FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W3048477107> ?p ?o ?g. }

• W3048477107 endingPage "B115" @default.
• W3048477107 startingPage "B115" @default.
• W3048477107 abstract "Abstract Introduction: Despite the widespread availability of preventative tests and procedures, colorectal cancer (CRC) remains one of the leading causes of cancer deaths in the United States. While national CRC screening rates have increased, they have languished in rural areas. Routine screening is most effective in reducing CRC mortality when accompanied by timely diagnostic follow-up, but transportation barriers are a hindrance to continuity of care. Distances between homes and providers exacerbate the problem in rural areas. We examined reported transportation barriers in seven counties at both patient and clinic levels as part of a collaborative endeavor with a rural health system in Southern Illinois to characterize current conditions and design multilevel interventions to increase screening and follow-up in rural populations. Methods: Semistructured interviews and focus groups were conducted with six patients and forty providers across eleven primary care sites and two colonoscopy providers. Interview domains included screening barriers and facilitators. Interview transcripts and field notes underwent text analysis with inductive codes. Themes such as financial resources, transport reliability, and time constraints were used to create subcategories and refine analysis. Transportation was discussed at multiple levels of influence in screening decisions, planning, and completion. Here we present a detailed analysis of how distance and transportation were discussed. Results: Limited regional provider availability dictates that medical visits require long travel times for many patients. Patients described travel distance and discomfort during transit to colonoscopies as obstacles. Those who had an easier time arranging transportation relied on social support, but encountered issues coordinating time off work. Staff had varying knowledge of available transportation and clinics had different levels of resources to support patients. Travel assistance included referral to transport services, public transport vouchers, and reimbursement. Some clinics did not offer travel assistance, or only provided help in cases of urgent medical need. Outsourced transport service reliability was variable and often required advance notice, which affected colonoscopy scheduling. Some sites that offered transport assistance cited poor communication among clinic staff and role specialization as reasons that patient needs were not met. Discussion: Patient need communication and provider and staff education regarding community transportation present opportunities to reduce transportation barriers. Evidence-based interventions such as dedicated non-emergency medical transport services are needed to address reliability, infrastructure needs, and the hardships of taking time off work for appointments. In designing multilevel interventions, researchers must consider differences in financial and human resources across sites and limited staff and patient time. Citation Format: Chanelle Y. Chua, Julia Maki, Marci Moore-Connelley, Jean Hunleth, Kevin Oestmann, Sonya Izadi, Liz Rolf, Graham Colditz, Aimee James. Bridging the gap: Characterizing transportation barriers in rural southern Illinois [abstract]. In: Proceedings of the Eleventh AACR Conference on the Science of Cancer Health Disparities in Racial/Ethnic Minorities and the Medically Underserved; 2018 Nov 2-5; New Orleans, LA. Philadelphia (PA): AACR; Cancer Epidemiol Biomarkers Prev 2020;29(6 Suppl):Abstract nr B115." @default.
• W3048477107 created "2020-08-18" @default.
• W3048477107 creator A5005850585 @default.
• W3048477107 creator A5031201037 @default.
• W3048477107 creator A5041318967 @default.
• W3048477107 creator A5052806843 @default.
• W3048477107 creator A5063816766 @default.
• W3048477107 creator A5075920922 @default.
• W3048477107 creator A5075932687 @default.
• W3048477107 creator A5075947724 @default.
• W3048477107 creator A5080131135 @default.
• W3048477107 date "2020-06-01" @default.
• W3048477107 modified "2023-10-02" @default.
• W3048477107 title "Abstract B115: Bridging the gap: Characterizing transportation barriers in rural southern Illinois" @default.
• W3048477107 doi "https://doi.org/10.1158/1538-7755.disp18-b115" @default.
• W3048477107 hasPublicationYear "2020" @default.
• W3048477107 type Work @default.
• W3048477107 sameAs 3048477107 @default.
• W3048477107 citedByCount "0" @default.
• W3048477107 crossrefType "journal-article" @default.
• W3048477107 hasAuthorship W3048477107A5005850585 @default.
• W3048477107 hasAuthorship W3048477107A5031201037 @default.
• W3048477107 hasAuthorship W3048477107A5041318967 @default.
• W3048477107 hasAuthorship W3048477107A5052806843 @default.
• W3048477107 hasAuthorship W3048477107A5063816766 @default.
• W3048477107 hasAuthorship W3048477107A5075920922 @default.
• W3048477107 hasAuthorship W3048477107A5075932687 @default.
• W3048477107 hasAuthorship W3048477107A5075947724 @default.
• W3048477107 hasAuthorship W3048477107A5080131135 @default.
• W3048477107 hasConcept C144133560 @default.
• W3048477107 hasConcept C159110408 @default.
• W3048477107 hasConcept C162853370 @default.
• W3048477107 hasConcept C174348530 @default.
• W3048477107 hasConcept C27415008 @default.
• W3048477107 hasConcept C31258907 @default.
• W3048477107 hasConcept C41008148 @default.
• W3048477107 hasConcept C512399662 @default.
• W3048477107 hasConcept C56995899 @default.
• W3048477107 hasConcept C71924100 @default.
• W3048477107 hasConceptScore W3048477107C144133560 @default.
• W3048477107 hasConceptScore W3048477107C159110408 @default.
• W3048477107 hasConceptScore W3048477107C162853370 @default.
• W3048477107 hasConceptScore W3048477107C174348530 @default.
• W3048477107 hasConceptScore W3048477107C27415008 @default.
• W3048477107 hasConceptScore W3048477107C31258907 @default.
• W3048477107 hasConceptScore W3048477107C41008148 @default.
• W3048477107 hasConceptScore W3048477107C512399662 @default.
• W3048477107 hasConceptScore W3048477107C56995899 @default.
• W3048477107 hasConceptScore W3048477107C71924100 @default.
• W3048477107 hasIssue "6_Supplement_1" @default.
• W3048477107 hasLocation W30484771071 @default.
• W3048477107 hasOpenAccess W3048477107 @default.
• W3048477107 hasPrimaryLocation W30484771071 @default.
• W3048477107 hasRelatedWork W1595478777 @default.
• W3048477107 hasRelatedWork W2148395256 @default.
• W3048477107 hasRelatedWork W2164908446 @default.
• W3048477107 hasRelatedWork W2168116029 @default.
• W3048477107 hasRelatedWork W2399158529 @default.
• W3048477107 hasRelatedWork W2604329228 @default.
• W3048477107 hasRelatedWork W2981560456 @default.
• W3048477107 hasRelatedWork W3046771196 @default.
• W3048477107 hasRelatedWork W3173759037 @default.
• W3048477107 hasRelatedWork W3215297412 @default.
• W3048477107 hasVolume "29" @default.
• W3048477107 isParatext "false" @default.
• W3048477107 isRetracted "false" @default.
• W3048477107 magId "3048477107" @default.
• W3048477107 workType "article" @default.