Evidence map›Paper›PMID 25012635›Full record

ArticleHeart & lung : the journal of critical care

Patients' annual income adequacy, insurance premiums and out-of-pocket expenses related to heart failure care.

Ubolrat Piamjariyakul, Donna Macan Yadrich, Christy Russell, Jane Myer, Chanawee Prinyarux, James L Vacek, Edward F Ellerbeck, Carol E Smith

Open access · greenAbstract read
In one paragraph

Article in Heart & lung : the journal of critical care. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
8.0field-weighted citation impact, top 3% 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

12 citing papers in PubMed, 23 citations in OpenAlex.

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  11. Designing and Testing an End-of-Life Discussion Intervention for African American Patients With Heart Failure and Their Families.Journal of hospice and palliative nursing : JHPN : the official journal of the Hospice and Palliative Nurses Association · 2016
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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

8 authors at 2 institutions in 1 country.

Ubolrat PiamjariyakulUniversity of Kansas School of Nursing, School of Nursing Building, 3901 Rainbow Boulevard, Mail Stop 4043, Kansas City, KS 66160-7502, USA. Electronic address: Upiamjariyakul@kumc.edu.
Donna Macan YadrichUniversity of Kansas School of Nursing, School of Nursing Building, 3901 Rainbow Boulevard, Mail Stop 4043, Kansas City, KS 66160-7502, USA.
Christy RussellUniversity of Kansas Hospital, USA.
Jane MyerUniversity of Kansas Hospital, USA.
Chanawee PrinyaruxUniversity of Kansas Hospital, USA.
James L VacekUniversity of Kansas Hospital, USA; School of Medicine, University of Kansas, University of Kansas Hospital, USA.
Edward F EllerbeckDepartment of Preventive Medicine and Public Health, School of Medicine, University of Kansas, USA.
Carol E SmithUniversity of Kansas School of Nursing, School of Nursing Building, 3901 Rainbow Boulevard, Mail Stop 4043, Kansas City, KS 66160-7502, USA; Department of Preventive Medicine and Public Health, School of Medicine, University of Kansas, USA.
The University of Kansas Health System · USUniversity of Kansas · US

Funding

HF Group Appointments Rehospitalization PreventionR01HL085397 · NHLBI · UNIVERSITY OF KANSAS MEDICAL CENTER · PI SMITH, CAROL E · 2006 to 2011
$3.7M
NHLBI NIH HHS R01 HL085397NHLBI NIH HHS R01 HL085397S
6 · The paper itself

Abstract

objectivesTo (1) identify the amount patients spend for insurance premiums, co-payments, deductibles, and other out-of-pocket costs related to HF and chronic health care services and estimate their annual non-reimbursed and out-of-pocket costs; and (2) identify patients' concerns about nonreimbursed and out-of-pocket expenses.

backgroundHF is one of the most expensive illnesses for our society with multiple health services and financial burdens for families.

methodsMixed methods with quantitative questionnaires and qualitative interviews.

resultsPatients (N = 149) reported annual averages for non-reimbursed health services co-payments and out-of-pocket costs ranging from $3913 to $5829 depending on insurance coverage. Thirty one patients (21%) reported inadequate health coverage related to their non-reimbursed costs.

conclusionsNon-reimbursed costs related to HF care are substantial and vary depending on their insurance, health services use, and out-of-pocket costs. Patient referral to social services to assist with expenses could provide some relief from the burden of high HF-related costs.

Indexed as

IncomeAgedFemaleFinancing, PersonalHeart FailureHumansInsurance CoverageInsurance, HealthMaleMiddle AgedSurveys and QuestionnairesComplex chronic conditionsHealth care costsHeart failureHome careOut-of-pocket costs

Identifiers

PMID25012635
PMCPMC4150850
OpenAlexW2113262029

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.