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Comment & Response
June 2018

Ridesharing and Text Messaging for Patients With Medicaid—Further Information—Reply

Author Affiliations
  • 1Corporal Michael J. Crescenz VA Medical Center, Philadelphia, Pennsylvania
  • 2Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia
  • 3Penn Medicine Center for Health Care Innovation, Philadephia, Pennsylvania
  • 4Division of General Internal Medicine, Perelman School of Medicine at the University of Pennsylvania, Philadelphia
JAMA Intern Med. 2018;178(6):868-869. doi:10.1001/jamainternmed.2018.1929

In Reply We appreciate the comments regarding our recent Original Investigation1 by Sharp and Rediger et al who highlight important considerations and provide suggestions for future studies. Sharp raises concerns that our study1 adds to the existing atheoretical literature on why patients miss appointments. We concur that a large body of literature and conceptual frameworks have explored factors—both patient-related and health system–related—that likely contribute to missed appointments.2 In fact, our team members are actively exploring strategies that broadly address the social determinants of health in an effort to improve heath care access.3,4 That said, Sharp appears to miss the major reason for our study1: to assess the marginal impact of addressing transportation barriers through ridesharing.

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