Trial reportThe Journal of pediatrics2009
The health and cost impact of care delay and the experimental impact of insurance on reducing delays.
Trial report in The Journal of pediatrics, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
29 citing papers in PubMed, 1 synthesis or guideline pooled it, 75 citations in OpenAlex.
- Pooled it
- The effect of age-specific stay-at-home recommendation on healthcare utilization: Evidence from Finland's COVID-19 policy.The European journal of health economics : HEPAC : health economics in prevention and care · 2026Article
- Impact of diagnosis-intervention packet payment reform on pediatric hospital services: an interrupted time series analysis.BMC health services research · 2026Article
- Determinants of distress financing for healthcare service utilization: a convergent mixed-method study at a tertiary hospital in Malaysia.Health policy and planning · 2025Article
- Delayed or forgone medical care associated with increased resource utilization and health care expenditures among patients with peripheral artery disease in the United States.Journal of vascular surgery · 2025Article
- Association Between Delayed/Forgone Medical Care and Resource Utilization Among Women with Breast Cancer in the United States.Annals of surgical oncology · 2025Article
- Healthcare-seeking behaviors and barriers among medical students in Egypt: a national cross-sectional study.BMC public health · 2025Article
- National analysis of health-related social needs among adult injury survivors.The journal of trauma and acute care surgery · 2025Article
- A Mixed-Methods Analysis of Negative Patient Experiences in Emergency Department Care: Identifying Challenges and Evidence-Informed Strategies Across the Care Continuum.Journal of patient experience · 2025Article
- Determinants of health-seeking behaviour in rural district of Jasikan, Ghana: a cross-sectional study.BMC public health · 2024Article
- Increasing Access to Medical Care for Hispanic Women Without Insurance: A Mobile Clinic Approach.Journal of immigrant and minority health · 2024Article
- Exploring the Effect of Anti-immigration Rhetoric on Emergency Department Use by Undocumented Adults.Journal of immigrant and minority health · 2024Article
- How Have Patient Out-of-pocket Costs for Common Outpatient Orthopaedic Foot and Ankle Surgical Procedures Changed Over Time? A Retrospective Study From 2010 to 2020.Clinical orthopaedics and related research · 2024Article
- Parents' Use of Social Media for Health Information Before and After a Consultation With Health Care Professionals: Australian Cross-Sectional Study.JMIR pediatrics and parenting · 2023Article
- Defining medical deserts-an international consensus-building exercise.European journal of public health · 2023Article
- The role of insurance status in the association between short-term temperature exposure and myocardial infarction hospitalizations in New York State.Environmental epidemiology (Philadelphia, Pa.) · 2023Article
- Associations Between Cognitive Impairment Severity and Barriers to Healthcare Engagement Among Older Adults.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2023Article
- Predictors of Medical Care Delay or Avoidance Among Chinese Adults During the COVID-19 Pandemic.Patient preference and adherence · 2023Article
- The impact of current smoking, regular drinking, and physical inactivity on health care-seeking behavior in China.BMC health services research · 2022Article
- The Impact of the COVID-19 Pandemic on Avoidance of Health Care, Symptom Severity, and Mental Well-Being in Patients With Coronary Artery Disease.Frontiers in medicine · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 3 institutions in 2 countries.
Funding
Abstract
objectiveTo examine whether delays in seeking care are associated with worse health outcomes or increased treatment costs in children, and then assess whether insurance coverage reduces these delays. STUDY
designWe use data on 4070 children younger than 5 years from the Quality Improvement Demonstration Study, a randomized controlled experiment assessing the effects of increasing insurance coverage. We examined whether delay in care, defined as greater than 2 days between the onset of symptoms and admission to the study district hospitals, is associated with wasting or having positive C-reactive protein levels on discharge, and with total charge for hospital admission; we also evaluated whether increased benefit coverage and enrollment reduced the likelihood of delay.
resultsDelay is associated with 4.2% and 11.2% percentage point increases in the likelihood of wasting (P = .08) and having positive C-reactive protein levels (P = .03), respectively, at discharge. On average, hospitalization costs were 1.9% higher with delay (P = .04). Insurance intervention results in 5 additional children in 100 not delaying going to the hospital (P = .02).
conclusionsIn this population, delayed care is associated with worse health outcomes and higher costs. Access to insurance reduced delays; thus insurance interventions may have positive effects on health outcomes.
Indexed as
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.