Trial reportAmerican journal of preventive medicine2016
Receipt of Preventive Services After Oregon's Randomized Medicaid Experiment.
Trial report in American journal of preventive medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled 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.
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
26 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Implementation strategies to increase smoking cessation treatment provision in primary care: a systematic review of observational studies.BMC primary care · 2023Pooled it
- Association Between Nativity and Preventive Mammography Among Latina Community Health Center Patients.Journal of racial and ethnic health disparities · 2026Article
- Impact of Health Insurance Patterns on Chronic Health Conditions Among Older Patients.Journal of the American Board of Family Medicine : JABFM · 2023Article
- Medicaid coverage for tobacco dependence treatment: Enrollee awareness and use.Preventive medicine reports · 2021Article
- Effects of the Colorectal Cancer Control Program.Health economics · 2021Article
- Impact of community-based health insurance on utilisation of preventive health services in rural Uganda: a propensity score matching approach.International journal of health economics and management · 2021Article
- CONSORT extension for the reporting of randomised controlled trials conducted using cohorts and routinely collected data (CONSORT-ROUTINE): checklist with explanation and elaboration.BMJ (Clinical research ed.) · 2021Article
- 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
- Association of Insurance Status With Provision of Recommended Services During Comprehensive Postpartum Visits.JAMA network open · 2020Article
- Observational
- The Affordable Care Act Medicaid Expansion Positively Impacted Community Health Centers and Their Patients.Journal of general internal medicine · 2020Article
- Article
- Use of a Preventive Index to Examine Clinic-Level Factors Associated With Delivery of Preventive Care.American journal of preventive medicine · 2019Article
- Cervical and colorectal cancer screening prevalence before and after Affordable Care Act Medicaid expansion.Preventive medicine · 2019Article
- Quality and Experience of Outpatient Care in the United States for Adults With or Without Primary Care.JAMA internal medicine · 2019Article
- Does a transition to accountable care in Medicaid shift the modality of colorectal cancer testing?BMC health services research · 2019Article
- Evaluating the association between the built environment and primary care access for new Medicaid enrollees in an urban environment using Walk and Transit Scores.Preventive medicine reports · 2018Article
- Uninsured Primary Care Visit Disparities Under the Affordable Care Act.Annals of family medicine · 2017Observational
- Medicaid's Impact on Chronic Disease Biomarkers: A Cohort Study of Community Health Center Patients.Journal of general internal medicine · 2017Article
- Evaluating community health centers' adoption of a new global capitation payment (eCHANGE) study protocol.Contemporary clinical trials · 2017Observational
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors.
Funding
Abstract
introductionIt is predicted that gaining health insurance via the Affordable Care Act will result in increased rates of preventive health services receipt in the U.S., primarily based on self-reported findings from previous health insurance expansion studies. This study examined the long-term (36-month) impact of Oregon's 2008 randomized Medicaid expansion ("Oregon Experiment") on receipt of 12 preventive care services in community health centers using electronic health record data.
methodsDemographic data from adult (aged 19-64 years) Oregon Experiment participants were probabilistically matched to electronic health record data from 49 Oregon community health centers within the OCHIN community health information network (N=10,643). Intent-to-treat analyses compared receipt of preventive services over a 36-month (2008-2011) period among those randomly assigned to apply for Medicaid versus not assigned, and instrumental variable analyses estimated the effect of actually gaining Medicaid coverage on preventive services receipt (data collected in 2012-2014; analysis performed in 2014-2015).
resultsIntent-to-treat analyses revealed statistically significant differences between patients randomly assigned to apply for Medicaid (versus not assigned) for 8 of 12 assessed preventive services. In intent-to-treat analyses, Medicaid coverage significantly increased the odds of receipt of most preventive services (ORs ranging from 1.04 [95% CI=1.02, 1.06] for smoking assessment to 1.27 [95% CI=1.02, 1.57] for mammography).
conclusionsRates of preventive services receipt will likely increase as community health center patients gain insurance through Affordable Care Act expansions. Continued effort is needed to increase health insurance coverage in an effort to decrease health disparities in vulnerable populations.
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