• Na'amah Razon and Laura Gottlieb.
• From the Department of Family and Community Medicine, University of California, Davis, CA (NR); Family and Community Medicine, University of California, San Francisco, CA (LG). nrazon@ucdavis.edu.
• J Am Board Fam Med. 2022 Mar 1; 35 (2): 400-405.

PurposeTo analyze transportation screening and assessment questions used in social risk screening tools to understand how these tools assess patients' mobility and transportation needs.MethodsWe conducted content analysis of transportation screening and assessment tools used in adult health care delivery settings.ResultsWe identified 23 unique social risk screening tools; 14 included at least 1 transportation question. Transportation screeners differed in terms of content domain, structure, and response options. Existing transportation screening and assessment tools do not uniformly or comprehensively assess transportation needs. Questions typically fail to surface relevant information on financial constraints, disability, local transportation options, and social isolation that should influence related interventions.ConclusionsDevelopment of a brief screening question that broadly captures transportation insecurity followed by a more comprehensive assessment triggered by positive response could enable policy makers and health systems to better identify individuals facing transportation insecurity and to develop transportation solutions that address patients' transportation needs.© Copyright 2022 by the American Board of Family Medicine.

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