Dialysis Transportation: The Intersection of Transportation and Healthcare (2019) / Chapter Skim
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Pages 67-78
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From page 67... ...
Introduction As communities struggle to meet increasing demand for publicly supported transportation to dialysis facilities, two key pieces of information they may want to examine are the number of trips the public sector needs to provide to ensure patients can access dialysis treatments and the costs associated with those trips. This chapter presents a data tool that can be used to make these estimates.
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Patient Survey for the Research Study Administered through the American Association of Kidney Patients (AAKP) collects, analyzes, and distributes information about chronic kidney disease (CKD)
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crossed state boundaries were split so that all counties from one HSA were in one state. The names of the HSAs are derived from the names of the two counties with the highest populations in 2000 within the HSA.
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Photo courtesy of KFH Group. What the Tool Reports -- Outputs Trips -- Demand for Dialysis Transportation Current Number of Dialysis Patients Traveling to Centers -- The data tool begins with an estimate of the number of dialysis patients in a community (2015)
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Derived from Research Project's Survey of 500+ Public Transportation Agencies, April 2017. $0.00 $5.00 $10.00 $15.00 $20.00 $25.00 $30.00 $35.00 $40.00 Large Metro Area Large City Smaller City Rural/Small Community $35.01 $32.19 $29.58 $26.22 Cost per One-Way Public Transit Agency Specialized Trip (2016 $)
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Data Tool Assumptions (and Caveats) There are a number of assumptions built into the model: 1.
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Exhibit 5-1: Sample Input Screen Chapter 5 -- Demand and Costs for Dialysis Transportation: A Data Tool 5.7
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5 Dialysis Transportation: The Intersection of Transportation and Healthcare.8 Exhibit 5-2: Sample Output Screen
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In some cases, not enough data were available for the USRDS to report dialysis modality (HD and/or PD) at the county level.
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5.10 Dialysis Transportation: The Intersection of Transportation and Healthcare Stepping Back -- What Does This Mean at the National Level? While the purpose of the tool is to allow local communities to estimate the need for public sector trips to dialysis, one could ask: What would be the results if the relationships in the tool are applied to the country as a whole?
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annually can be considered trips that may need to be provided by the public sector. Taking this calculation further, this would mean that the public sector trips to dialysis facilities require almost $2 billion annually.
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5.12 Dialysis Transportation: The Intersection of Transportation and Healthcare Exhibit 5-3: Percentage of Population on Hemodialysis by State STATE Percentage of Population on Hemodialysis STATE Percentage of Population on Hemodialysis Alabama 0.17% Montana 0.07% Alaska 0.06% Nebraska 0.08% Arizona 0.13% Nevada 0.13% Arkansas 0.12% New Hampshire 0.06% California 0.15% New Jersey 0.15% Colorado 0.07% New Mexico 0.14% Connecticut 0.10% New York 0.15% Delaware 0.16% North Carolina 0.15% District of Columbia 0.31% North Dakota 0.08% Florida 0.13% Ohio 0.14% Georgia 0.18% Oklahoma 0.12% Hawaii 0.23% Oregon 0.09% Idaho 0.07% Pennsylvania 0.13% Illinois 0.15% Rhode Island 0.10% Indiana 0.12% South Carolina 0.18% Iowa 0.07% South Dakota 0.10% Kansas 0.10% Tennessee 0.14% Kentucky 0.12% Texas 0.16% Louisiana 0.19% Utah 0.06% Maine 0.08% Vermont 0.06% Maryland 0.16% Virginia 0.14% Massachusetts 0.09% Washington 0.09% Michigan 0.14% West Virginia 0.12% Minnesota 0.08% Wisconsin 0.10% Mississippi 0.22% Wyoming 0.06% Missouri 0.12%
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