Featuring Krisda Chaiyachati
How many times have you had a patient no-show to an appointment, or show up 20 minutes late because of difficulties with transportation? We’ve all been there. Dr. Krisda Chaiyachati wondered whether providing transportation for patients with the ride service Lyft might cut down on the no-shows in his clinic, which typically run at around 50% among the Medicaid patient population. He decided to investigate this further with a pilot study and then a larger prospective trial. We talk about his surprising findings, as well as the larger questions that still surround social determinants of health – which ones really matter most? How should we measure them? How do we use them to risk-adjust accurately, and not penalize hospitals or health systems that care for the most vulnerable patients?
You can find Dr. Chaiyachati and his colleagues’ commentary from Annals of Internal Medicine about social determinants of health and risk adjustment here. You can learn more about Krisda here.
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