Missed or Delayed Medical Care Appointments by Older Users of Nonemergency Medical Transportation

Gerontologist. 2015 Dec;55(6):1026-37. doi: 10.1093/geront/gnu002. Epub 2014 Feb 20.


Purpose of the study: This study identified factors associated with canceling nonemergency medical transportation appointments among older adult Medicaid patients.

Design and 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.

Implications: The evolving American health care system may increase service availability. Additional policies can improve service accessibility and overcome utilization barriers.

Keywords: Aging; Medicaid; Older adults; Transportation.

Publication types

  • Multicenter Study
  • Research Support, N.I.H., Extramural
  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Aged
  • Appointments and Schedules*
  • Delivery of Health Care / organization & administration*
  • Female
  • Humans
  • Male
  • Retrospective Studies
  • Time Factors
  • Transportation of Patients / organization & administration*
  • United States