MPC Member Publications

This database contains a listing of population studies publications written by MPC Members. Anyone can add a publication by an MPC student, faculty, or staff member to this database; new citations will be reviewed and approved by MPC administrators.

Full Citation

Title: The effect of a public transportation expansion on no-show appointments

Citation Type: Journal Article

Publication Year: 2021

ISSN: 1475-6773

DOI: 10.1111/1475-6773.13899

Abstract: Objective: To test whether there were fewer missed medical appointments (“no-shows”) for patients and clinics affected by a significant public transportation expansion. Study setting: A new light rail line was opened in a major metropolitan area in June 2014. We obtained electronic health records data from an integrated health delivery system in the area with over three million appointments at 97 clinics between 2013 and 2016. Study design: We used a difference-in-differences research design to compare whether no-show appointment rates differentially changed among patients and clinics located near versus far from the new light rail line after it opened. Models included fixed effects to account for underlying differences across clinics, patient zip codes, and time. Data extraction methods: We obtained data from an electronic health records system representing all appointments scheduled at 97 outpatient clinics in this system. We excluded same-day, urgent care, and canceled appointments. Principal findings: The probability of no-show visits differentially declined by 0.5 percentage points (95% confidence interval [CI]: −0.9 to −0.1), or 4.5% relative to baseline, for patients living near the new light rail compared to those living far from it, after the light rail opened. The effects were stronger among patients covered by Medicaid (−1.6 percentage points [95% CI: −2.4 to −0.8] or 9.5% relative to baseline). Conclusions: Improvements to public transit may improve access to health care, especially for people with low incomes.

Url: https://onlinelibrary.wiley.com/doi/full/10.1111/1475-6773.13899

Url: https://onlinelibrary.wiley.com/doi/abs/10.1111/1475-6773.13899

Url: https://onlinelibrary.wiley.com/doi/10.1111/1475-6773.13899

User Submitted?: No

Authors: Smith, Laura Barrie; Yang, Zhiyou; Golberstein, Ezra; Huckfeldt, Peter; Mehrotra, Ateev; Neprash, Hannah T.

Periodical (Full): Health Services Research

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