title: Missed or Delayed Medical Care Appointments by Older Users of Nonemergency Medical Transportation.
abstract: OBJECTIVE
  This study identified factors associated with canceling nonemergency medical transportation appointments among older adult Medicaid patients.
  
  
  METHODS
  Data from 125,913 trips for 2,913 Delaware clients were examined. Mediation analyses, as well as, multivariate logistic regressions were conducted.
  
  
  RESULTS
  Over half of canceled trips were attributed to client reasons (e.g., no show, refusal). Client characteristics (e.g., race, sex, functional status) were associated with cancelations; however, these differed based on the cancelation reason. Regularly scheduled trips were less likely to be canceled.
  
  
  CONCLUSIONS
  The evolving American health care system may increase service availability. Additional policies can improve service accessibility and overcome utilization barriers.
authors.affiliation: Safe Transportation Research & Education Center, University of California, Berkeley. School of Public Health, University of California at Berkeley. kara.e.m@gmail.com.
authors.forename: Kara E
authors.initials: KE
authors.lastname: MacLeod
authors.affiliation: Safe Transportation Research & Education Center, University of California, Berkeley. School of Public Health, University of California at Berkeley.
authors.forename: David R
authors.initials: DR
authors.lastname: Ragland
authors.affiliation: College of Health and Human Services, George Mason University, Fairfax, Virginia.
authors.forename: Thomas R
authors.initials: TR
authors.lastname: Prohaska
authors.affiliation: Department of Health Promotion and Behavior, The University of Georgia College of Public Health, Athens. Department of Health Promotion and Community Health Sciences, Texas A&M Health Science Center School of Rural Public Health, College Station, Texas.
authors.forename: Matthew Lee
authors.initials: ML
authors.lastname: Smith
authors.affiliation: Easter Seals, Business Innovation Solutions, Chicago, Illinois.
authors.forename: Cheryl
authors.initials: C
authors.lastname: Irmiter
authors.affiliation: School of Public Health, University of California at Berkeley.
authors.forename: William A
authors.initials: WA
authors.lastname: Satariano
mesh_terms: D000368:Aged; D001071:Appointments and Schedules; D003695:Delivery of Health Care / Q000458:organization & administration*; D005260:Female; D006801:Humans; D008297:Male; D012189:Retrospective Studies; D013997:Time Factors; D014187:Transportation of Patients / Q000458:organization & administration*; D014481:United States
keywords: Aging; Medicaid; Older adults; Transportation