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Offering transportation services to economically disadvantaged patients at a family health center: a case study

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  • Jia Guo
  • Jonathan F. Bard
  • Douglas J. Morrice
  • Carlos R. Jaén
  • Ramin Poursani

Abstract

It has been established that high no-show rates of publicly supported health systems in economically depressed areas are largely due to a lack of inexpensive, reliable transportation. The purpose of this paper is to determine the financial feasibility of offering transportation and investigate the net cost savings by reducing no-show rates. The approach starts with a data analysis on 636 patients at the Family Health Center (FHC) in San Antonio, Texas, followed by logistic regression to determine the impact of various transportation factors on cancellations/no-shows and late arrivals. We then investigate the costs savings that could be realised by reducing the no-show rate from 24.3% by up to 60%. Finally, we analyse the expenses that would be incurred should the FHC provide transportation. The full analysis indicates a cost reduction of more than $15,000 per month can be achieved when the no-show rate is reduced by 25% down to 18.2%.

Suggested Citation

  • Jia Guo & Jonathan F. Bard & Douglas J. Morrice & Carlos R. Jaén & Ramin Poursani, 2022. "Offering transportation services to economically disadvantaged patients at a family health center: a case study," Health Systems, Taylor & Francis Journals, vol. 11(4), pages 251-275, October.
    • Handle: RePEc:taf:thssxx:v:11:y:2022:i:4:p:251-275
    DOI: 10.1080/20476965.2021.1936658
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