ArticleJournal of the American Board of Family Medicine : JABFM
Using geographic information systems (GIS) to identify communities in need of health insurance outreach: An OCHIN practice-based research network (PBRN) report.
Article in Journal of the American Board of Family Medicine : JABFM. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02298361 (Innovative Methods for Parents And Clinics to Create Tools), which is not on this map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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.
Innovative Methods for Parents And Clinics to Create Tools (IMPACCT) for Kids' Care
Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Geographic and area-level socioeconomic variation in cardiometabolic risk factor distribution: a systematic review of the literature.International journal of health geographics · 2019Pooled it
- Benefits and challenges of geographic information systems (GIS) for data-driven outreach in black communities experiencing overdose disparities: results of a stakeholder focus group.BMC public health · 2024Article
- Differences in up-to-date colorectal and cervical cancer screening rates by ethnicity and preferred language: An analysis across patient-, clinic-, and area-level data sources.SSM - population health · 2024Article
- Examining How Social Risk Factors Are Integrated Into Clinical Settings Using Existing Data: A Scoping Review.Annals of family medicine · 2023Article
- Leveraging Data and Digital Health Technologies to Assess and Impact Social Determinants of Health (SDoH): a State-of-the-Art Literature Review.Online journal of public health informatics · 2021Article
- Role of Area-Level Access to Primary Care on the Geographic Variation of Cardiometabolic Risk Factor Distribution: A Multilevel Analysis of the Adult Residents in the Illawarra-Shoalhaven Region of NSW, Australia.International journal of environmental research and public health · 2020Article
- Association Between Patient Cost Sharing and Cardiac Rehabilitation Adherence.Mayo Clinic proceedings · 2019Article
- Study protocol: a mixed-methods study of women's healthcare in the safety net after Affordable Care Act implementation - EVERYWOMAN.Health research policy and systems · 2019Article
- Progress towards using community context with clinical data in primary care.Family medicine and community health · 2019Article
- Geographic variation in health insurance benefits in Qianjiang District, China: a cross-sectional study.International journal for equity in health · 2018Article
- Using the electronic health record for assessment of health insurance in community health centers.Journal of the American Medical Informatics Association : JAMIA · 2016Article
- Precision Ecologic Medicine: Tailoring Care to Mitigate Impacts of Climate Change.Journal of primary care & community healthArticle
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
backgroundOur practice-based research network (PBRN) is conducting an outreach intervention to increase health insurance coverage for patients seen in the network. To assist with outreach site selection, we sought an understandable way to use electronic health record (EHR) data to locate uninsured patients.
methodsHealth insurance information was displayed within a web-based mapping platform to demonstrate the feasibility of using geographic information systems (GIS) to visualize EHR data. This study used EHR data from 52 clinics in the OCHIN PBRN. We included cross-sectional coverage data for patients aged 0 to 64 years with at least 1 visit to a study clinic during 2011 (n = 228,284).
resultsOur PBRN was successful in using GIS to identify intervention sites. Through use of the maps, we found geographic variation in insurance rates of patients seeking care in OCHIN PBRN clinics. Insurance rates also varied by age: The percentage of adults without insurance ranged from 13.2% to 86.8%; rates of children lacking insurance ranged from 1.1% to 71.7%. GIS also showed some areas of households with median incomes that had low insurance rates. DISCUSSION: EHR data can be imported into a web-based GIS mapping tool to visualize patient information. Using EHR data, we were able to observe smaller areas than could be seen using only publicly available data. Using this information, we identified appropriate OCHIN PBRN clinics for dissemination of an EHR-based insurance outreach intervention. GIS could also be used by clinics to visualize other patient-level characteristics to target clinic outreach efforts or interventions.
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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.