Estimating Benefits of Microtransit for Social Determinants of Health: A Social Return on Investment System Dynamics Model
Abstract
:1. Introduction
2. Literature
2.1. Characteristics of Microtransit Programs
Program | Agency | Target Population | General Characteristics | Performance Measures |
---|---|---|---|---|
Transportation Disadvantaged Late Shift (TD Late Shift) [10,17] | Pinellas Suncoast Transit Authority (PSTA) |
|
|
|
Regional Transportation Commission FlexRIDE (RTC FlexRide) [10,26] | Regional Transportation Commission (RTC) |
|
|
|
Rides to Wellness (R2W) [10,16] | Mass Transportation Authority (MTA) |
|
|
|
RideKC Microtransit [10,27] | Johnson County Government |
|
|
|
2.2. Social Return on Investment
2.3. System Dynamics
3. Data and Methods
3.1. Case Study Context
3.2. SROISD Framework
4. System Conceptualization
4.1. Defining Scope and Stakeholders
4.2. Mapping Social Outcomes
4.3. Causal Loop Diagram
4.3.1. Social Benefits Module
4.3.2. Cost Module
4.3.3. Service Operation Module
5. Model Formulation
5.1. Valuation of Outcomes
Social Benefit Category | Variables | Measure of Effectiveness | Valuation Method | Annual Proxy Value | Total Proxy Value Per Ride | Source |
---|---|---|---|---|---|---|
Healthcare access |
| [((average cost of ED visits + average cost of ambulance rides) × 0.34) − (average cost of medical appointments × 12)]/24 | Replacement valuation | 530 + 980 − (12 × 24.04 2) = $225 | 5625/24 = $234.375 | [64,65,66,67] |
Increased medical visits to healthcare centers | Average cost of doctor’s appointments × 12 | Direct valuation | 450 × 12 = $5400 | [64,65,66,67] | ||
Employment access | Income gained | Average state salary | Direct valuation | $40,701 | 40,701/520 = $78.27 | [45,68] |
Social inclusion | Social participation | Value of seeing friends and relatives once or twice a week − value of seeing friends and relatives once or twice a month | Replacement valuation | £12,000 in 2003; after exchange to USD and adjusted for inflation 1: $24,824 | 26,557/156 = $170.23 | [32,63,69] |
Improved mental health | Cost of Medicare part b deductible + (average cost therapy sessions Mississippi × 12 × co pay rate of therapy visits) + (cost of 12 months antidepressants × co pay rate of drugs) | Replacement valuation | $1733 | [32,70,71,72,73] |
5.2. Stock and Flow Diagrams
5.2.1. Social Benefits Module SFD
Unattended Rides Rate
Number of Riders
Individuals in Need of Rides
The Word-of-Mouth Process
Decision to Join or Leave the Program
5.2.2. Service Operations Module SFD
5.2.3. Cost Module SFD
6. Model Validation
7. Results and Discussion
7.1. Scenario Analysis
7.2. Sensitivity Analysis
7.3. Policy Analysis and Implications
8. Conclusions
Supplementary Materials
Author Contributions
Funding
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Maleki, M.; Smith-Colin, J. Estimating Benefits of Microtransit for Social Determinants of Health: A Social Return on Investment System Dynamics Model. Systems 2023, 11, 538. https://doi.org/10.3390/systems11110538
Maleki M, Smith-Colin J. Estimating Benefits of Microtransit for Social Determinants of Health: A Social Return on Investment System Dynamics Model. Systems. 2023; 11(11):538. https://doi.org/10.3390/systems11110538
Chicago/Turabian StyleMaleki, Mohammad, and Janille Smith-Colin. 2023. "Estimating Benefits of Microtransit for Social Determinants of Health: A Social Return on Investment System Dynamics Model" Systems 11, no. 11: 538. https://doi.org/10.3390/systems11110538
APA StyleMaleki, M., & Smith-Colin, J. (2023). Estimating Benefits of Microtransit for Social Determinants of Health: A Social Return on Investment System Dynamics Model. Systems, 11(11), 538. https://doi.org/10.3390/systems11110538