Evidence map›Paper›PMID 25241354›Full record

Observational studyAtencion primaria2015

[Potentially excluded population from health coverage and health impact since Royal Decree 16/2012: The Central Catalonia experience].

Dolores Álamo-Junquera, Núria Sala, Joan-Pau Millet, Lluïsa Ortega-Gutiérrez, Albert Planas-Giner, Carol Rovira, Dolors Comet

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Atencion primaria, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.9field-weighted citation impact, top 11% 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

3 citing papers in PubMed, 9 citations in OpenAlex.

  1. Nursing Students' Attitudes towards Immigrants' Social Rights.International journal of environmental research and public health · 2020
    Article
  2. Article
  3. 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 2 institutions in 1 country.

Dolores Álamo-JunqueraUnitat de Suport a la Recerca (USR) Catalunya Central, Institut Universitari d'Investigació en Atenció Primària Jordi Gol (IDIAP Jordi Gol), Barcelona, España; Gerència Territorial Catalunya Central, Institut Català de la Salut, Barcelona, España.
Núria SalaUnitat de Suport a la Recerca (USR) Catalunya Central, Institut Universitari d'Investigació en Atenció Primària Jordi Gol (IDIAP Jordi Gol), Barcelona, España; Gerència Territorial Catalunya Central, Institut Català de la Salut, Barcelona, España.
Joan-Pau MilletUnitat de Suport a la Recerca (USR) Catalunya Central, Institut Universitari d'Investigació en Atenció Primària Jordi Gol (IDIAP Jordi Gol), Barcelona, España; Gerència Territorial Catalunya Central, Institut Català de la Salut, Barcelona, España; Ciber de Epidemiología y Salud Pública, CIBERESP, Barcelona, España. Electronic address: jmillet.cc.ics@gencat.cat.
Lluïsa Ortega-GutiérrezGerència Territorial Catalunya Central, Institut Català de la Salut, Barcelona, España.
Albert Planas-GinerGerència Territorial Catalunya Central, Institut Català de la Salut, Barcelona, España.
Carol RoviraGerència Territorial Catalunya Central, Institut Català de la Salut, Barcelona, España.
Dolors CometCentre d'Atenció Primària Manresa 2, Servei d'Atenció Primària Catalunya Central, Institut Català de la Salut, Barcelona, España.
Institut Català de la Salut · ESInstitut Universitari d'Investigació en Atenció Primària Jordi Gol · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess the proportion of population potentially excluded from healthcare coverage since the Royal Decree-Law 16/2012. To describe the use of health services, the distribution of chronic and infectious diseases, and the pharmaceutical costs in 2012 of the persons potentially excluded compared to the those who maintain their coverage. DESIGN AND

settingAn observational analytical cross-sectional study was designed and conducted on a Primary Care based population in the Central Catalonia Management Area of the Institut Català de la Salut PARTICIPANTS AND MAIN MEASUREMENTS: Individuals potentially excluded since the application of the Royal Decree-Law 16/2012 were selected and compared with individuals who maintained their healthcare coverage, randomly matched by sex, age and Primary Care service. The information obtained included the use of health services, the distribution of chronic and infectious diseases, and the pharmaceutical costs during the year 2012.

resultsA total of 1,699 individuals were identified as potentially excluded from healthcare coverage, 0.53% of the total of population (51.4% men), with a median of age of 34years (interquartile range, 28-43). The use of healthcare services, the chronic morbidity recorded, and the pharmaceutical costs during the year 2012 of the excluded individuals was lower than those of the non-excluded ones (P<.001). On the other hand, the infectious morbidity was higher in the excluded individuals (P<.001).

conclusionsThe results of the study suggests that this legislative measure does not seem to be justified for medical or economic reasons. It could also cause public health problems and contribute to the risk of social fracture.

Indexed as

AdultCross-Sectional StudiesFemaleHealth ServicesHumansMaleMedically UninsuredSpainEmigrantes e inmigrantesEmigrants and immigrantsEspañaMedically uninsuredPersonas sin seguro médicoPolicyPolíticasSpain

Identifiers

PMID25241354
PMCPMC6983821
OpenAlexW2111341310

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.