Drivers don’t know when they’re assigned health rides.
The studies done so far show that improving health access isn’t as simple as just using an algorithm to book people rides, Chaiyachati says. In his study, people said they missed appointments because they wanted to ride with a friend or family member who ended up not being available or because they didn’t think the appointment was important.
That’s not always the case with rideshare services. And riders he drove through the disability company often needed more help than was initially indicated, Tim says. “Some are very frail and can’t handle a lot of bumpy roads. We constantly had to adjust our routes to accommodate,” he says. Eisenberg, the professor of disability and human development, says he would also want to see a hands-on component that involves working with people in need of assistance. “That’s the best practice,” he says.
That on its own is a safety risk, Bogren says. NEMT drivers should know if a rider has a medical condition so that they know what to do if something goes wrong. Even something that seems low-risk and non-emergency, like driving a kidney patient to and from a dialysis appointment, can have risks. If a patient starts to bleed from the incision where the dialysis is being performed — as sometimes happens — Bogren says trained NEMT drivers know to reroute patients to the emergency room.
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