A report from the UK attached. See pp111 onwards, as well as the summary at the beginning (e.g. Access to healthcare: 31 per cent of people without a car have difficulties travelling to their local hospital, compared to 17 per cent of people with a car. Over 1.4 million people say they have missed, turned down, or chosen not to seek medical help over the last 12 months because of transport problems.)

Regards,

Jenny

Dr Jennifer Mindell

Clinical senior lecturer

Health and Social Surveys Research Group

Research Department of Epidemiology and Public Health

UCL

1-19 Torrington Place

London WC1E 6BT

Tel. 020 7679 1269 (Internal x41269)

Survey doctor: 07770-537238

Fax 020 7813 0242

Email: j.mindell@ucl.ac.uk

Web: IRIS web page

Journal of Transport and Health: www.elsevier.com/locate/jth

-----Original Message-----

Today's Topics:

1. Access to Health Care (Ed Christopher)

2. Re: Access to Health Care (Rajiv Bhatia)

3. Re: Access to Health Care (denita Jones)

4. Re: Access to Health Care (Rajiv Bhatia)

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Message: 1

Date: Fri, 28 Feb 2014 14:43:16 -0600

From: Ed Christopher <edc@berwyned.com>

Subject: [H+T--Friends] Access to Health Care

To: TRB Health and Transportation <h+t--friends@chrispy.net>

Message-ID: <5310F4E4.9060008@berwyned.com>

Content-Type: text/plain; charset=ISO-8859-1; format=flowed

I got asked a question today, from a transportation perspective, about access to health care and health facilities. As I started to hunt around on the web I thought I would throw it out to our Listserve. Does anyone know of any research, literature or other articles that they could pass along dealing with access to health care services?

Thanks

Ed Christopher

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Message: 2

Date: Fri, 28 Feb 2014 13:13:39 -0800

From: Rajiv Bhatia <rb6419@gmail.com>

Subject: Re: [H+T--Friends] Access to Health Care

To: TRB Health and Transportation <h+t--friends@chrispy.net>

Message-ID: <73BF7334-5E7C-4BC7-8B00-1C6139B8B486@gmail.com>

Content-Type: text/plain; charset=us-ascii

There is limited information on this topic. I did a review of this and other EJ impacts for EPA a few years ago.

A few studies have looked at transport access to facilities and their association to health outcomes. Most studies treated the "exposure variable" as auto ownership. Net conclusion is that auto owners have better access to health facilities. THere is a very limited association to health outcomes.

I would not take this as a null result -- just one that has been understudied.

Rajiv

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Message: 3

Date: Fri, 28 Feb 2014 15:12:18 -0600

From: denita Jones <denita944@gmail.com>

Subject: Re: [H+T--Friends] Access to Health Care

To: TRB Health and Transportation <h+t--friends@chrispy.net>

Message-ID:

<CAKZGZAxDq9_5x+JQrc_Z3oL5oFe5yYaE4zKh=5vJ7_jHgdNnmA@mail.gmail.com>

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Im actually presenting research in that area in DC next month. I'm not in a

position now to give the names of articles (im driving) But I can send them

to you and suggest sites.

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Message: 4

Date: Fri, 28 Feb 2014 18:58:16 -0800

From: Rajiv Bhatia <rb6419@gmail.com>

Subject: Re: [H+T--Friends] Access to Health Care

To: TRB Health and Transportation <h+t--friends@chrispy.net>

Message-ID: <B6368ACB-B234-45D2-87FB-80F7D05E9F54@gmail.com>

Content-Type: text/plain; charset="us-ascii"

These are the studies I found in a 2009 review -- i'm sure there are new ones.

1. Ahmed SM, Lemkau JP, Nealeigh N, and Mann B. Barriers to healthcare access in a non-elderly urban poor American population. Health and Social Care in the Community. 2001; 9:445-453.

2. Yang S, Zarr RL, Kass-Hout TA, Kourosh A, Kelly NR. Transportation barriers to accessing health care for urban children. Journal of Health Care for the Poor and Underserved. 2006; 17:928-43.

3. Rust G, Ye J, Baltrus P, Daniels E, Adesunloye B, Fryer GE. Practical barriers to timely primary care access: impact on adult use of emergency department services. Archives in Internal Medicine. 2008; 168:1705-1710.

4. Arcury TA, Preisser JS, Gesler WM, Powers JM. Access to transportation and health care utilization in a rural region. Journal of Rural Health. 2005; 21:31-38.

End of H+T--Friends Digest, Vol 35, Issue 1

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