NDLI: Transportation as a barrier to colorectal cancer care

Content Provider	Springer Nature : BioMed Central
Author	Jazowski, Shelley A. Sico, Isabelle P. Lindquist, Jennifer H. Smith, Valerie A. Bosworth, Hayden B. Danus, Susanne Provenzale, Dawn Kelley, Michael J. Zullig, Leah L.
Abstract	Background Transportation barriers limit access to cancer care services and contribute to suboptimal clinical outcomes. Our objectives were to describe the frequency of Veterans reporting and the factors associated with transportation barriers to or from colorectal cancer (CRC) care visits. Methods Between November 2015 and September 2016, Veterans with incident stage I, II, or III CRC completed a mailed survey to assess perceived barriers to recommended care. Participants who reported difficulty with transportation to or from CRC care appointments were categorized as experiencing transportation barriers. We assessed pairwise correlations between transportation barriers, transportation-related factors (e.g., mode of travel), and chaotic lifestyle (e.g., predictability of schedules), and used logistic regression to examine the association between the reporting of transportation difficulties, distance traveled to the nearest Veterans Affairs (VA) facility, and life chaos. Results Of the 115 Veterans included in this analysis, 18% reported experiencing transportation barriers. Distance to the VA was not strongly correlated with the reporting of transportation barriers (Spearman’s ρ = 0.12, p = 0.19), but chaotic lifestyle was both positively and significantly correlated with experiencing transportation barriers (Spearman’s ρ = 0.22, p = 0.02). Results from the logistic regression model modestly supported the findings from the pairwise correlations, but were not statistically significant. Conclusions Transportation is an important barrier to or from CRC care visits, especially among Veterans who experience greater life chaos. Identifying Veterans who experience chaotic lifestyles would allow for timely engagement in behavioral interventions (e.g., organizational skills training) and with support services (e.g., patient navigation).
Related Links	https://bmchealthservres.biomedcentral.com/counter/pdf/10.1186/s12913-021-06339-x.pdf
Ending Page	9
Page Count	9
Starting Page	1
File Format	HTM / HTML
ISSN	14726963
DOI	10.1186/s12913-021-06339-x
Journal	BMC Health Services Research
Issue Number	1
Volume Number	21
Language	English
Publisher	BioMed Central
Publisher Date	2021-04-13
Access Restriction	Open
Subject Keyword	Public Health Health Administration Health Informatics Nursing Research Access to care Colorectal cancer Life chaos Transportation Travel distance Veterans Affairs
Content Type	Text
Resource Type	Article
Subject	Health Policy

Sl.	Authority	Responsibilities	Communication Details
1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
2	Indian Institute of Technology Kharagpur	Host Institute of the Project: The host institute of the project is responsible for providing infrastructure support and hosting the project	https://www.iitkgp.ac.in
3	National Digital Library of India Office, Indian Institute of Technology Kharagpur	The administrative and infrastructural headquarters of the project	Dr. B. Sutradhar bsutra@ndl.gov.in
4	Project PI / Joint PI	Principal Investigator and Joint Principal Investigators of the project	Dr. B. Sutradhar bsutra@ndl.gov.in Prof. Saswat Chakrabarti will be added soon
5	Website/Portal (Helpdesk)	Queries regarding NDLI and its services	support@ndl.gov.in
6	Contents and Copyright Issues	Queries related to content curation and copyright issues	content@ndl.gov.in
7	National Digital Library of India Club (NDLI Club)	Queries related to NDLI Club formation, support, user awareness program, seminar/symposium, collaboration, social media, promotion, and outreach	clubsupport@ndl.gov.in
8	Digital Preservation Centre (DPC)	Assistance with digitizing and archiving copyright-free printed books	dpc@ndl.gov.in
9	IDR Setup or Support	Queries related to establishment and support of Institutional Digital Repository (IDR) and IDR workshops	idr@ndl.gov.in

National travel distances for emergency care

Legal-involved veterans are less likely to receive guideline-concordant colorectal cancer screening

The impact of travel time on colorectal cancer stage at diagnosis in a privately insured population

The accuracy and completeness for receipt of colorectal cancer care using Veterans Health Administration administrative data

Distance traveled for Medicaid-covered abortion care in California

Chronic disease management perspectives of colorectal cancer survivors using the Veterans Affairs healthcare system: a qualitative analysis

Design of a prostate cancer patient navigation intervention for a Veterans Affairs hospital

Access to the US Department of Veterans Affairs health system: self-reported barriers to care among returnees of Operations Enduring Freedom and Iraqi Freedom

Accessing doctors at times of need–measuring the distance tolerance of rural residents for health-related travel

Transportation as a barrier to colorectal cancer care

Similar Documents

National travel distances for emergency care

Legal-involved veterans are less likely to receive guideline-concordant colorectal cancer screening

The impact of travel time on colorectal cancer stage at diagnosis in a privately insured population

The accuracy and completeness for receipt of colorectal cancer care using Veterans Health Administration administrative data

Distance traveled for Medicaid-covered abortion care in California

Chronic disease management perspectives of colorectal cancer survivors using the Veterans Affairs healthcare system: a qualitative analysis

Design of a prostate cancer patient navigation intervention for a Veterans Affairs hospital

Access to the US Department of Veterans Affairs health system: self-reported barriers to care among returnees of Operations Enduring Freedom and Iraqi Freedom

Accessing doctors at times of need–measuring the distance tolerance of rural residents for health-related travel

Transportation as a barrier to colorectal cancer care