Journal articles: 'Transportation in Healthcare'

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Green-Hernandez, Carol. "Transportation Challenges in Rural Healthcare." Nurse Practitioner 31, no. 12 (December 2006): 10. http://dx.doi.org/10.1097/01.npr.0000393077.02176.6b.

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Kotani, Kazuhiko. "Transportation Issues in Rural Healthcare." Journal of Preventive Medicine and Public Health 53, no. 2 (March 31, 2020): 149–50. http://dx.doi.org/10.3961/jpmph.20.038.

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Green-Hernandez, Carol. "Transportation Challenges in Rural Healthcare." Nurse Practitioner 31, no. 12 (December 2006): 10. http://dx.doi.org/10.1097/00006205-200612000-00003.

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Baran, Roger J., Surjit S. Chhabra, and Brace I. Newman. "Designing Healthcare Transportation for the Elderly." Journal of Ambulatory Care Marketing 4, no. 2 (April 18, 1991): 143–55. http://dx.doi.org/10.1300/j273v04n02_12.

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Du, Fangye, Jiaoe Wang, Yu Liu, Zihao Zhou, and Haitao Jin. "Equity in Health-Seeking Behavior of Groups Using Different Transportations." International Journal of Environmental Research and Public Health 19, no. 5 (February 27, 2022): 2765. http://dx.doi.org/10.3390/ijerph19052765.

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The equity of health-seeking behaviors of groups using different transportations is an important metric for health outcome disparities among them. Recently, smart card data and taxi trajectory data have been used extensively but separately to quantify the spatiotemporal patterns of health-seeking behavior and healthcare accessibility. However, the differences in health-seeking behavior among groups by different transportations have hitherto received scant attention from scholars. To fill the gap, this paper aimed to investigate the equity in health-seeking behavior of groups using different transportations. With sets of spatial and temporal constraints, we first extracted health-seeking behaviors by bus and taxi from smart card data and taxi trajectory data from Beijing during 13–17 April 2015. Then, health-seeking behaviors of groups by bus and taxi were compared regarding the coverage of hospital service areas, time efficiency to seek healthcare, and transportation access. The results indicated that there are inequities in groups using different travel modes to seek healthcare regarding the coverage of hospital service areas, time efficiency to seek healthcare, and transportation access. They provide some suggestions for mode-specific interventions to narrow health disparity, which might be more efficient than a one-size-fits-all intervention.

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Cray, Talia M. "Delivering Healthy Babies: Transportation and Healthcare Access." Planning Practice & Research 15, no. 1-2 (February 2000): 17–29. http://dx.doi.org/10.1080/00222938100770021.

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Sternberg, Ernest, and George C. Lee. "New York City's Healthcare Transportation during a Disaster: A Preparedness Framework for a Wicked Problem." Prehospital and Disaster Medicine 24, no. 2 (April 2009): 95–107. http://dx.doi.org/10.1017/s1049023x00006622.

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AbstractDuring a disaster, victims with varied morbidities are located at incident sites, while healthcare facilities with varied healthcare resources are distributed elsewhere. Transportation serves an essential equilibrating role: it helps balance the patients' need for care with the supply of care. Studying the special case of New York City, this article sets out the healthcare transportation components as: (1) incident morbidity; (2) transportation assets; and (3) healthcare capacity. The relationship between these three components raises an assignment problem: the management of healthcare transportation within a dynamic and partly unpredictable incident-transportation-healthcare nexus, under urban disruption. While the routine dispatch problem can be tackled through better geographic allocation software and technical algorithms, the disaster assignment problem must be confronted through real-time, mutual adjustment between institutions. This article outlines institutional alternatives for managing the assignment problem and calls for further research on the merits of alternative institutional models.

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Bull, Marilyn J. "Safe Transportation of Children with Special Healthcare Needs." Pediatric Annals 37, no. 8 (September 1, 2008): 624–31. http://dx.doi.org/10.3928/00904481-20080901-02.

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Zailani, Mohamed Afiq Hidayat, Raja Zahratul Azma Raja Sabudin, Rahana Abdul Rahman, Ismail Mohd Saiboon, Aniza Ismail, and Zaleha Abdullah Mahdy. "Drone for medical products transportation in maternal healthcare." Medicine 99, no. 36 (September 4, 2020): e21967. http://dx.doi.org/10.1097/md.0000000000021967.

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Hu, Qinglin, Xiaobing Li, and Mercedes M. Morales-Alemán. "Pathway analysis to characterize the relationships between healthcare access and healthcare visits in the United States using the health information national trends survey." International Journal Of Community Medicine And Public Health 9, no. 5 (April 27, 2022): 1951. http://dx.doi.org/10.18203/2394-6040.ijcmph20221206.

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Background: Americans had fewer healthcare visits compared to their counterparts in other developed countries. The lack of regular check-ups can contribute to worsening health conditions. Insurance coverage, access to transportation to healthcare services, and having accessed health information via the internet are known to be associated with frequency of healthcare visits. However, there is limited literature detailing the direct and indirect influences of these variables on frequency of patients’ healthcare visits. We aimed to understand the interactive relationship between insurance coverage, access to transportation to healthcare services, and having accessed health information via the internet on frequency of patient healthcare visits.Methods: We used data from the 2018 Health Information National Trends Survey (N=3504), the only survey year providing the source for information on insurance coverage, access to transportation to healthcare services, and having accessed health information via the internet. We used descriptive statistics, random parameter binary logistic regression, and pathway analysis to describe and analyze the associations between these determinants of healthcare access and healthcare visits.Results: Results indicated that access to transportation to healthcare services (18.32%) and having insurance coverage (27.89%) were directly associated with healthcare visit frequency whereas the association between having accessed health information via the internet and reporting a healthcare visit, compare to the former two, was weaken (10.87%). Residential area (rural/urban), health conditions, age, race/ethnicity, employment status were directly associated with visit frequency whereas income status and education level were associated with healthcare visits indirectly through insurance.Conclusions: Better understanding interactive relationships between healthcare access determinants will be key to the development of healthcare access interventions aimed at reducing healthcare disparities.

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Kotval-K, Zeenat, Linda Keilman, and Weijing Wang. "Transportation Services for Older Adults and Preventive Healthcare Attainment." Urban Science 4, no. 3 (August 22, 2020): 38. http://dx.doi.org/10.3390/urbansci4030038.

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This study examines the impact of the provision of specialized transportation services for older adults on the attainment of preventive healthcare services in selected cities across Michigan. The main hypothesis is that transportation services are critical factors for older adults to not only attain preventive healthcare but also to maintain an active lifestyle that avoids the physical, mental and social isolation that they may face when advised to stop driving. Results indicate that provision of transit services and socio-economic characteristics have statistically significant effects on the attainment of preventive healthcare services. However, although transportation is a critical element for maintaining medical appointments, other factors need to be considered if we truly want to attain better health outcomes for all older adults. Qualitative analyses point to other logistical barriers and the need for more awareness of insurance plans and covered services in order to increase preventive healthcare attainment.

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McLeod, Norman. "Healthcare Organizations and Patient Transfers: A Transportation Industry Perspective." Healthcare Quarterly 5, no. 4 (June 15, 2002): 81–84. http://dx.doi.org/10.12927/hcq..16673.

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Heching, Aliza, J. N. Hooker, and Ryo Kimura. "A Logic-Based Benders Approach to Home Healthcare Delivery." Transportation Science 53, no. 2 (March 2019): 510–22. http://dx.doi.org/10.1287/trsc.2018.0830.

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Zhou, Xinxin, Zhaoyuan Yu, Linwang Yuan, Lei Wang, and Changbin Wu. "Measuring Accessibility of Healthcare Facilities for Populations with Multiple Transportation Modes Considering Residential Transportation Mode Choice." ISPRS International Journal of Geo-Information 9, no. 6 (June 16, 2020): 394. http://dx.doi.org/10.3390/ijgi9060394.

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Accessibility research of healthcare facilities is developing towards multiple transportation modes (MTM), which are influenced by residential transportation choices and preferences. Due to differences in travel impact factors such as traffic conditions, origin location, distance to the destination, and economic cost, residents’ daily travel presents different residential transportation mode choices (RTMC). The purpose of our study was to measure the spatial accessibility of healthcare facilities based on MTM considering RTMC (MTM-RTMC). We selected the gravity two-step floating catchment area method (G2SFCA) as a fundamental model. Through the single transportation mode (STM), MTM, and MTM-RTMC, three aspects used to illustrate and redesign the G2SFCA, we obtained the MTM-RTMC G2SFCA model that integrates RTMC probabilities and the travel friction coefficient. We selected Nanjing as the experimental area, used route planning data of four modes (including driving, walking, public transportation, and bicycling) from a web mapping platform, and applied the three models to pediatric clinic services to measure accessibility. The results show that the MTM-RTMC mechanism is to make up for the traditional estimation of accessibility, which loses sight of the influence of residential transportation choices. The MTM-RTMC mechanism that provides a more realistic and reliable way can generalize to major accessibility models and offers preferable guidance for policymakers.

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Choi, Jung A., and Oksoo Kim. "Factors Influencing Unmet Healthcare Needs among Older Korean Women." International Journal of Environmental Research and Public Health 18, no. 13 (June 26, 2021): 6862. http://dx.doi.org/10.3390/ijerph18136862.

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The purpose of this study was to determine factors that influence the unmet healthcare needs of older women in Korea and to examine differences in the reasons for these unmet healthcare needs according to age and residential area. We analyzed data from the 2018 Korea Community Health Survey and enrolled 42,698 older Korean women in this study. Residential area, living arrangement, income, education, basic livelihood subsidy, activity of daily living, subjective health status, hypertension and diabetes, unmet healthcare needs, and the reasons healthcare needs were not met were assessed. Logistic regression analysis was performed to identify factors that influenced unmet healthcare needs. Chi-square tests were used to identify reasons for unmet healthcare needs according to age group and residential area. Of the participants, 4151 (9.7%) reported unmet healthcare needs over the past year. The primary reason participants could not use health services was “inconvenient transportation” (38.4%), followed by “financial burden” (28.4%) and “symptoms not severe” (16.8%). There were significant differences in “financial burden”, “difficulty making appointments”, “inconvenient transportation”, and “symptoms not severe” according to both age group and residential area. Factors that influenced unmet healthcare needs were residential area, living alone, lower family income, lower educational level, basic livelihood subsidy, difficult activities of daily living, hypertension and diabetes, and poor subjective health. Older women in Korea living alone in urban and rural areas had more unmet healthcare needs of than those who lived with other people. To address the unmet healthcare needs of older Korean women, transportation and medical facilities need to be improved or established.

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Hu, Qinglin, Xiaobing Li, Gregg Bell, and Lea G. Yerby. "The impacts of internet and transportation access on patients’ health conditions: a cross-sectional study." International Journal Of Community Medicine And Public Health 9, no. 2 (January 28, 2022): 565. http://dx.doi.org/10.18203/2394-6040.ijcmph20220213.

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Background: Use of internet and transportation to access to healthcare resources are 2 essential and effective ways to promote health outcomes and ameliorate health disparities. Despite general widespread availability of internet and transportation, disparities still exist among specific groups and regions. Little is known about the spatial patterns of extents of 2 access determinants on healthcare resources, nor for their compound effects on patient’s health outcomes.Methods: The study uses 2018 health information national trends survey (HINTS) data, geographic information techniques and multiple ordered logistic regression model were applied.Results: The results show that States in West and Midwest tend to have higher proportions on both perspectives, where states in South and Mideast had a relatively low percentage on the healthcare access determinants. Those states had similar socio-economic patterns with underserved population and low development progress in public healthcare system. Another finding is urban people had outstripped its rural neighbors on both internet (79% vs 57%) and transport (74% vs 62%) access to healthcare resources. Furthermore, our study suggests that, when considering compound effects of internet access for healthcare information and transport access to healthcare service, people who had greater barriers tend to have decreased likelihood (-21.30%) towards their health conditions, compare to those with sufficient accesses.Conclusions: Additional work and policy are needed to ensure that internet and public transportation resources and services are prioritized for underserved populations and areas.

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Kim, Ju Young, Dae In Kim, Hwa Yeon Park, Yuliya Pak, Phap Ngoc Hoang Tran, Truc Thanh Thai, Mai Thi Thanh Thuy, and Do Van Dung. "Unmet Healthcare Needs and Associated Factors in Rural and Suburban Vietnam: A Cross-Sectional Study." International Journal of Environmental Research and Public Health 17, no. 17 (August 31, 2020): 6320. http://dx.doi.org/10.3390/ijerph17176320.

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The purpose of this study was to examine the current utilization of healthcare services, exploring unmet healthcare needs and the associated factors among people living in rural Vietnam. This cross-sectional study was conducted with 233 participants in a rural area. The methods included face-to-face interviews using a structured questionnaire, and anthropometric and blood pressure measurements. We considered participants to have unmet health needs if they had any kind of health problem during the past 12 months for which they were unable to see a healthcare provider. Multivariate logistic regression analysis was performed to determine the factors associated with unmet healthcare needs. Of the participants, 18% (n = 43) had unmet healthcare needs, for reasons like transportation (30%), a lack of available doctors or medicine (47%), and communication issues with healthcare providers (16%). The multivariate logistic regression showed that living in a rural area, having stage 2 hypertension, and having insurance were associated with unmet healthcare needs. To better meet the healthcare needs in rural or suburban areas of Vietnam, allocation of adequate healthcare resources should be distributed in rural areas and insurance coverage for personalized healthcare needs might be required. Efforts should focus on availability of medicine, improvement of transportation systems, and communication skills of healthcare providers to improve access to healthcare services.

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Heiskanen, Aliisa, Yannick Galipeau, Marc-André Langlois, Julian Little, and Curtis L. Cooper. "SARS-CoV-2 Seroprevalence in Those Utilizing Public Transportation or Working in the Transportation Industry: A Rapid Review." International Journal of Environmental Research and Public Health 19, no. 18 (September 15, 2022): 11629. http://dx.doi.org/10.3390/ijerph191811629.

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Proximity and duration of social contact while working or using public transportation may increase users’ risk of SARS-CoV-2 exposure. This review aims to assess evidence of an association between use of public transportation or work in the transportation industry and prevalence of SARS-CoV-2 antibodies as well as to identify factors associated with seropositivity in transit users. A literature search of major databases was conducted from December 2019 to January 2022 using key worlds including “seroprevalence”, “SARS-CoV-2”, and “public transit”. A narrative review of included studies was completed for the following categories: those working in the transportation industry, healthcare workers relying on public transit, and population-based studies. The association between work in the transit industry and seroprevalence varied based on location, demographic characteristics, and test sensitivities. No association was found in healthcare workers. Several population-based studies indicated higher seroprevalence in those using public transit. Overall seroprevalence estimates varied based on geographic location, population demographics, study methodologies, and calendar date of assessment. However, seropositivity was consistently higher in racial minorities and low-income communities.

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Zell, Angela M., and Joan Ilardo. "YOU CAN’T GET THERE FROM HERE! TRANSPORTATION ISSUES OF OLDER ADULTS AND PEOPLE WITH DISABILITIES." Innovation in Aging 3, Supplement_1 (November 2019): S253. http://dx.doi.org/10.1093/geroni/igz038.948.

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Abstract Older adults and individuals with disabilities face transportation challenges on a daily basis that differ from the general population. Transportation is critical to all aspects of quality of life yet presents significant challenges. Lack of appropriate vehicles, reliable public transportation, and the high-cost of vehicle ownership lead to missed healthcare appointments, lack of access to proper nutrition, and social isolation. The purpose of the study was to provide information for the Commission on Services to the Aging. It was necessitated by the lack of existing data from the Department of Transportation because Michigan’s transportation systems are locally controlled. An online questionnaire was emailed to public and private organizations serving older adults and people with disabilities to determine transportation services currently available in their geographic areas and innovative solutions employed to address barriers. The questionnaire was adapted from the National Center of Senior Transportation in 2009 that produced the report “Transportation: The Silent Need”. The study analyzed data on current transportation services and innovative solutions piloted in Michigan. Respondents represented every Michigan county and included area agencies on aging, senior centers, councils on aging, healthcare agencies, transportation providers, community action agencies, and job training programs. Information includes: services provided by the agency; barriers to accessing transportation; access to transportation services information; transport services previously used, currently available, and being planned. Many of the 95 respondents commented on persistent lack of funding for viable, reliable transportation options and jurisdictional issues. Most pilots used fixed routes, volunteer drivers, demand response and expanded schedules.

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Chen, Lingwei, Ting Chen, Tianjiao Lan, Chu Chen, and Jay Pan. "The Contributions of Population Distribution, Healthcare Resourcing, and Transportation Infrastructure to Spatial Accessibility of Health Care." INQUIRY: The Journal of Health Care Organization, Provision, and Financing 60 (January 2023): 004695802211460. http://dx.doi.org/10.1177/00469580221146041.

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Population demand, healthcare resourcing, and transportation linkage are considered as major determinants of spatial access to health care. Temporal changes of the 3 determinants would result in gain or loss of spatial access to health care. As a remarkable milestone achieved by Targeted Poverty Reduction Project launched in China, the significant improvements in spatial access to health care served as an ideal context for investigating the relative contributions of these 3 determinants to the changes in spatial access to health care in a rural county. A national level poverty-stricken county, Chishui county from Guizhou province, China, was chosen as our study area. The enhanced two-step floating catchment area model and the chain substitution method were employed for analysis. The relative contributions of the 3 determinants demonstrated variations with villages. The relative contributions of healthcare resourcing were positive in all villages as indicated by sharp increases in healthcare resources. Population changes and transportation infrastructure expansion had both negative and positive effects on spatial access to health care for different villages. Decisionmakers should take into account the duration of travel time spent between where people live, where transport hubs are located, and where healthcare services are delivered in the process of formulating policies toward rural healthcare planning. For villages with poorly-established infrastructure, the optimization of population distribution and healthcare resourcing should be considered as the priority. A stronger marginal effect would be induced by transportation infrastructure expansion with increased spatial accessibility. This study provides empirical evidences to inform healthcare planning in low- and middle-income countries.

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Zaman, Khalid, Muhammad Khalid Anser, Usama Awan, Wiwik Handayani, Hailan Salamun, Abdul Rashid Abdul Aziz, Mohd Khata Jabor, and Kamalularifin Subari. "Transportation-Induced Carbon Emissions Jeopardize Healthcare Logistics Sustainability: Toward a Healthier Today and a Better Tomorrow." Logistics 6, no. 2 (April 15, 2022): 27. http://dx.doi.org/10.3390/logistics6020027.

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Background: Logistics operations are considered essential for transporting commodities from one location to another, helping to promote global economic activity. On the other hand, its negative impact eclipses its positive impact, namely the rise in healthcare expenditures due to its ecological footprint. Globally, rising out-of-pocket health expenses result from logistic-induced carbon emissions, posing a danger to the long-term viability of healthcare. Methods: Based on this critical fact, this study examined the impact of logistics operations on healthcare costs by controlling for carbon emissions, fuel imports, and economic development across a large cross-section of 131 nations by using the Robust Least Squares Regression. Results: The findings demonstrate a U-shaped association between logistical operations and healthcare expenditures, i.e., if there is a 1% increase in logistics operations, healthcare expenditures decrease by −2.421% initially, while at later stages, healthcare costs would increase by 0.139%. On the other hand, increased fuel imports and economic growth due to logistics activities are increasing healthcare expenditures with an elasticity estimate of 0.087% and 0.147%, respectively. According to the forecasting predictions, logistics-induced carbon emissions, fuel imports, and economic expansion will increase healthcare expenses. Conclusions: A sustainable logistics operation is critical for strengthening healthcare infrastructure and meeting the global carbon neutrality goal.

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Khalid, Muhammad, Muhammad Awais, Nishant Singh, Suleman Khan, Mohsin Raza, Qasim Badar Malik, and Muhammad Imran. "Autonomous Transportation in Emergency Healthcare Services: Framework, Challenges, and Future Work." IEEE Internet of Things Magazine 4, no. 1 (March 2021): 28–33. http://dx.doi.org/10.1109/iotm.0011.2000076.

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Mao, Liang, and Dawn Nekorchuk. "Measuring spatial accessibility to healthcare for populations with multiple transportation modes." Health & Place 24 (November 2013): 115–22. http://dx.doi.org/10.1016/j.healthplace.2013.08.008.

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Tao, Zhuolin, and Yang Cheng. "Modelling the spatial accessibility of the elderly to healthcare services in Beijing, China." Environment and Planning B: Urban Analytics and City Science 46, no. 6 (January 31, 2018): 1132–47. http://dx.doi.org/10.1177/2399808318755145.

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In the context of rapid population aging, Beijing is facing great challenges in providing healthcare services for the elderly. The objective of this study is to measure the spatial accessibility of the elderly to healthcare services in Beijing. A major challenge is that healthcare services are not exclusive for the elderly, so the elderly must compete with the non-elderly for access to healthcare services. In this study, we have developed a multi-mode and variable-demand two-step floating catchment area model for measuring spatial accessibility of the elderly to healthcare services, taking into account the competition between the elderly and non-elderly. This is modeled by differences in demand intensity and mobility. The elderly have a higher demand intensity and are disadvantaged in mobility due to their higher dependence on public transportation than the non-elderly. To improve the elderly’s healthcare accessibility, more healthcare resources should be allocated and the public transportation to hospitals should be improved, especially in peripheral areas. The proposed model can also be applied in other scenarios considering multiple population groups with different demand intensity for public services and mobility.

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Yan, Xiang, Lu Shan, Shenjing He, and Jiekui Zhang. "Cross-city patient mobility and healthcare equity and efficiency: Evidence from Hefei, China." Travel Behaviour and Society 28 (July 2022): 1–12. http://dx.doi.org/10.1016/j.tbs.2022.02.001.

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Nieves, Jeremiah J. "Combining Transportation Network Models with Kernel Density Methods to Measure the Relative Spatial Accessibility of Pediatric Primary Care Services in Jefferson County, Kentucky." International Journal of Applied Geospatial Research 6, no. 3 (July 2015): 39–57. http://dx.doi.org/10.4018/ijagr.2015070103.

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When considering access to healthcare, the question of whether the provider is available and accessible must be answered before the question of cost. Most contemporary techniques of estimating the spatial accessibility of healthcare cannot simultaneously take into account transportation times and the spatially distributed service capacity of healthcare providers. This paper creates the Comprehensive Spatial Accessibility Rank (CSAR) model to calculate a relative estimate of spatial accessibility that can account for both public and private transportation and the spatial distribution of a service provider's capacity for service in relation to the distribution of a study area's population. It uses data for Jefferson County, Kentucky to show how the CSAR model could be used to identify possible disparities in accessing pediatric primary healthcare services. The CSAR model is able to detect relative disparities between defined subpopulations and or geographic regions, allowing for the comparison of the effects of physical infrastructure in access.

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Richie, Cristina. "Can United States Healthcare Become Environmentally Sustainable? Towards Green Healthcare Reform." Journal of Law, Medicine & Ethics 48, no. 4 (2020): 643–52. http://dx.doi.org/10.1177/1073110520979371.

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In 2014, the United States health care industry produced an estimated 480 million metric tons of carbon dioxide (CO2); nearly 8% of the country's total emissions. The importance of sustainability in health care — as a business reliant on fossil fuels for transportation, energy, and operational functioning — is slowly being recognized. These efforts to green health care are incomplete, since they only focus on health care structures. The therapeutic relationship is the essence of health care — not the buildings that contain the practice. As such, this article will first postulate reasons for a lack of environmental sustainability in US health care. Second, the article will focus on current green health care initiatives in the United States in which patients and physicians participate. Third, the rationale for participation in green initiatives will be explained. Fourth, the article will propose that, based on the environmental values of patients and physicians, health care insurance plans and health care insurance companies can be targeted for green health care reform, thereby closing the loop of sustainable health care delivery.

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Almalki, Adel. "Missed appointments at maternal healthcare clinics in primary healthcare centres in Riyadh city: reasons and associated factors." Journal of Hospital Administration 3, no. 4 (March 24, 2014): 92. http://dx.doi.org/10.5430/jha.v3n4p92.

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Background: The issue of missed appointments at maternal healthcare clinics in primary healthcare centers (PHCCs) has received increasing attention in recent years. The significant relationship between missed appointments and access to maternal healthcare has been recognized around the world. Missed appointments have serious health and economic consequences for women seeking maternal healthcare at PHCCs. Objectives: The objectives of this research were 1) to critically explore the reasons for and socio-demographic factors associated with missed appointments at maternal healthcare clinics at PHCCs; and 2) to provide recommendations for health policy that might help to eliminate the problem of “no-show” maternal patients. Methods: Descriptive statistics were used to analyze the responses of 250 women regarding demographics, as well as their reasons for missing appointments and their preferences regarding appointment confirmation at maternal healthcare clinics at five PHCCs in Riyadh, Saudi Arabia. Results: The most frequent reasons associated with missed appointments reported by women included a lack of supplies and medical equipment, such as ultrasound machines, the unavailability of transportation and a lack of respect from PHCC staff. Conclusion: Developing easily accessible, flexible, interactive appointment systems with reminder/recall, providing means of transportation, providing training courses to PHCC employees on how to address these women and the provision of necessary medical equipment and facilities, such as ultrasound machines to all PHCCs are highly recommended to reduce the occurrence of missed appointments at maternal healthcare clinics at PHCCs in Riyadh, Saudi Arabia.

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Maxwell, December, Rebecca L. Mauldin, and Dennis Kao. "HEALTHCARE ACCESS AND SOCIAL ENGAGEMENT OF OLDER MINORITY ADULTS: EXPERIENCES NAVIGATING TRANSPORTATION BARRIERS." Innovation in Aging 3, Supplement_1 (November 2019): S902—S903. http://dx.doi.org/10.1093/geroni/igz038.3297.

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Abstract Transportation is vital in the daily lives of older adults and provides access to health care services and health enhancing activities, such as social engagement. Disparities in mobility exist for older African American and Hispanic adults compared to non-Hispanic Whites, including higher likelihood of driving cessation at an earlier age and having a higher risk for reduced life space. This poster presents findings from a qualitative analysis of data from the Using Geo-Ethnography to Explore the Spatial Accessibility of Health Services for Aging Minorities Study (GeoSAS), a mixed methods study of older minority adults in Houston, TX. Using interpretive phenomenological analysis, the transcripts of semistructured interviews with 23 older adults (13 African American and 10 Hispanic; 17 female; mean age = 71.3 yrs, SD = 6.3 years) were analyzed to address the research question: What are the mobility experiences and perceptions of minority older adults regarding healthcare access and social engagement? Based on an ecological systems theoretical framework, we found reciprocal influences of (1) healthcare systems and transportation utilization and (2) participants’ health and well-being, mobility, and social engagement. Support from family members and financial capacity were critical for participants’ mobility. Implications of this research include educating health care providers about patients’ transportation experiences and barriers, optimizing social support to increase mobility, and addressing systematic disparities in transportation access to enhance health and well-being for older minority adults.

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Torkayesh, Ali Ebadi, Hadi Rezaei Vandchali, and Erfan Babaee Tirkolaee. "Multi-Objective Optimization for Healthcare Waste Management Network Design with Sustainability Perspective." Sustainability 13, no. 15 (July 24, 2021): 8279. http://dx.doi.org/10.3390/su13158279.

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Healthcare Waste Management (HWM) is considered as one of the important urban decision-making problems due to its potential environmental, economic, and social risks and damages. The network of the HWM system involves important decisions such as facility locating, inventory management, and transportation management. Moreover, with growing concerns towards sustainable development objectives, HWM systems should address its environmental and social aspects as well as its economic and technical characteristics. In this regard, this paper formulates a novel multi-objective optimization model to empower companies in making optimized decisions considering the economic, environmental, and social aspects. Within the proposed model, the first objective function aims to minimize the transportation costs, processing costs, and establishment costs. The second objective function aims to minimize environmental risks and emissions related to the transportation of waste between facilities. The third objective function aims to maximize job creation opportunities. Formulating these three functions, an Improved Multi-Choice Goal Programing (IMCGP) approach is proposed to solve the multi-objective optimization model, which is then compared with the Goal Attainment Method (GAM). Finally, to show the applicability and feasibility of the proposed model, an illustrative example of healthcare waste management is analyzed, and the results are discussed.

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Wang, Xiaoli, Zhiyong Zhang, Jun Zhao, and Yongqiang Shi. "Impact of Telemedicine on Healthcare Service System Considering Patients’ Choice." Discrete Dynamics in Nature and Society 2019 (February 3, 2019): 1–16. http://dx.doi.org/10.1155/2019/7642176.

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Telemedicine is an effective way to alleviate the congestion of hospitals and improve the utilization of medical resources. In this paper, we develop a stylized queue model to study whether the hospital should adopt telemedicine service and in which form (the gatekeeper system or dual-channel service system) the hospital should provide telemedicine service. Patients’ delay sensitivity and transportation cost are also considered in our model. Our main results follow. First, in most cases, telemedicine service can help to reduce the total cost of the healthcare system, and patients treated online or offline can both benefit from the adoption of telemedicine. Second, the dual-channel healthcare system is more flexible than the traditional outpatient system and the gatekeeper system. There exists an optimal market segmentation of the two channels in the dual-channel healthcare system. Finally, we find that the hospital should implement the telemedicine when the transportation cost is high or patients have a large gap between online and offline waiting sensitivity.

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Schmidt, Lara, and Sabine Bohnet-Joschko. "Planetary Health and Hospitals’ Contribution—A Scoping Review." International Journal of Environmental Research and Public Health 19, no. 20 (October 19, 2022): 13536. http://dx.doi.org/10.3390/ijerph192013536.

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Climate change is one of the greatest global threats for planetary and human health. This leads to new challenges for public health. Hospitals emit large amounts of greenhouse gases (GHG) in their healthcare delivery through transportation, waste and other resources and are considered as key players in reducing healthcare’s environmental footprint. The aim of this scoping review is to provide the state of research on hospitals’ carbon footprint and to determine their contribution to mitigating emissions. We conducted a systematic literature search in three databases for studies related to measurement and actions to reduce GHG emissions in hospitals. We identified 21 studies, the oldest being published in 2012, and the most recent study in 2021. Eight studies focused on GHG emissions hospital-wide, while thirteen studies addressed hospital-based departments. Climate actions in the areas of waste and transportation lead to significant reductions in GHG emissions. Digital transformation is a key factor in implementing climate actions and promoting equity in healthcare. The increasing number of studies published over time indicates the importance of the topic. The results suggest a need for standardization of measurement and performance indicators on climate actions to mitigate GHG emissions.

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Ghorbanzadeh, Mahyar, Kyusik Kim, Eren Erman Ozguven, and Mark W. Horner. "Spatial accessibility assessment of COVID-19 patients to healthcare facilities: A case study of Florida." Travel Behaviour and Society 24 (July 2021): 95–101. http://dx.doi.org/10.1016/j.tbs.2021.03.004.

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Hashemi Doulabi, Hossein, Gilles Pesant, and Louis-Martin Rousseau. "Vehicle Routing Problems with Synchronized Visits and Stochastic Travel and Service Times: Applications in Healthcare." Transportation Science 54, no. 4 (July 2020): 1053–72. http://dx.doi.org/10.1287/trsc.2019.0956.

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This paper, for the first time, studies vehicle routing problems with synchronized visits (VRPS) and stochastic travel and service times. In addition to considering a home healthcare scheduling problem, we introduce an operating room scheduling problem with stochastic durations as a novel application of VRPS. We formulate VRPS with stochastic times as a two-stage stochastic integer programming model that, unlike the deterministic models in the VRPS literature, does not have any big-M constraints. This advantage comes at the cost of a large number of second-stage integer variables. We prove that the integrality constraints on second-stage variables can be relaxed, and therefore, we can apply the L-shaped algorithm and its branch-and-cut implementation to solve the problem. We enhance the model by developing valid inequalities and a lower bounding functional. We analyze the subproblems of the L-shaped algorithm and devise a specialized algorithm for them that is significantly faster than standard linear programming algorithms. Computational results show that the branch-and-cut algorithm optimally solves stochastic home healthcare scheduling instances with 15 patients and 10%–30% of synchronized visits. It also finds solutions with an average optimality gap of 3.57% for instances with 20 patients. Furthermore, the branch-and-cut algorithm optimally solves stochastic operating room scheduling problems with 20 surgeries.

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Pohjosenperä, Timo, Päivi Kekkonen, Saara Pekkarinen, and Jari Juga. "Service modularity in managing healthcare logistics." International Journal of Logistics Management 30, no. 1 (February 11, 2019): 174–94. http://dx.doi.org/10.1108/ijlm-12-2017-0338.

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PurposeThe purpose of this paper is to examine how modularity is used for enabling value creation in managing healthcare logistics services.Design/methodology/approachMaterial logistics of four different kinds of hospitals is examined through a qualitative case study. The theoretical framework builds on the literature on healthcare logistics, service modularity and value creation.FindingsThe case hospitals have developed their material logistics independently from others when looking at the modularity of offerings, processes and organisations. Services, such as assortment management, shelving and developing an information platform, have been performed in-house partly by the care personnel, but steps towards modularised and standardised solutions are now being taken in the case hospitals, including ideas about outsourcing some of the services.Research limitations/implicationsThis paper proposes seven modularity components for healthcare logistics management: segmentation, categorisation and unitisation of offerings, differentiation and decoupling of processes, and centralisation and specialisation of organisations. Thus, this study clarifies the three-dimensional concept of modularity as a cognitive frame for managing logistics services with heterogeneous customer needs in a rapidly changing healthcare environment.Practical implicationsModularity offers a tool for developing logistics services inside the hospital and increases possibilities to consider also external logistics service providers.Social implicationsManaging healthcare logistics services through modularity has potential social implications in developing healthcare processes and changing the usage of health services. On a wider scale, modularity is helping healthcare systems reaching their goals in terms of service quality and cost.Originality/valueThis paper shows the context-specific antecedents of service modularity and the usage of modular thinking in managing healthcare logistics.

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Hachicha, Wafik, Mariam Mellouli, Mahdi Khemakhem, and Habib Chabchoub. "ROUTING SYSTEM FOR INFECTIOUS HEALTHCARE-WASTE TRANSPORTATION IN TUNISIA: A CASE STUDY." Environmental Engineering and Management Journal 13, no. 1 (2014): 21–28. http://dx.doi.org/10.30638/eemj.2014.004.

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Moran, Valerie, Marc Suhrcke, Maria Ruiz-Castell, Jessica Barré, and Laetitia Huiart. "Investigating unmet need for healthcare using the European Health Interview Survey: a cross-sectional survey study of Luxembourg." BMJ Open 11, no. 8 (August 2021): e048860. http://dx.doi.org/10.1136/bmjopen-2021-048860.

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ObjectivesWe investigate the prevalence of unmet need arising from wait times, distance/transportation and financial affordability using the European Health Interview Survey. We explore associations between individual characteristics and the probability of reporting unmet need.DesignCross-sectional survey conducted between February and December 2014.Setting and participants4004 members of the resident population in private households registered with the health insurance fund in Luxembourg aged 15 years and over.Outcome measuresSix binary variables that measured unmet need arising from wait time, distance/transportation and affordability of medical, dental and mental healthcare and prescribed medicines among those who reported a need for care.ResultsThe most common barrier to access arose from wait times (32%) and the least common from distance/transportation (4%). Dental care (12%) was most often reported as unaffordable, followed by prescribed medicines (6%), medical (5%) and mental health (5%) care. Respondents who reported bad/very bad health were associated with a higher risk of unmet need compared with those with good/very good health (wait: OR 2.41, 95% CI 1.53 to 3.80, distance/transportation: OR 7.12, 95% CI 2.91 to 17.44, afford medical care: OR 5.35, 95% CI 2.39 to 11.95, afford dental care: OR 3.26, 95% CI 1.86 to 5.71, afford prescribed medicines: OR 2.22, 95% CI 1.04 to 4.71, afford mental healthcare: OR 3.58, 95% CI 1.25 to 10.30). Income between the fourth and fifth quintiles was associated with a lower risk of unmet need for dental care (OR 0.29, 95% CI 0.16 to 0.53), prescribed medicines (OR 0.38, 95% CI 0.17 to 0.82) and mental healthcare (OR 0.17, 95% CI 0.05 to 0.61) compared with income between the first and second quintiles.ConclusionsRecent and planned reforms to address waiting times and financial barriers to accessing healthcare may help to address unmet need. In addition, policy-makers should consider additional policies targeted at high-risk groups with poor health and low incomes.

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Debita, Mihaela, Carmina Liana Musat, Madalina Rus, Elena Mereuta, and Claudiu Mereuta. "Optimization of Transportation for Hazardous Waste Disposal from Medical Units." Applied Mechanics and Materials 811 (November 2015): 378–82. http://dx.doi.org/10.4028/www.scientific.net/amm.811.378.

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The paper presents some technical considerations regarding the medical waste transportation and an optimization calculus for minimizing the transportation costs of a company specialized and authorized in collecting, transporting and final disposal of medical waste generated by healthcare facilities. The calculus revealed that it is possible to significantly reduce the transportation costs (up to 65.52%), but there are also other analysis possibilities like considering the in-between points from sources to destinations, alternative paths, limits to the amount of medical waste on each path, time.

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Umegbolu, Emmanuel I., and Innocentia N. Ozoejike. "Management of solid healthcare wastes in some government healthcare facilities in Enugu state, Southeast Nigeria: a cross-sectional study." International Journal Of Community Medicine And Public Health 4, no. 11 (October 25, 2017): 4031. http://dx.doi.org/10.18203/2394-6040.ijcmph20174813.

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Background: The significance of healthcare wastes (HCWs) consists in their hazardous component, which constitutes real danger to public health. In Nigeria, healthcare waste management (HCWM) has remained a problem yet to be properly recognized and so addressed. The study aimed to sensitise health workers and the public on the need for proper management of HCWs, considering the public health implications of not doing so.Methods: The waste management systems of ten healthcare facilities (HCFs) were assessed, using a modification of the WHO rapid assessment tool. In each HCF, segregated wastes were collected daily for ten days and quantified by weighing, using a spring balance.Results: Administratively, the HCWM system was poor in the ten HCFs (40.6%). 70% of them had satisfactory waste segregation, 81%, good waste treatment, and 26.7% adequate transportation methods for waste. None of the HCFs had budget allocation for HCWM, and 90% had inadequate storage facilities. Mean waste generation was 1.81 kg/day, 0.23 kg/patient/day, 0.16 kg/bed/day, and proportion of infectious wastes 16.8%. Correlation between the number of patients and proportion of infectious waste, was positive, strong and significant (r=0.80, p=0.01), and between bed occupancy rate and proportion of infectious waste, was positive too, but weak, and insignificant (r=0.34, p=0.34).Conclusions: In view of the identified weaknesses of the ten HCFs in HCWM, budget allocations for HCWM, improving waste storage facilities and transportation, with strengthening of waste segregation, collection, and treatment, would help to ensure adequate HCWM in the HCFs.

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Sohrabi, Soheil, Fang Shu, Anika Gupta, Morteza Hossein Sabbaghian, Amirarsalan Mehrara Molan, and Soheil Sajjadi. "Health Impacts of COVID-19 through the Changes in Mobility." Sustainability 15, no. 5 (February 23, 2023): 4095. http://dx.doi.org/10.3390/su15054095.

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Understanding the wider effects of the COVID-19 pandemic on public health is needed to respond sufficiently to the impacts and facilitate recovery. We studied the secondary health impacts of COVID-19 through the changes in transportation using a ripple effect mode. Three ripples are defined to reflect the impacts of COVID-19 on (1) transportation and the systems behind it, (2) transportation-related health risk factors, and (3) public health. COVID-19 impacts on transportation are synthesized through six areas: transportation demand, transportation mode, traffic safety, land use and built environment, transportation jobs, and transportation equity. These changes are further associated with decreased transportation-related air pollution, greenhouse gases, noise, heat, and stress. Higher rates of road casualties were observed in the area of COVID-19. Social exclusion and limitations in accessibility to healthcare and healthy food were identified as negative consequences of changes in transportation. There are uncertainties in the rate of active transportation (i.e., walking and cycling) and related crashes that require further investigation. The findings of this study uncover the complex and relatively unknown impacts of COVID-19 on public health through changes in transportation.

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Scott, Judy E., and Carlton H. Scott. "Models for Drone Delivery of Medications and Other Healthcare Items." International Journal of Healthcare Information Systems and Informatics 13, no. 3 (July 2018): 20–34. http://dx.doi.org/10.4018/ijhisi.2018070102.

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This article describes how a healthcare delivery drone has the potential for developing countries to leapfrog the development of traditional transportation infrastructure. Inaccessible roads no longer will prevent urgent delivery of blood, medications or other healthcare items. This article reviews the current status of innovative drone delivery with a particular emphasis on healthcare. The leading companies in this field and their different strategies are studied. Further, this article reviews the latest decision models that facilitate management decision making for operating a drone fleet. The contribution in this article of two new models associated with the design of a drone healthcare delivery networks will facilitate a more timely, efficient, and economical drone healthcare delivery service to potentially save lives.

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Akkad, Adam R., Jian Gu, Brett Duane, Alan Norquist, David J. Brenner, Adarsh Ramakumar, and Frederic Zenhausern. "Automatic reagent handling and assay processing of human biospecimens inside a transportation container for a medical disaster response against radiation." PLOS ONE 17, no. 5 (May 20, 2022): e0268508. http://dx.doi.org/10.1371/journal.pone.0268508.

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Biological materials can be shipped off-site for diagnostic, therapeutic and research purposes. They usually are kept in certain environments for their final application during transportation. However, active reagent handling during transportation from a collection site to a laboratory or biorepository has not been reported yet. In this paper, we show the application of a micro-controlled centrifugal microfluidic system inside a shipping container that can add reagent to an actively cultured human blood sample during transportation to ensure a rapid biodosimetry of cytokinesis-block micronucleus (CBMN) assay. The newly demonstrated concept could have a significant impact on rapid biodosimetry triage for medical countermeasure in a radiological disaster. It also opens a new capability in accelerated sample processing during transportation for biomedical and healthcare applications.

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Bejleri, Ilir, Ruth L. Steiner, Sulhee Yoon, Jeffery Harman, and Donna F. Neff. "Exploring transportation networks relationship to healthcare access and as affected by urban sprawl." Transportation Research Procedia 25 (2017): 3066–78. http://dx.doi.org/10.1016/j.trpro.2017.05.314.

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Ahmed Mohammed Adam, Muatsim, Salma Faroug, Rasha Sayed, Adel Elduma, Hamdan Mustafa, and Eltahir Awad Gasim Khalil. "Knowledge and Practice about Transportation of Infectious Substance among Healthcare Providers, Khartoum State." Universal Journal of Public Health 7, no. 2 (March 2019): 45–51. http://dx.doi.org/10.13189/ujph.2019.070201.

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Agi, Kamil, Robert Ian, Lok-kun Tsui, Fernando H. Garzon, and Ramiro Jordan. "IoT-Based Sensor Systems for Intelligence in Transportation, Healthcare and Natural Gas Detection." ECS Meeting Abstracts MA2020-02, no. 65 (November 23, 2020): 3294. http://dx.doi.org/10.1149/ma2020-02653294mtgabs.

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Agi, Kamil, Robert Ian, Lok-kun Tsui, Fernando H. Garzon, and Ramiro Jordan. "IoT-Based Sensor Systems for Intelligence in Transportation, Healthcare and Natural Gas Detection." ECS Transactions 98, no. 11 (September 23, 2020): 17–23. http://dx.doi.org/10.1149/09811.0017ecst.

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Lee, Sangwan. "Spatial and Socioeconomic Inequalities in Accessibility to Healthcare Services in South Korea." Healthcare 10, no. 10 (October 17, 2022): 2049. http://dx.doi.org/10.3390/healthcare10102049.

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This study explored questions of (1) whether certain areas of South Korea experienced inequal accessibility to public health centers, private hospitals/clinics, and general hospitals by car and public transportation using gaussian mixture models (GMM) and (2) whether socially disadvantaged socioeconomic groups faced disproportionate burdens on accessibility to the multi-tier healthcare services employing ordinary least square regression models (OLS). This study used nationwide accessibility indicators in South Korea measured by Korea Transport Institute in 2019. The main findings were as follows: First, the results of the GMM indicate that the degree of accessibility to healthcare services was significantly lower in rural, mountainous, and seaside locations compared to metropolitan areas. Second, there was more considerable inequality in public transportation accessibility than car accessibility. Third, the findings of the OLS reveal a significant relationship between accessibility indicators and socioeconomic variables, such as age, gender, disability, and residential location, which indicates socioeconomic inequality in accessibility in South Korea. This study contributes to shedding light on understanding the spatial and socioeconomic inequality in accessibility across the nation and offering policy implications.

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Ruggeri, Giuseppe, Valeria Loscrí, Marica Amadeo, and Carlos T. Calafate. "The Internet of Things for Smart Environments." Future Internet 12, no. 3 (March 14, 2020): 51. http://dx.doi.org/10.3390/fi12030051.

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By leveraging the global interconnection of billions of tiny smart objects, the Internet of Things (IoT) paradigm is the main enabler of smart environments, ranging from smart cities to building automation, smart transportation, smart grids, and healthcare [...]

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Lyons, Patrick G., Brett A. Ramsey, Michael Welker, Megan Guinn, Janice K. Ernest, Ali Kosydor, and Thomas M. Maddox. "Implementation of a non-emergent medical transportation programme at an integrated health system." BMJ Health & Care Informatics 28, no. 1 (September 2021): e100417. http://dx.doi.org/10.1136/bmjhci-2021-100417.

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ObjectivesTo implement a unified non-emergency medical transportation (NEMT) service across a large integrated healthcare delivery network.MethodsWe assessed needs among key organisational stakeholders, then reviewed proposals. We selected a single NEMT vendor best aligned with organisational priorities and implemented this solution system-wide.ResultsOur vendor’s hybrid approach combined rideshares with contracted vehicles able to serve patients with equipment and other needs. After 6195 rides in the first year, we observed shorter wait times and lower costs compared with our prior state.DiscussionEssential lessons included (1) understanding user and patient needs, (2) obtaining complete, accurate and comprehensive baseline data and (3) adapting existing workflows—rather than designing de novo—whenever possible.ConclusionsOur implementation of a single-vendor NEMT solution validates the need for NEMT at large healthcare organisations, geographical challenges to establishing NEMT organisation-wide, and the importance of baseline data and stakeholder engagement.

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Mulloy, Matthew Chase. "My Brother's Keeper: Healthcare Experiences of the Poor in One Texas City." Journal of Student Research 7, no. 1 (January 11, 2019): 22–25. http://dx.doi.org/10.47611/jsr.v7i1.375.

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Access to healthcare is an important issue in the United States. The purpose of this study was to explore ways in which individuals living under the federal poverty line experience negative interactions with the health care system. I interviewed 11 individuals in the Waco area who are currently living under the federal poverty guideline. Answers were recorded and analyzed. Common themes amongst the participants included (1) financial insecurity combined with a lack of health insurance discouraged individuals from visiting a healthcare provider, (2) inadequate transportation to a healthcare establishment, (3) feelings of disrespect when receiving treatment from healthcare professionals, and (4) difficulty following up with treatment. In conclusion, the problems that arise in the healthcare system regarding the treatment of individuals living in poverty cannot be attributed solely to lack of funds.

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Journal articles on the topic 'Transportation in Healthcare'

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