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Transportation barriers, and alternatives to transportation in healthcare, remain poorly understood. Given the sophistication in global citizenry and global policy, as well as the sophistication of climate science evolution, oversight of transportation in healthcare can be improved. Healthcare transportation oversight should improve with regard to one another’s place and space.  


*Ask countries how we can partner with transportation barrier epidemiology, with improved health outcomes as a shared ultimate goal. Emphasize the importance to transient, migrant or nomadic populations as well.

*Be clear on finances and transportation with each geographical distinction.

*Work toward cultural considerations, such preference for familiar or home care, or comfort and ease with community members or strangers.

*Ask for population preference data in shared economy inclusion, and seek for data separate from a company’s self-report.

*Ask countries to identify transportation burdens, barriers and considerations by geography. For definition variance, inquire on standardization movement potential.   

*Ask countries for facility or patient experience and patient perspective data around transportation impacts. 

*Ask countries for health facility data on facility perspectives around transportation importance. Compares sources of information that public health uses to determine intervention focus.

*Seek national and regional input, with multicultural inclusion. when looking to define safe, reliable or preferred transportation. 

*Be specific by asking countries about disabilities and transportation issues, seeking qualitative interview data and structuring analytics afterward. 

*Examine rural and urban transportation barriers in healthcare. Pay attention to how surveys are worded and clarify evidence-based ones available for cultural adaptation? 

*Define patient experience or satisfaction metrics related to transportation. 

*Seek leadership around shared ride economy and healthcare in countries for best movement forward. 

*Assess priorities to evidence-based care, or culturally tailored evidence-based care, by asking countries for self-analysis. Inquire about priorities to home health and telehealth. 

*Inquire about inclusion of transportation and missed healthcare opportunities in accreditation or government reporting. 


 Healthcare transportation oversight should improve with regard to one another’s place and space.  



  1. https://ajph.aphapublications.org/doi/10.2105/AJPH.2020.305579

  2. https://www.nap.edu/download/23638

  3. https://www.aha.org/ahahret-guides/2017-11-15-social-determinants-health-series-transportation-and-role-hospitals

  4. https://www.nap.edu/download/25644

  5. https://journals.sagepub.com/doi/10.1177/0361198120952793

  6. https://www.who.int/news/item/08-11-2021-many-countries-are-prioritizing-health-and-climate-change-but-lack-funds-to-take-action

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