Addressing transportation barriers in oncology: existing programs and new solutions

Support Care Cancer. 2024 Apr 29;32(5):317. doi: 10.1007/s00520-024-08514-2.

Abstract

Transportation is an underrecognized, but modifiable barrier to accessing cancer care, especially for clinical trials. Clinicians, insurers, and health systems can screen patients for transportation needs and link them to transportation. Direct transportation services (i.e., ride-sharing, insurance-provided transportation) have high rates of patient satisfaction and visit completion. Patient financial reimbursements provide necessary funds to counteract the effects of transportation barriers, which can lead to higher trial enrollment, especially for low socioeconomic status and racially and ethnically diverse patients. Expanding transportation interventions to more cancer patients, and addressing knowledge, service, and system gaps, can help more patients access needed cancer care.

Keywords: Cancer; Clinical trials; Health disparities; Transportation.

Publication types

  • Review

MeSH terms

  • Clinical Trials as Topic
  • Health Services Accessibility*
  • Humans
  • Medical Oncology / methods
  • Medical Oncology / organization & administration
  • Neoplasms* / therapy
  • Patient Satisfaction
  • Transportation / methods
  • Transportation of Patients / economics
  • Transportation of Patients / methods
  • Transportation of Patients / organization & administration