Evidence map›Paper›PMID 23799722›Full record

ArticleJournal of primary care & community health2013

Does providing care for uninsured patients decrease emergency room visits and hospitalizations?

Ted Mackinney, Alexis M Visotcky, Sergey Tarima, Jeff Whittle

Abstract read
In one paragraph

Article in Journal of primary care & community health, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
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

11 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Cost-Effectiveness of a Low-Cost, Hospital-Based Primary Care Clinic.Health services research and managerial epidemiology
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors.

Ted MackinneyDepartment of Medicine, Division of General Internal Medicine, Medical College of Wisconsin, Milwaukee, WI, USA.
Alexis M Visotcky
Sergey Tarima
Jeff Whittle

Funding

CTSA INFRASTRUCTURE FOR PEDIATRIC RESEARCHUL1RR031973 · NCRR · MEDICAL COLLEGE OF WISCONSIN · PI SHAKER, REZA NONE · 2010 to 2011
$7.9M
Intramural VA VA999999NCRR NIH HHS 1UL1RR031973NCRR NIH HHS UL1 RR031973
6 · The paper itself

Abstract

backgroundAccess to primary care could reduce use of more costly health care by uninsured individuals through prevention and early treatment. We analyzed data from a program providing free primary care to test this hypothesis.

methodsWe compared emergency room (ER) visits and hospitalizations among uninsured, low-income adults who received immediate versus delayed access to a program providing free primary care, including labs, X-rays, and specialty consultation. We used surveys to identify ER visits and hospitalizations during the 12 months preceding and following program enrollment or wait list entry.

resultsHospitalizations decreased from the year before entry to the year following entry in participants with immediate and delayed (6.0% vs 8.8% decrease) access. ER use also decreased in both groups (11.2% vs 15.4%).

conclusionsFree primary care services and specialty consultation did not reduce use of more costly health care services during its first year. More prolonged availability of primary care might have greater impact.

Indexed as

AdultAnalysis of VarianceChronic DiseaseCost SavingsEmergency Service, HospitalHealth Services AccessibilityHospitalizationHumansMedically UninsuredModels, OrganizationalPovertyPrimary Health CareProgram EvaluationPropensity ScoreUncompensated CareWisconsincommunity healthhealth outcomesimpact evaluationprimary careprogram evaluation

Identifiers

PMID23799722
PMCPMC4818592

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.