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

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2021-07-25 eCollection Date: 2022-01-01 DOI:10.1080/20476965.2021.1936658

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

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引用次数: 0

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%.

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在家庭保健中心为经济困难的病人提供交通服务:个案研究。

已经确定的是，在经济萧条地区，公共卫生系统的高缺勤率主要是由于缺乏廉价、可靠的交通工具。本文的目的是确定提供运输的财务可行性，并调查通过减少缺勤率节省的净成本。该方法首先对德克萨斯州圣安东尼奥市家庭健康中心(FHC)的636名患者进行数据分析，然后进行逻辑回归，以确定各种交通因素对取消/缺席和迟到的影响。然后，我们调查了通过将缺勤率从24.3%降低到60%可以实现的成本节约。最后，我们分析了如果FHC提供运输将产生的费用。完整的分析表明，当缺勤率降低25%，降至18.2%时，每月可减少15,000美元以上的成本。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.