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Pages 10-15

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From page 10...
... Chapter 2: Literature Review To develop a better understanding of the status of non-emergency medical transportation in the United States, particularly in regards to unmet trip needs, a thorough literature search of the field was conducted. This was accomplished using local resources (e.g., University of Michigan libraries, including that belonging to the University of Michigan Transportation Research Institute)
From page 11...
... Race and ethnicity also are associated with being transportation disadvantaged. Using data from the 2001 National Household Travel Study (NHTS)
From page 12...
... In rural areas, access to healthcare can be even more difficult to obtain than it is elsewhere, and numerous studies (Flores et al., 1998; Ide et al., 1993; Larson et al., 2004; McClure et al., 1996; Mulder et al., 2000) have documented these difficulties.
From page 13...
... an earlier study, concerned with adherence to standards of care for diabetes, found that transportation problems were among the most frequently cited reasons for missed care (Jorgensen et al., 2002)
From page 14...
... 2.4 Estimates of Costs and Benefits of Meeting Unmet NEMT Needs Meeting the needs of the transportation-disadvantaged population requires enhanced transportation resources plus additional healthcare -- both of which increase costs. These services, however, are hypothesized to result in improved health outcomes, such as reduced need for high-priced emergency care, and better quality of life for affected individuals.
From page 15...
... missed trips -- its authors assumed all trips would be made no matter what -- so the costs of transportation provision did not need to be balanced against the net benefits of treatment. For near-emergency services such as dialysis, however, one would expect even greater benefits for providing otherwise missed trips.

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