Transportation considerations in underserved patient populations receiving multidisciplinary head and neck cancer care
BackgroundUnderinsured patients with advanced head and neck cancer experience worse outcomes compared to their well-insured peers.MethodsRetrospective logistic regression analysis testing associations between demographic, geospatial, transportation, disease, and treatment factors in 50 government in...
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| Format: | Article |
| Language: | English |
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AIMS Press
2024-12-01
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| Series: | AIMS Public Health |
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| Online Access: | https://www.aimspress.com/article/doi/10.3934/publichealth.2024058 |
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| author | Luke Stanisce Donald H Solomon Liam O'Neill Nadir Ahmad Brian Swendseid Gregory J Kubicek Yekaterina Koshkareva |
| author_facet | Luke Stanisce Donald H Solomon Liam O'Neill Nadir Ahmad Brian Swendseid Gregory J Kubicek Yekaterina Koshkareva |
| author_sort | Luke Stanisce |
| collection | DOAJ |
| description | BackgroundUnderinsured patients with advanced head and neck cancer experience worse outcomes compared to their well-insured peers.MethodsRetrospective logistic regression analysis testing associations between demographic, geospatial, transportation, disease, and treatment factors in 50 government insured or uninsured patients receiving curative-intent, multidisciplinary cancer care.ResultsForty percent of patients missed at least one treatment or surveillance appointment within the first year. Thirty-two percent reported using public transportation; 42% relied on caregivers. Patients who used public transportation were 3.3 and 4.6 times more likely to miss treatment (p = 0.001) and surveillance (p = 0.014) visits, respectively. The median one-way travel duration for such routes was 52 minutes (range: 16–232 minutes) and included 0.7 miles of walking. Physical distance to care was not associated with transportation type, missed appointments, or disease recurrence.ConclusionsUnderserved, underinsured patient populations face significant logistical challenges with transportation, which may be mitigated by alternative models of care delivery, such as multidisciplinary clinics. |
| format | Article |
| id | doaj-art-2049ba4e764d4625ba06b19b020dcc38 |
| institution | Kabale University |
| issn | 2327-8994 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | AIMS Press |
| record_format | Article |
| series | AIMS Public Health |
| spelling | doaj-art-2049ba4e764d4625ba06b19b020dcc382025-01-24T01:32:41ZengAIMS PressAIMS Public Health2327-89942024-12-011141125113610.3934/publichealth.2024058Transportation considerations in underserved patient populations receiving multidisciplinary head and neck cancer careLuke Stanisce0Donald H Solomon1Liam O'Neill2Nadir Ahmad3Brian Swendseid4Gregory J Kubicek5Yekaterina Koshkareva6Division of Otolaryngology – Head & Neck Surgery, Cooper University Health Care, Camden, NJ, USADivision of Otolaryngology – Head & Neck Surgery, Cooper University Health Care, Camden, NJ, USACooper Medical School of Rowan University, Camden, NJ, USADivision of Otolaryngology – Head & Neck Surgery, Cooper University Health Care, Camden, NJ, USADivision of Otolaryngology – Head & Neck Surgery, Cooper University Health Care, Camden, NJ, USADepartment of Radiation Oncology, University of Miami Health Systems, Miami, FL, USADivision of Otolaryngology – Head & Neck Surgery, Cooper University Health Care, Camden, NJ, USABackgroundUnderinsured patients with advanced head and neck cancer experience worse outcomes compared to their well-insured peers.MethodsRetrospective logistic regression analysis testing associations between demographic, geospatial, transportation, disease, and treatment factors in 50 government insured or uninsured patients receiving curative-intent, multidisciplinary cancer care.ResultsForty percent of patients missed at least one treatment or surveillance appointment within the first year. Thirty-two percent reported using public transportation; 42% relied on caregivers. Patients who used public transportation were 3.3 and 4.6 times more likely to miss treatment (p = 0.001) and surveillance (p = 0.014) visits, respectively. The median one-way travel duration for such routes was 52 minutes (range: 16–232 minutes) and included 0.7 miles of walking. Physical distance to care was not associated with transportation type, missed appointments, or disease recurrence.ConclusionsUnderserved, underinsured patient populations face significant logistical challenges with transportation, which may be mitigated by alternative models of care delivery, such as multidisciplinary clinics.https://www.aimspress.com/article/doi/10.3934/publichealth.2024058social determinantstransportationunderservedmultidisciplinaryhead and neck cancer |
| spellingShingle | Luke Stanisce Donald H Solomon Liam O'Neill Nadir Ahmad Brian Swendseid Gregory J Kubicek Yekaterina Koshkareva Transportation considerations in underserved patient populations receiving multidisciplinary head and neck cancer care AIMS Public Health social determinants transportation underserved multidisciplinary head and neck cancer |
| title | Transportation considerations in underserved patient populations receiving multidisciplinary head and neck cancer care |
| title_full | Transportation considerations in underserved patient populations receiving multidisciplinary head and neck cancer care |
| title_fullStr | Transportation considerations in underserved patient populations receiving multidisciplinary head and neck cancer care |
| title_full_unstemmed | Transportation considerations in underserved patient populations receiving multidisciplinary head and neck cancer care |
| title_short | Transportation considerations in underserved patient populations receiving multidisciplinary head and neck cancer care |
| title_sort | transportation considerations in underserved patient populations receiving multidisciplinary head and neck cancer care |
| topic | social determinants transportation underserved multidisciplinary head and neck cancer |
| url | https://www.aimspress.com/article/doi/10.3934/publichealth.2024058 |
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