Transportation to Support Rural Healthcare – Resources
Selected recent or important resources focusing on Transportation to Support Rural Healthcare.
Nonemergency Medical Transportation: Leading Practices Would Help the Federal Transit Administration Evaluate Its Pilot Program
Provides an overview of non-emergency medical transportation (NEMT) services and Federal Transit Administration (FTA) grant programs that can be used to support NEMT services. Evaluates the design and implementation of the FTA's Innovative Coordinated Access and Mobility (ICAM) pilot program, the only FTA program that includes NEMT as a primary objective. Discusses how FTA communicates the availability and use of its funding for NEMT. Offers recommendations for FTA related to evaluating ICAM and consolidating and publishing information about FTA funding for NEMT.
Additional links: Full Report
Date: 09/2024
Sponsoring organization: Government Accountability Office
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Provides an overview of non-emergency medical transportation (NEMT) services and Federal Transit Administration (FTA) grant programs that can be used to support NEMT services. Evaluates the design and implementation of the FTA's Innovative Coordinated Access and Mobility (ICAM) pilot program, the only FTA program that includes NEMT as a primary objective. Discusses how FTA communicates the availability and use of its funding for NEMT. Offers recommendations for FTA related to evaluating ICAM and consolidating and publishing information about FTA funding for NEMT.
Additional links: Full Report
Date: 09/2024
Sponsoring organization: Government Accountability Office
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Interactive Maps to Improve Stroke Systems of Care in Wisconsin
Analyzes transfer patterns of stroke patients, including driving time and distance, from small rural hospitals to large tertiary hospitals in Wisconsin. Describes the development of interactive stroke transfer maps and discusses the use of mapping to identify gaps in systems of care, improve the efficiency of emergency services, and better understand hospital capacity.
Author(s): Ka Z. Xiong, Lena Swander, Dot Bluma, et al.
Citation: Preventing Chronic Disease, 21, 230166
Date: 07/2024
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Analyzes transfer patterns of stroke patients, including driving time and distance, from small rural hospitals to large tertiary hospitals in Wisconsin. Describes the development of interactive stroke transfer maps and discusses the use of mapping to identify gaps in systems of care, improve the efficiency of emergency services, and better understand hospital capacity.
Author(s): Ka Z. Xiong, Lena Swander, Dot Bluma, et al.
Citation: Preventing Chronic Disease, 21, 230166
Date: 07/2024
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Rural Transit Fact Book 2024
Features national-, state-, and county-level information on rural transit in the United States. Includes rural and urban comparisons on demographics and transportation. Provides information for agencies receiving section 5311 funding and includes a section on tribal transit.
Author(s): Jeremy Mattson, Dilip Mistry
Date: 06/2024
Sponsoring organization: Upper Great Plains Transportation Institute
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Features national-, state-, and county-level information on rural transit in the United States. Includes rural and urban comparisons on demographics and transportation. Provides information for agencies receiving section 5311 funding and includes a section on tribal transit.
Author(s): Jeremy Mattson, Dilip Mistry
Date: 06/2024
Sponsoring organization: Upper Great Plains Transportation Institute
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Transportation Provider Survey
Surveyed 445 transportation providers for people with disabilities and older adults in Fall 2023 to describe provider experiences and perspectives. Includes findings related to accessibility of vehicles, Section 5310 funding, fares, workforce challenges, technology, coordination activities, and equity. Discusses rural throughout.
Additional links: Transportation Provider Survey: Highlights
Date: 04/2024
Sponsoring organizations: National Aging and Disability Transportation Center, Southpaw Insights
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Surveyed 445 transportation providers for people with disabilities and older adults in Fall 2023 to describe provider experiences and perspectives. Includes findings related to accessibility of vehicles, Section 5310 funding, fares, workforce challenges, technology, coordination activities, and equity. Discusses rural throughout.
Additional links: Transportation Provider Survey: Highlights
Date: 04/2024
Sponsoring organizations: National Aging and Disability Transportation Center, Southpaw Insights
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Ground Ambulance Industry Trends, 2017–2022: An Analysis of Ground Ambulance Organization Entrance and Exit
Describes ground ambulance trends from 2017 to 2022, focusing on organizational characteristics associated with organizations' entry into or exit from the Medicare program. Presents data on the likelihood of entry and exit by a ground ambulance transportation organization by ownership status; urban, rural, or super rural location; and volume. Examines the change in traditional fee-for-service Medicare ground ambulance transport volume at the county level after an organization enters or exits the market.
Author(s): Jonathan Cantor, Sara Heins, Petra W. Rasmussen, Christine Buttorff, Andrew W. Mulcahy
Date: 04/2024
Sponsoring organizations: Centers for Medicare and Medicaid Services, RAND Corporation
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Describes ground ambulance trends from 2017 to 2022, focusing on organizational characteristics associated with organizations' entry into or exit from the Medicare program. Presents data on the likelihood of entry and exit by a ground ambulance transportation organization by ownership status; urban, rural, or super rural location; and volume. Examines the change in traditional fee-for-service Medicare ground ambulance transport volume at the county level after an organization enters or exits the market.
Author(s): Jonathan Cantor, Sara Heins, Petra W. Rasmussen, Christine Buttorff, Andrew W. Mulcahy
Date: 04/2024
Sponsoring organizations: Centers for Medicare and Medicaid Services, RAND Corporation
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Tribal Transportation Program Delivery Guide: A Guide for Tribes with an FHWA Tribal Transportation Program Agreement
A procedural guide for tribal communities entering into an agreement with the Federal Highway Administration (FHWA). Outlines the roles and responsibilities of tribes and the FHWA in the implementation of a Tribal Transportation Program Agreement (TTPA) to improve tribal road infrastructure.
Date: 04/2024
Sponsoring organizations: Federal Highway Administration, United States Department of Transportation
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A procedural guide for tribal communities entering into an agreement with the Federal Highway Administration (FHWA). Outlines the roles and responsibilities of tribes and the FHWA in the implementation of a Tribal Transportation Program Agreement (TTPA) to improve tribal road infrastructure.
Date: 04/2024
Sponsoring organizations: Federal Highway Administration, United States Department of Transportation
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HealthTran: Provider Sustainability and Patient Empowerment
Video featuring Community Asset Builders' HealthTran, a volunteer driver program that helps mobility-challenged clients in over 40 rural Missouri counties get to and from medical appointments.
Date: 03/2024
Sponsoring organization: Rural Health Information Hub
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Video featuring Community Asset Builders' HealthTran, a volunteer driver program that helps mobility-challenged clients in over 40 rural Missouri counties get to and from medical appointments.
Date: 03/2024
Sponsoring organization: Rural Health Information Hub
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Impact of Driving Cessation on Health-Related Quality of Life Trajectories
Examines the impact of driving cessation (DC) in older drivers aged 65-79 on health-related quality of life (HRQoL) in rural and urban populations. Includes charts showing differences in HRQoL related to DC in metro core, metro non-core, and small town/rural areas. Discusses the impact of access to alternative transportation on mental health and HRQoL in older adults.
Author(s): Thelma J. Mielenz, Haomiao Jia, Carolyn DiGuiseppi, et al.
Citation: Health and Quality of Life Outcomes, 22, 13
Date: 02/2024
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Examines the impact of driving cessation (DC) in older drivers aged 65-79 on health-related quality of life (HRQoL) in rural and urban populations. Includes charts showing differences in HRQoL related to DC in metro core, metro non-core, and small town/rural areas. Discusses the impact of access to alternative transportation on mental health and HRQoL in older adults.
Author(s): Thelma J. Mielenz, Haomiao Jia, Carolyn DiGuiseppi, et al.
Citation: Health and Quality of Life Outcomes, 22, 13
Date: 02/2024
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Discretionary Transportation Grants: DOT Should Improve Transparency in the Infrastructure for Rebuilding America Program
Examines the Department of Transportation (DOT)'s processes to solicit, evaluate, and select applications for Infrastructure for Rebuilding America (INFRA) grant awards in fiscal year (FY) 2022, and the extent to which DOT's evaluation and selection processes aligned with federal guidance. Includes information about the Rural Surface Transportation program, which receives INFRA funding, and statistics on number of INFRA grant awards in FYs 2016–2022, with breakdowns by urban and rural areas.
Additional links: Full Report
Date: 01/2024
Sponsoring organization: Government Accountability Office
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Examines the Department of Transportation (DOT)'s processes to solicit, evaluate, and select applications for Infrastructure for Rebuilding America (INFRA) grant awards in fiscal year (FY) 2022, and the extent to which DOT's evaluation and selection processes aligned with federal guidance. Includes information about the Rural Surface Transportation program, which receives INFRA funding, and statistics on number of INFRA grant awards in FYs 2016–2022, with breakdowns by urban and rural areas.
Additional links: Full Report
Date: 01/2024
Sponsoring organization: Government Accountability Office
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Interest in Shared-Use Mobility Services in Tribal Communities
Explores the impact that technology-enabled, shared-use mobility services such as rideshare, carshare, bikeshare, microtransit, and more may have on rural and tribal areas. Identifies relevant literature on shared-use mobilities services, a case study based on a tribal community in Oklahoma, and best practices and challenges related to emerging transit technologies.
Author(s): Ranjit Godavarthy, Jill Hough
Date: 12/2023
Sponsoring organization: Upper Great Plains Transportation Institute
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Explores the impact that technology-enabled, shared-use mobility services such as rideshare, carshare, bikeshare, microtransit, and more may have on rural and tribal areas. Identifies relevant literature on shared-use mobilities services, a case study based on a tribal community in Oklahoma, and best practices and challenges related to emerging transit technologies.
Author(s): Ranjit Godavarthy, Jill Hough
Date: 12/2023
Sponsoring organization: Upper Great Plains Transportation Institute
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Last Updated: 5/9/2025