TY  - JOUR
PY  - 2018//
TI  - Transportation characteristics associated with non-arrivals to paediatric clinic appointments: a retrospective analysis of 51 580 scheduled visits
JO  - BMJ quality and safety
A1  - Wallace, David J.
A1  - Ray, Kristin N.
A1  - Degan, Abbye
A1  - Kurland, Kristen
A1  - Angus, Derek C.
A1  - Malinow, Ana
SP  - 437
EP  - 444
VL  - 27
IS  - 6
N2  - BACKGROUND: Prior work has not studied the effects of transportation accessibility and patient factors on clinic non-arrival. <br><br>OBJECTIVES: Our objectives were: (1) to evaluate transportation characteristics and patient factors associated with clinic non-arrival, (2) to evaluate the comparability of bus and car drive time estimates, and (3) to evaluate the combined effects of transportation accessibility and income on scheduled appointment non-arrival. <br><br>METHODS: We queried electronic administrative records at an urban general pediatrics clinic. We compared patient and transportation characteristics between arrivals and non-arrivals for scheduled appointments using multivariable modeling. <br><br>RESULTS: There were 15 346 (29.8%) clinic non-arrivals. In separate car and bus multivariable models that controlled for patient and transit characteristics, we identified significant interactions between income and drive time, and clinic non-arrival. Patients in the lowest quartile of income who were also in the longest quartile of travel time by bus had an increased OR of clinic non-arrival compared with patients in the lowest quartile of income and shortest quartile of travel time by bus (1.55; P<0.01). Similarly, patients in the lowest quartile of income who were also in the longest quartile of travel time by car had an increased OR of clinic non-arrival compared with patients in the lowest quartile of income and shortest quartile of travel time by car (1.21, respectively; P<0.01). <br><br>CONCLUSIONS: Clinic non-arrival is associated with the interaction of longer travel time and lower income.<br><br>© Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.<p />  <p>Language: en</p>
LA  - en
SN  - 2044-5415
UR  - http://dx.doi.org/10.1136/bmjqs-2017-007168
ID  - ref1
ER  -