVERSITY OF SOUTHERN CALIFORNIA · PI Soeren Mattke · 2023 to 2026
$2.3M
NIA NIH HHS R01 AG083189
6 · The paper itself

Abstract

Importance: Geographic distance to medical care is often thought to create obstacles to access. However, little is known about acceptable travel times for routine medical care and how willingness to travel varies by the type of medical services and individual characteristics. Objective: To survey older adults in the US to determine the limits for acceptable travel times to primary care, specialty care, and diagnostic procedures and to investigate the factors associated with their willingness to travel. Design, Setting, and Participants: In this survey study using a discrete choice experiment, a survey was fielded to participants of a nationally representative internet panel (the Understanding America Study) between April 23 and June 8, 2025. Understanding America Study panelists aged 65 years or older were eligible and invited to participate. Main Outcomes and Measures: The primary outcomes were current and maximum acceptable travel times to primary care, specialty care, and one-time diagnostic services. Linear regression was used to explore the associations between respondent characteristics and willingness to travel. Results: Of the 3390 individuals invited, 2650 respondents were included in the study (78.2% response rate). Respondents had a mean (SD) age of 72.9 (6.0) years; 1377 (52.0%) were female, and 1366 (51.5%) had an annual household income of more than $60 000. The median willingness to travel times were 67.5 (IQR, 37.5-112.5) minutes, 127.5 (IQR, 67.5-232.5) minutes, and 112.5 (IQR, 67.5-202.5) minutes for primary care, specialty care, and one-time diagnostic appointments, respectively. The majority of respondents were willing to travel at least 1 hour to receive primary care (1597 [60.3%]), specialty care (2237 [84.4%]), or one-time diagnostic care (2185 [82.5%]). Regression results revealed that individuals who had higher incomes and greater educational attainment, racial and ethnic minority individuals, and those who typically drove themselves to appointments were willing to travel longer durations; for example, those with incomes greater than $60 000 would travel 22.6 (95% CI, 13.3-31.9) more minutes to specialty care than those with lower incomes. Respondents who lived in metropolitan areas, those who reported being in fair or poor health, and those who reported difficulty traveling to medical appointments in the past were willing to travel shorter durations; for example, those who self-reported fair or poor health were willing to travel 15.0 (3.9-26.1) fewer minutes to specialty care appoints than those with better self-reported health. Conclusions and Relevance: The findings of this survey study suggest that older US adults were willing to travel for substantial durations before delaying or forgoing routine medical care, with important differences by appointment type and individual characteristics. Future research can explore willingness to travel for other types of medical appointments or procedures or for other populations.

Indexed as

Health Services AccessibilityTravelAccess to Primary CareAgedAged, 80 and overFemaleHumansMalePrimary Health CareSurveys and QuestionnairesTime FactorsUnited States

Identifiers

PMID41729523
PMCPMC12931471

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.