Access

Access to transportation and health care utilization in a rural region. – PubMed

CONTEXT:

Access to transportation to transverse the large distances between residences and health services in rural settings is a necessity. However, little research has examined directly access to transportation in analyses of rural health care utilization.

PURPOSE:

This analysis addresses the association of transportation and health care utilization in a rural region.

METHODS:

Using survey data from a sample of 1,059 households located in 12 western North Carolina counties, this analysis tests the relationship of different transportation measures to health care utilization while adjusting for the effects of personal characteristics, health characteristics, and distance.

FINDINGS:

Those who had a driver’s license had 2.29 times more health care visits for chronic care and 1.92 times more visits for regular checkup care than those who did not. Respondents who had family or friends who could provide transportation had 1.58 times more visits for chronic care than those who did not. While not

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Massachusetts to close some park roadways to expand pedestrian, bicycle access

State officials said they would close some segments of three parkways to vehicular traffic in state parks and open it up to pedestrian and bicyclists in an effort to encourage social distancing. The sections of roadways will close to vehicular traffic on Friday at dusk and the Department of Conservation and Recreation said they will evaluate the effectiveness of the measure after the weekend. DCR said it will also reduce parking capacity at state parks statewide starting Saturday, and continue the measure indefinitely.Parkways that will open to pedestrians and cyclists include:William J. Day Boulevard between Farragut Road and Shore Drive in the city of Boston (South Boston)Francis Parkman Drive between Perkins Street and the Arborway in the city of Boston (Jamaica Plain)Greenough Boulevard (Little Greenough) between Arsenal Street and North Beacon Street in WatertownThe state urges people to only visit parks that are close to home, limit excursions to short … Read More

Transportation Barriers to Health Care Access

Ahmed et al. [1] N = 413 adults
Urban (Dayton, Ohio), low SES 71 % female, 48 % Black, 42 % Appalachian Door to door survey on barriers to health care access “Difficulty finding transportation” (1) “Hard” or “very hard” time finding transportation (31 %) Arcury et al. [37] N = 1,059 adults
Rural (North Carolina), mixed SES, 662 female, 948 Whites, 112 Blacks Retrospective, comparing transportation barriers and health care utilization “Distance to care for… regular visit… for less serious emergency… for serious emergency” (3)
Has a driver’s license, any household member has a driver’s license, number of vehicles owned in household, days per week spent driving, relative or friend who regularly provides transportation for a family member, knowledge of organizations that provided transportation to health care and use of such transportation (7) Health care utilization associated with having a driver’s license (OR 2.29 more visits) and having a
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