Dr. Courtney Lynch, Ohio State University, Associate Professor, Obstetrics and Gynecology
Title: Access to rideshare and pregnancy outcomes among Medicaid recipients: a randomized controlled trial
Abstract: Lack of access to reliable transportation is a barrier to timely receipt of prenatal care. We aimed to assess the impact of modernization of non-emergency medical transportation services on patient satisfaction, prenatal care utilization, and preterm delivery (<37 weeks of gestation). We conducted a randomized controlled pilot trial from 2019 to 2021 among pregnant Medicaid recipients in Franklin County, Ohio, a county with high rates of infant mortality. Individuals were randomly assigned to usual non-emergency medical transportation services or enhanced smart transportation (EST) services (i.e., on-demand transportation with access to a mobile application and trips to the grocery store, food bank, or pharmacy). We found evidence of increased transportation satisfaction among pregnant women randomly assigned to EST versus usual transportation. It remains unclear whether provision of EST increases prenatal care utilization or decreases preterm delivery.
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