Perspectives of Community Health Center Employees on Public Bus Transportation in Rural Hawai‘i County
Bibliographic Data
| ID | 15469481 |
|---|---|
| Authors | L Brooke Keliikoa (0000-0002-2979-820X, University of Hawaiʻi at Mānoa, corresponding author), Claudia Hartz (Ocean Era (United States)), Ansley Pontalti (University of Hawaiʻi at Mānoa), Ke’ōpūlaulani Reelitz (Papa Ola Lokahi), Heidi Hansen Smith (Hawaii Department of Health), Kiana Otsuka (University of Hawaii–West Oahu), Lance Ching (0009-0006-0145-732X, Hawaii Department of Health), Meghan D McGurk (0000-0003-0960-1147, University of Hawaiʻi at Mānoa) |
| Year | 2026 |
| Volume | 23 |
| Issue | 1 |
| Pages | 78-78 |
| Publication date | 2026-01-06 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | International Journal of Environmental Research and Public Health (JOURNAL) |
| Journal identifiers | ISSN: 1661-7827 • E-ISSN: 1660-4601 |
| Publisher | Multidisciplinary Digital Publishing Institute (PUBLISHER • CH) |
| DOI | 10.3390/ijerph23010078 |
| PMID | 41595872 |
| OpenAlex | W7118669907 |
| Language | EN |
| References cited | 18 |
People living in rural communities are typically underserved by public transportation services and face challenges in accessing healthcare, jobs, stores, and other destinations. Understanding the lived experiences of people who use public transportation in rural communities can help to inform a more equitable transportation system. This qualitative study gathered the perspectives of community health center employees about the public bus system for Hawai'i Island, a rural county in the United States. Using a community-engaged research approach, the evaluation team interviewed 10 employees through either in-person small group interviews or online individual interviews between April and July 2023. Transcripts were coded and analyzed using a thematic analysis approach. While all study participants were selected for their interest in commuting to work by bus, most believed the bus was not a reliable or convenient option. Participants shared their experiences about not being able to rely on the bus schedule, feeling unsafe while walking to bus stops or waiting for the bus, and other barriers to using the bus system. Participants also shared their insights about how a reliable bus system would benefit community health center patients who needed transportation to more than just their medical appointments, but also to places like pharmacies, laboratory services, and grocery stores. These findings can be used to initiate discussions around the ways that community health centers can further address transportation as a social determinant of health and inform transportation providers about how to best plan and invest in transportation infrastructure and services to meet the needs of rural populations
Community health · Feeling · Public health · Public transport · Qualitative research · Rural area · Rural health · Thematic analysis · Work (physics · Community Health and Development · Older Adults Driving Studies · Urban Transport and Accessibility
Fear and safety in transit environments from the women’s perspective
Partnerships, Processes, and Outcomes
Commuting and wellbeing
Thematic Analysis
Thematic analysis.
Public transportation objectives and rider demographics
Increasing Access to Care for the Underserved
The bus is arriving
The Public Health Case for Addressing Transportation-Related Barriers to Care
The Importance of Public Transport for Mobility and Everyday Activities among Rural Residents
| Citation velocity | historical |
|---|---|
| Highly cited | No |