Evidence map›Paper›PMID 26512012›Full record

ArticleJournal of community health2016

Reasons Why Individuals Remain Uninsured Under the Affordable Care Act: Experiences of Patients at a Student-Run Free Clinic in Michigan, a Medicaid Expansion State.

Brian S Desmond, Molly A Laux, Carolyn C Levin, Jiaxin Huang, Brent C Williams

Abstract read
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In one paragraph

Article in Journal of community health, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
9.9field-weighted citation impact, top 2% 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

5 citing papers in PubMed, 13 citations in OpenAlex.

  1. Impact of Student-Run Free Clinics in Urgent Care.Journal of community health · 2021
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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

5 authors at 1 institution in 1 country.

Brian S DesmondMedical Students, University of Michigan Medical School, Ann Arbor, MI, 48109-2800, USA. bdesmond@med.umich.edu.
Molly A LauxMedical Students, University of Michigan Medical School, Ann Arbor, MI, 48109-2800, USA.
Carolyn C LevinMedical Students, University of Michigan Medical School, Ann Arbor, MI, 48109-2800, USA.
Jiaxin HuangMedical Students, University of Michigan Medical School, Ann Arbor, MI, 48109-2800, USA.
Brent C WilliamsAssociate Professor of Internal Medicine, Medical Director, Complex Care Management Program, University of Michigan Health System, Ann Arbor, MI, 48109-2800, USA.
University of Michigan–Ann Arbor · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Since the enactment of the Affordable Care Act (ACA), many people remain uninsured. While studies have examined this population, few have explored patients' experiences seeking insurance. To elucidate these individuals' perspectives, we surveyed patients (n = 80) at the University of Michigan Student-Run Free Clinic concerning their activity accessing insurance. Over half of respondents had sought insurance in the past 6 months; 57 % of respondents qualified for Medicaid by self-reported income (≤138 % FPL) and all but one were eligible for tax credits on the Health Insurance Marketplace. However, only 35 % of apparently Medicaid-eligible respondents had recently applied. There was no significant difference in the rate of applying for those above the income cutoff (p = 0.901). Perceived expense of plans and belief of ineligibility for Medicaid discouraged respondents from actively seeking insurance. Personalized outreach emphasizing new Medicaid eligibility requirements and tax credits may be needed to facilitate Medicaid enrollment for some uninsured persons under the ACA.

Indexed as

Insurance CoverageInsurance, HealthMedicaidMedically UninsuredPatient Protection and Affordable Care ActStudent Run ClinicAdultAgedAmbulatory Care FacilitiesFemaleHumansMaleMichiganMiddle AgedSurveys and QuestionnairesUnited StatesAdultsCost of healthcareDisparitiesEligibilityHealthcare reformHealth insuranceHealth insurance exchangesMedicaidMichiganState health planTax credits

Identifiers

PMID26512012
OpenAlexW2115226974

What OpenQuestion holds

Textmetadata
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.