Social Disadvantage and Transportation Insecurity in Clubfoot Clinic.

Autor:	Bent MA; Jackie and Gene Autry Orthopedic Center, Children's Hospital Los Angeles.; Keck School of Medicine, University of Southern California, Los Angeles, CA., Jhun M; Jackie and Gene Autry Orthopedic Center, Children's Hospital Los Angeles., Beltran V; Jackie and Gene Autry Orthopedic Center, Children's Hospital Los Angeles., Fimbres B; Jackie and Gene Autry Orthopedic Center, Children's Hospital Los Angeles., Wren TAL; Jackie and Gene Autry Orthopedic Center, Children's Hospital Los Angeles.; Keck School of Medicine, University of Southern California, Los Angeles, CA.
Jazyk:	angličtina
Zdroj:	Journal of pediatric orthopedics [J Pediatr Orthop] 2024 Oct 21. Date of Electronic Publication: 2024 Oct 21.
DOI:	10.1097/BPO.0000000000002823
Abstrakt:	Objectives: This study aims to evaluate the association of missing clubfoot clinic visits with transportation barriers and measures of socioeconomic status including the child opportunity index (COI). Methods: An 11-question survey was administered to caregivers of patients with clubfoot seen at a single pediatric tertiary hospital between August 2020 and September 2023. A chart review was conducted to obtain zip codes used to determine COI 2.0 scores. The impact of race/ethnicity, income, persons per household, COI, and transportation methods on missing at least one clinic visit was analyzed using descriptive and nonparametric statistics. Results: The transportation survey was completed by a total of 99 caregivers. The median travel time to the clinic was 45 minutes (IQR: 33, range: 1 to 180). Most participants reported use of a personal car (108/128, 83%), and 72% took time off work to attend the appointment. Those with lower COI had longer travel time (P=0.02) and were less likely to use personal cars (P=0.05). Missed clubfoot clinic visits were more common for families reliant on transportation other than a personal vehicle (P=0.01) and those with annual income under $30,000 (P=0.02). Conclusions: Transportation insecurity was associated with greater social disadvantage as indicated by COI and more missed clinic visits. Level of Evidence: Level III. Competing Interests: The authors declare no conflicts of interest. (Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved.)
Databáze:	MEDLINE
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