When Patients Have No Ride Home: Addressing Transportation Barriers That Exacerbate Disparities in Access to Timely Diagnostic Colonoscopies - Takeaways - MDSpire
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Overcoming Transportation Challenges to Improve Access to Timely Diagnostic Colonoscopies and Reduce Disparities

  • By

  • Kevin Martz

  • Catherine S. Hwang

  • October 5, 2026

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  • 1

    Effective stool-based colorectal cancer screening requires timely diagnostic colonoscopy after positive results from screening tests.

  • 2

    Moderate-certainty evidence links patient navigation with increased completion rates of diagnostic colonoscopy after abnormal stool tests.

  • 3

    Policies requiring personal escorts for patients undergoing colonoscopy create barriers, particularly for those with limited social support.

  • 4

    Health systems should address transportation needs and consider individualized discharge plans to improve access to diagnostic colonoscopies.

  • 5

    Establishing transportation arrangements and involving navigators can help reduce disparities in access to timely diagnostic procedures.

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