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Impact of travel time on health care costs and resource use by phase of care for older patients with cancer

Journal of Clinical Oncology Jun 19, 2019

Rocque GB, et al. - In order to assess how travel time influences health care costs and resource use, researchers performed this retrospective cohort study (from 2012 to 2015) appraising travel time to cancer care sites in the southeastern United States for Medicare beneficiaries age 65 years or older. For the 23,382 included Medicare beneficiaries, median travel time was 32 (interquartile range, 18-59) minutes; traveling time was longer than 1 hour to their cancer care site (CCS) for 24% of these patients. Hospitalization at a local hospital rather than at their CCS was reported in most patients traveling longer than 1 hour, however, for patients traveling 30 minutes or less, the opposite was true. Medicare spending was 14% higher and patient cost responsibility was 10% higher in the initial phase of care for patients traveling more than 1 hour vs those traveling 30 minutes or less. With the closure of health care locations, more limitation to access to care might be experienced by patients living farther from treatment sites, and an increase in health care spending for patients and Medicare could be reported.

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