Trial reportJournal of general internal medicine2014
Effects of Massachusetts health reform on the use of clinical preventive services.
Trial report in Journal of general internal medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
What it found
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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
13 citing papers in PubMed.
- Receipt of Preventive Services After Oregon's Randomized Medicaid Experiment.American journal of preventive medicine · 2016Trial
- Efficacy of a Telehealth Intervention on Colonoscopy Uptake When Cost Is a Barrier: The Family CARE Cluster Randomized Controlled Trial.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2015Trial
- Individual and geospatial factors associated with receipt of colorectal cancer screening: a state-wide mixed-level analysis.Family medicine and community health · 2024Article
- Effects of the Colorectal Cancer Control Program.Health economics · 2021Article
- Changes in Insurance Coverage and Healthcare Use Among Immigrants and US-Born Adults Following the Affordable Care Act.Journal of racial and ethnic health disparities · 2021Article
- The Impact of Massachusetts Health Reform on Colorectal and Breast Cancer Stage at Diagnosis.Medical care · 2020Article
- Adult-Oriented Health Reform and Children's Insurance and Access to Care: Evidence from Massachusetts Health Reform.Maternal and child health journal · 2019Article
- Trends of lack of health insurance among US adults aged 18-64 years: findings from the Behavioral Risk Factor Surveillance System, 1993-2014.Public health · 2017Article
- Impact of Health Insurance Expansion on the Treatment of Colorectal Cancer.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2016Article
- Current and (Potential) Future Effects of the Affordable Care Act on HIV Prevention.Current HIV/AIDS reports · 2016Review
- Capsule commentary on Okoro et al., effects of Massachusetts health reform on the use of clinical preventative services.Journal of general internal medicine · 2014Article
- Life chaos and intrinsic motivation.Journal of general internal medicine · 2014Article
- The ACA and Cancer Screening and Diagnosis.Cancer journal (Sudbury, Mass.)Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundExpansion of health insurance coverage, and hence clinical preventive services (CPS), provides an opportunity for improvements in the health of adults. The degree to which expansion of health insurance coverage affects the use of CPS is unknown.
objectiveTo assess whether Massachusetts health reform was associated with changes in healthcare access and use of CPS.
designWe used a difference-in-differences framework to examine change in healthcare access and use of CPS among working-aged adults pre-reform (2002-2005) and post-reform (2007-2010) in Massachusetts compared with change in other New England states (ONES).
settingPopulation-based, cross-sectional Behavioral Risk Factor Surveillance System surveys.
participantsA total of 208,831 survey participants aged 18 to 64 years.
interventionMassachusetts health reform enacted in 2006. MEASUREMENTS: Four healthcare access measures outcomes and five CPS. KEY
resultsThe proportions of adults who had health insurance coverage, a healthcare provider, no cost barrier to healthcare, an annual routine checkup, and a colorectal cancer screening increased significantly more in Massachusetts than those in the ONES. In Massachusetts, the prevalence of cervical cancer screening in pre-reform and post-reform periods was about the same; however, the ONES had a decrease of -1.6 percentage points (95 % confidence interval [CI] -2.5, -0.7; p <0.001). As a result, the prevalence of cervical cancer screening in Massachusetts was increased relative to the ONES (1.7, 95 % CI 0.2, 3.2; p = 0.02). Cholesterol screening, influenza immunization, and breast cancer screening did not improve more in Massachusetts than in the ONES. LIMITATIONS: Data are self-reported.
conclusionsHealth reform may increase healthcare access and improve use of CPS. However, the effects of health reform on CPS use may vary by type of service and by state.
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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.