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October 10, 2023
Early View Perspective Health Equity
Kellia J. Hansmann
Nov 27, 2023
Sep 18, 2023
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The health care sector is increasingly investing in social conditions to improve health care utilization and outcomes.1–4 Under the umbrella of social determinants of health, advocates, researchers, and policymakers have shifted attention upstream to better understand the mechanisms and potential interventions to address social risk (e.g., housing insecurity, poverty, lack of education and employment opportunities, food insecurity) to improve health and well-being and ameliorate long-standing inequities.
Transportation is one of these core social determinants and yet the understanding of transportation in health care has heavily focused on a limited view of transportation insecurity rather than adopting the more inclusive approach of transportation justice. Transportation justice “describes a normative condition in which no person or group is disadvantaged by a lack of access to the opportunities they need to lead a meaningful and dignified life”.5 In this perspective, we will characterize the existing research investigating transportation as a social determinant of health and propose applying a more holistic transportation justice framework to systemic problems in health care including two case examples.
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The Milbank Quarterly’s multidisciplinary approach and commitment to applying the best empirical research to practical policymaking offers in-depth assessments of the social, economic, political, historical, legal, and ethical dimensions of health and health care policy.