Traveling towards disease: transportation barriers to health care access.
Traveling towards disease: transportation barriers to health care access.
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DOI：
10.1007/s10900-013-9681-1
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发表时间：
2013-10
影响因子：
5.9
通讯作者：
Sharp, Lisa K.
中科院分区：
文献类型：
--
作者：
Syed, Samina T.;Gerber, Ben S.;Sharp, Lisa K.
交通障碍经常被认为是获得医疗保健的障碍。交通障碍会导致重新安排或错过预约，延误护理，错过或延误用药。这些后果可能导致对慢性病的较差管理，从而导致较差的健康结果。然而，基于现有的文献，这些障碍的重要性是不确定的，因为研究人群和运输障碍措施都有很大的差异。作者试图综合有关交通障碍对获得医疗保健的普遍程度的文献。对同行评议的关于医疗保健获得的交通障碍的研究进行了系统的文献搜索。纳入标准如下：(1)涉及正在进行的初级保健或慢性病护理的准入障碍的研究；(2)包括交通障碍评估的研究；(3)在美国完成的研究。总共有61项研究被综述。总体而言，证据支持，交通障碍是获得医疗保健的一个重要障碍，特别是对低收入或保险不足/未参保的人来说。其他研究需要(1)阐明哪些方面的交通限制了卫生保健的可获得性，(2)衡量了交通障碍对临床有意义的结果的影响，以及(3)衡量了交通障碍干预和交通政策变化的影响。
Transportation barriers are often cited as barriers to healthcare access. Transportation barriers lead to rescheduled or missed appointments, delayed care, and missed or delayed medication use. These consequences may lead to poorer management of chronic illness and thus poorer health outcomes. However, the significance of these barriers is uncertain based on existing literature due to wide variability in both study populations and transportation barrier measures. The authors sought to synthesize the literature on the prevalence of transportation barriers to health care access. A systematic literature search of peer-reviewed studies on transportation barriers to healthcare access was performed. Inclusion criteria were as follows: (1) study addressed access barriers for ongoing primary care or chronic disease care; (2) study included assessment of transportation barriers; and (3) study was completed in the United States. In total, 61 studies were reviewed. Overall, the evidence supports that transportation barriers are an important barrier to healthcare access, particularly for those with lower incomes or the under/uninsured. Additional research needs to (1) clarify which aspects of transportation limit health care access (2) measure the impact of transportation barriers on clinically meaningful outcomes and (3) measure the impact of transportation barrier interventions and transportation policy changes.
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影响因子：
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作者：
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通讯作者：
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DOI：
10.1080/713612410
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