Evidence map›Paper›PMID 26447914›Full record

ArticleAmerican journal of public health2015

Changes in Young Adult Primary Care Under the Affordable Care Act.

Charlene A Wong, Carol A Ford, Benjamin French, David M Rubin

Abstract read
In one paragraph

Article in American journal of public health, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Health Care Coverage and Access Among Children, Adolescents, and Young Adults, 2010-2016: Implications for Future Health Reforms.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2018
    Article
  5. Article
  6. Research on Clinical Preventive Services for Adolescents and Young Adults: Where Are We and Where Do We Need to Go?The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2017
    Review
  7. 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

4 authors.

Charlene A WongCharlene A. Wong is with the Robert Wood Johnson Foundation Clinical Scholars Program, University of Pennsylvania, Philadelphia, and the Division of Adolescent Medicine, The Children's Hospital of Philadelphia. Carol A. Ford is with the Division of Adolescent Medicine, Children's Hospital of Philadelphia, University of Pennsylvania. Benjamin French is with the Department of Biostatistics and Epidemiology, University of Pennsylvania. David M. Rubin is with the Division of General Pediatrics, PolicyLab, Children's Hospital of Philadelphia, University of Pennsylvania.
Carol A FordCharlene A. Wong is with the Robert Wood Johnson Foundation Clinical Scholars Program, University of Pennsylvania, Philadelphia, and the Division of Adolescent Medicine, The Children's Hospital of Philadelphia. Carol A. Ford is with the Division of Adolescent Medicine, Children's Hospital of Philadelphia, University of Pennsylvania. Benjamin French is with the Department of Biostatistics and Epidemiology, University of Pennsylvania. David M. Rubin is with the Division of General Pediatrics, PolicyLab, Children's Hospital of Philadelphia, University of Pennsylvania.
Benjamin FrenchCharlene A. Wong is with the Robert Wood Johnson Foundation Clinical Scholars Program, University of Pennsylvania, Philadelphia, and the Division of Adolescent Medicine, The Children's Hospital of Philadelphia. Carol A. Ford is with the Division of Adolescent Medicine, Children's Hospital of Philadelphia, University of Pennsylvania. Benjamin French is with the Department of Biostatistics and Epidemiology, University of Pennsylvania. David M. Rubin is with the Division of General Pediatrics, PolicyLab, Children's Hospital of Philadelphia, University of Pennsylvania.
David M RubinCharlene A. Wong is with the Robert Wood Johnson Foundation Clinical Scholars Program, University of Pennsylvania, Philadelphia, and the Division of Adolescent Medicine, The Children's Hospital of Philadelphia. Carol A. Ford is with the Division of Adolescent Medicine, Children's Hospital of Philadelphia, University of Pennsylvania. Benjamin French is with the Department of Biostatistics and Epidemiology, University of Pennsylvania. David M. Rubin is with the Division of General Pediatrics, PolicyLab, Children's Hospital of Philadelphia, University of Pennsylvania.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesWe sought to describe changes in young adults' routine care and usual sources of care (USCs), according to provider specialty, after implementation of extended dependent coverage under the Affordable Care Act (ACA) in 2010.

methodsWe used Medical Expenditure Panel Survey data from 2006 to 2012 to examine young adults' receipt of routine care in the preceding year, identification of a USC, and USC provider specialties (pediatrics, family medicine, internal medicine, and obstetrics and gynecology).

resultsThe percentage of young adults who sought routine care increased from 42.4% in 2006 to 49.5% in 2012 (P < .001). The percentage identifying a USC remained stable at approximately 60%. Among young adults with a USC, there was a trend between 2006 and 2012 toward increasing percentages with pediatric (7.6% vs 9.1%) and family medicine (75.9% vs 80.9%) providers and declining percentages with internal medicine (11.5% vs 7.6%) and obstetrics and gynecology (5.0% vs 2.5%) providers.

conclusionsEfforts under the ACA to increase health insurance coverage had favorable effects on young adults' use of routine care. Monitoring routine care use and USC choices in this group can inform primary care workforce needs and graduate medical education priorities across specialties.

Indexed as

AdultAge FactorsFemaleHumansInsurance CoverageInsurance, HealthMalePatient Acceptance of Health CarePatient-Centered CarePatient Protection and Affordable Care ActPrimary Health CareSex FactorsSocioeconomic FactorsUnited StatesYoung Adult

Identifiers

PMID26447914
PMCPMC4627530

What OpenQuestion holds

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Registered trials

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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.