Transportation Woes Disrupt Dialysis Care for Kidney Patients

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A recent UC Davis Health study has shed light on the profound challenges faced by kidney patients undergoing hemodialysis due to unreliable transportation systems. The study found that late pickups, no-show rides, and unsafe driving practices add to the physical and emotional toll of dialysis treatment, while also disrupting clinic schedules and workflows. Dialysis clinic staff often find themselves taking on the role of transportation coordinators, translators, and advocates, diverting time and energy from their primary responsibilities of patient care and support.

Why it matters

Chronic kidney disease is a prevalent health concern, and for those with end-stage kidney disease, hemodialysis is a lifeline. However, the transportation hurdles faced by these patients can have serious health consequences, including missed or shortened treatments that can impact their eligibility for kidney transplants. This issue highlights the interconnectedness of healthcare systems and the need to address transportation barriers to ensure equitable access to care.

The details

The UC Davis Health study found that dialysis patients must navigate a complex web of transportation options, from paratransit to ride-hail services, each with its own set of challenges. One patient described transportation companies as "untouchable," speaking to the frustration and powerlessness felt by many. The stress of unreliable transportation compounds the already significant mental burden of managing a chronic illness.

• The UC Davis Health study was recently conducted in 2026.

What’s next

The study's findings highlight the need for healthcare systems to better integrate transportation solutions and ensure equitable access to care for all patients with chronic illnesses, not just those undergoing dialysis.