How is the COVID-19 pandemic shaping transportation access to health care?
How is the COVID-19 pandemic shaping transportation access to health care?
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DOI：
10.1016/j.trip.2021.100338
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发表时间：
2021-06
影响因子：
--
通讯作者：
Zimmerman FJ
中科院分区：
文献类型：
--
作者：
Chen KL;Brozen M;Rollman JE;Ward T;Norris KC;Gregory KD;Zimmerman FJ
新型冠状病毒病（COVID-19）大流行扰乱了交通和卫生系统。虽然约40%的美国人在大流行期间推迟了就医，但目前尚不清楚交通在多大程度上导致了错过护理。为了了解大流行期间交通与未满足的医疗保健需求之间的关系，本文综合了五种医疗保健需求的交通模式和障碍的现有知识。虽然文献是有限的，缺乏详细的数据，前往医疗保健，关键主题出现在人群和设置。我们发现，一些患者，其中许多人已经经历了交通不便，在大流行期间可能需要额外的支持，以克服与公共交通变化或无法依赖他人乘车有关的新的旅行障碍。远程医疗正在部分替代某些就诊，但无法满足所有保健需求，特别是弱势群体的保健需求。疫情期间的结构性不平等可能加剧了低收入个人和有色人种获得医疗保健的障碍，他们不仅面临不成比例的健康风险，而且交通运输更加困难，并因COVID-19而加剧了经济困难。卫生和运输系统之间的伙伴关系有望共同解决卫生和运输相关挑战方面的差距，但主要限于参加医疗补助计划的患者。我们的研究结果表明，交通和医疗服务提供者应该寻找额外的策略，以确保交通便利不会成为COVID-19大流行期间和之后延迟医疗服务的原因。
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.
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DOI：
10.1177/0033354920976575
发表时间：
2021-03
期刊：
Public health reports (Washington, D.C. : 1974)
影响因子：
--
作者：
Abouk R;Heydari B
通讯作者：
Heydari B
影响因子：
29.9
作者：
Jay J;Bor J;Nsoesie EO;Lipson SK;Jones DK;Galea S;Raifman J
通讯作者：
Raifman J
DOI：
10.1016/j.trip.2020.100121
发表时间：
2020-05-01
影响因子：
--
作者：
De Vos, Jonas
通讯作者：
De Vos, Jonas
影响因子：
3.5
作者：
Peirlinck, Mathias;Linka, Kevin;Kuhl, Ellen
通讯作者：
Kuhl, Ellen
影响因子：
56.9
作者：
Chinazzi, Matteo;Davis, Jessica T.;Vespignani, Alessandro
通讯作者：
Vespignani, Alessandro