Evidence map›Paper›PMID 19649709›Full record

ArticleJournal of immigrant and minority health2010

Does access to care still affect health care utilization by immigrants? Testing of an empirical explanatory model of health care utilization by Korean American immigrants with high blood pressure.

Hee-Jung Song, Hae-Ra Han, Jong-Eun Lee, Ji-Yun Kim, Kim B Kim, Jai Poong Ryu, Miyong Kim

Open access · greenAbstract read
In one paragraph

Article in Journal of immigrant and minority health, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
2.2field-weighted citation impact, top 10% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 41 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Understanding Pathways to Usual Source of Care among Asian Americans.Journal of health care for the poor and underserved · 2016
    Article
  9. Predictors for chronic pain-related health care utilization: a cross-sectional nationwide study in Iceland.Health expectations : an international journal of public participation in health care and health policy · 2015
    Article
  10. Factors Affecting Health Care Utilization in Tehran.Global journal of health science · 2015
    Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 2 countries.

Hee-Jung SongCenter for Human Nutrition, Department of International Health, Bloomberg School of Public Health, Johns Hopkins University, 615 N. Wolfe St, Baltimore, MD 21205-2179, USA. hsong@jhsph.edu
Hae-Ra Han
Jong-Eun Lee
Ji-Yun Kim
Kim B Kim
Jai Poong Ryu
Miyong Kim
Johns Hopkins University · USKorean Resource Center · USLoyola University Maryland · US

Funding

Health Literacy Intervention for Korean Americans with HPBR01HL085567 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI KIM, MIYONG T · 2006 to 2010
$3.4M
High Blood Pressure Care for Korean AmericansR01HS013160 · AHRQ · JOHNS HOPKINS UNIVERSITY · PI KIM, MIYONG T. · 2003 to 2005
–
AHRQ HHS R01 HS013160NHLBI NIH HHS R01 HL085567
6 · The paper itself

Abstract

Despite well-known benefits of health care utilization for the effective management of chronic diseases, the underlying mechanism of understanding health care utilization in ethnic minority population has not been systematically explored. The purpose of this paper is to examine the predictive ability of a health care utilization model by analyzing the interplay between predisposing, enabling, and need factors. The sample consisted of hypertensive Korean American immigrants (KAIs) 40-64 years of age who participated in a self-help intervention for high blood pressure care (SHIP-HBP). Using structured questionnaires, data were collected from 445 KAIs at baseline and analyzed with path analysis. Insurance status and relevant medical history were not just strong direct effects but also carried the most total effect on the health care utilization of these patients. Life priorities, years of residence in the US and perceived income level exerted indirect effects through the participants' insurance status. Our statistical analysis indicated a good fit for the proposed model (x (2) = 28.4, P = 0.29; NFI = 0.91; CFI = 0.99; RMSEA = 0.02). Overall, the model explained 18% of the variance in health care utilization of hypertensive KAIs. These findings strongly support a need to improve access to health care for KAIs by introducing a variety of community resources and building sustainable community infrastructures.

Indexed as

Emigrants and ImmigrantsHealth Services AccessibilityModels, TheoreticalAdultBaltimoreDistrict of ColumbiaFemaleHealth ServicesHumansHypertensionMaleMiddle AgedProspective StudiesRepublic of Korea

Identifiers

PMID19649709
PMCPMC4510838
OpenAlexW2065045728

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.