Grant: Operating Grant: Population Health Intervention Research - LOI

This study will assess the effect of a subsidized transportation service on rural First Nations access to and use of health services in British Columbia. Transportation and other logistical barriers are often cited in the Aboriginal and rural health literature, however little work has been done to measure the true impact of these costs on health services utilization in a rural First Nations population. Using survey and administrative data in a natural experiment framework, the study will explore the effects of transportation costs on the following: number of medical appointments scheduled; attendance at scheduled appointments; follow-up care; overall utilization; and perceived health status. The in-depth localized knowledge generated will support evidence-based decision making in the region and inform future research of the relative importance of transportation barriers compared to other barriers to accessing health services.