Examining Individual Health and Healthcare Utilization Patterns at the Intersection of Transportation, Environment and Communities

University Transportation Centers Program2019PDFTech ReportZhang, YiyeTarayani, MohammadAlAref, SubhiMitchell, HannahSholle, EvanAbedian, SajjadZhang, YongkangRoyChoudhury, ArindamMin, James KAncker, JessicaPathak, JyotishmanCornell University. Center for Transportation, Environment, and Community HealthWeill Cornell MedicineUnited States. Department of Transportation. University Transportation Centers (UTC) ProgramUnited States. Department of Transportation. Office of the Assistant Secretary for Research and TechnologyCornell University. Center for Transportation, Environment, and Community Health. (CTECH)United StatesNew York (New York)Built environmentCardiac disorderDemographicsHealthHealth careMedical recordsNonmotorized transportationTravel behavior69A3551747119Final Report 1/1/2018 \u2013 12/31/2018A knowledge gap exists in understanding the association between individual health, healthcare, transportation, and the environment at a granular level. This study aimed to curate a longitudinal dataset that contains the history of individual demographics, health conditions, healthcare utilization, and community dwellings. Geo-coding residence information to communities in New York City, the authors matched over 1.5 million individuals with community-level information on travel behavior, active transportation, and built environment. Three on-going studies are conducted as part of the study. Focusing on a group of heart failure patients, first two studies analyzed detailed patterns of health and healthcare utilization by varying travel behaviors, active transportation, and built environment in a cross-sectional and a longitudinal study, respectively. The third, on-going, study examines the role of social determinants of health in predicting hospital readmission. Details about the database curated as part of the study is described in the Appendix.140