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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT02955433
Other study ID # IRB-824715
Secondary ID
Status Completed
Phase N/A
First received
Last updated
Start date October 2016
Est. completion date November 2017

Study information

Verified date July 2019
Source University of Pennsylvania
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

This study is a prospective clinical trial designed to primarily test the impact of rideshare-based transportation services from a digital transportation network, Lyft, on reducing primary care clinic missed appointments--a composite outcome of no-shows and same day cancellations--for Medicaid patients. The study population consists of West Philadelphia residents who are established patients at two of the Penn Medicine Primary Care Practices within the University of Pennsylvania Health System. The study subjects are allocated into the intervention or control arm using a pseudorandomization approach - those receiving an appointment reminder on an even calendar day are in the intervention arm and odd calendar day calls are in the control arm.

Secondary outcomes include the time of arrival to the clinics relative to actual appointment time (both arms), prospective utilization of acute care settings (both arms), prospective utilization of primary care (both arms), and description of programmatic metrics in the intervention arm (travel time, misuse, and costs). The investigators will assess the patient experience after each ride using a telephone-based survey and in-depth interviews. All adults with established primary care at the Penn Medicine Clinics, who have Medicaid, and do not require wheelchair accessible rides will be eligible for the rideshare service. The investigators hypothesize that individuals offered a rideshare-based transportation service will have a decreased proportion of missed appointments and same day cancellations as those not offered the service.


Recruitment information / eligibility

Status Completed
Enrollment 786
Est. completion date November 2017
Est. primary completion date April 2017
Accepts healthy volunteers Accepts Healthy Volunteers
Gender All
Age group 18 Years and older
Eligibility Inclusion Criteria:

- Patients insured by Medicaid

- Established primary care patient at the Penn Medicine Clinics

- Address in West Philadelphia zip code

Exclusion Criteria:

- Requiring wheelchair accessible transportation. We are unable to guarantee vehicles that will be able to accommodate these patients' physical needs.

Study Design


Intervention

Other:
Rideshare-based transportation


Locations

Country Name City State
United States Penn Internal Medicine Primary Care Practice Philadelphia Pennsylvania

Sponsors (2)

Lead Sponsor Collaborator
University of Pennsylvania Lyft, Inc.

Country where clinical trial is conducted

United States, 

References & Publications (2)

Chaiyachati KH, Hubbard RA, Yeager A, Mugo B, Lopez S, Asch E, Shi C, Shea JA, Rosin R, Grande D. Association of Rideshare-Based Transportation Services and Missed Primary Care Appointments: A Clinical Trial. JAMA Intern Med. 2018 Mar 1;178(3):383-389. do — View Citation

Chaiyachati KH, Hubbard RA, Yeager A, Mugo B, Shea JA, Rosin R, Grande D. Rideshare-Based Medical Transportation for Medicaid Patients and Primary Care Show Rates: A Difference-in-Difference Analysis of a Pilot Program. J Gen Intern Med. 2018 Jun;33(6):86 — View Citation

Outcome

Type Measure Description Time frame Safety issue
Primary The proportion of missed appointments (no-shows and same-day cancellation) in the intervention arm and the control arm The missed appointment proportion is based on the one appointment for which patients were contacted to receive a free ride Within 2 days of enrollment
Secondary Arrival time to clinic relative to the scheduled time (both arms) Within 2 days of enrollment
Secondary Post-intervention, utilization frequency of acute care settings (both arms) 7-days, 30-days, and 6 months post-appointment
Secondary Post-intervention, utilization frequency of primary care (both arms) 7-days, 30-days, and 6 months post-appointment
Secondary Post-intervention, frequency of missed primary care appointments (both arms) 30-days and 6-months post-appointment
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