RT Journal Article
SR Electronic
T1 Content Analysis of Transportation Screening Questions in Social Risk Assessment Tools: Are We Capturing Transportation Insecurity?
JF The Journal of the American Board of Family
                Medicine
JO J Am Board Fam Med
FD American Board of Family Medicine
SP 400
OP 405
DO 10.3122/jabfm.2022.02.210256
VO 35
IS 2
A1 Na'amah Razon
A1 Laura Gottlieb
YR 2022
UL http://www.jabfm.org/content/35/2/400.abstract
AB Purpose: To analyze transportation screening and assessment questions used in social risk screening tools to understand how these tools assess patients' mobility and transportation needs.Methods: We conducted content analysis of transportation screening and assessment tools used in adult health care delivery settings.Results: We identified 23 unique social risk screening tools; 14 included at least 1 transportation question. Transportation screeners differed in terms of content domain, structure, and response options. Existing transportation screening and assessment tools do not uniformly or comprehensively assess transportation needs. Questions typically fail to surface relevant information on financial constraints, disability, local transportation options, and social isolation that should influence related interventions.Conclusions: Development of a brief screening question that broadly captures transportation insecurity followed by a more comprehensive assessment triggered by positive response could enable policy makers and health systems to better identify individuals facing transportation insecurity and to develop transportation solutions that address patients' transportation needs.