Does distance between home and transplantation center adversely affect patient outcomes after heart transplantation?
Long-distance management of heart transplant recipients is successful and is not associated with an increase in adverse outcomes. By itself, distance should not represent a contraindication to transplantation. Patients should be encouraged to maintain contact with a local physician, in addition to the regularly scheduled visits at the transplantation center.
Low levels of acculturation, lack of social networks, and poor food stamps management skills may influence household food insecurity.