Evidence map›Paper›PMID 26589524›Full record

ArticleJournal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract2016

Expected and Unexpected Consequences of the Affordable Care Act: The Impact on Patients and Surgeons-Pro and Con Arguments.

Marek Rudnicki, John H Armstrong, Clancy Clark, Stuart G Marcus, Lee Sacks, A James Moser, K Marie Reid-Lombardo, Public Policy and Advocacy Committee of the SSAT

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Article in Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

8 authors.

Marek RudnickiDepartment of Surgery, Advocate Illinois Masonic Medical Center, Chicago, IL, USA.
John H ArmstrongDepartment of Surgery, University of South Florida, Morsani College of Medicine, Tampa, FL, USA.
Clancy ClarkDepartment of Surgery, Wake Forest Baptist Health, Winston-Salem, NC, USA.
Stuart G MarcusDepartment of Surgery, St. Vincent's Medical Center, Bridgeport, CT, USA.
Lee SacksAdvocate Health Care, Downers Grove, IL, USA.
A James MoserInstitute for Hepatobiliary and Pancreatic Surgery Beth Israel Deaconess Medical Center and Dana Farber Harvard Cancer Center, Harvard Medical School, Boston, MA, USA.
K Marie Reid-LombardoDepartment of Surgery, Mayo Clinic, Rochester, MN, USA. kmariemd@gmail.com.
Public Policy and Advocacy Committee of the SSAT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The Patient Protection and Affordable Care Act (PPACA), called the Affordable Care Act (ACA) or "ObamaCare" for short, was enacted in 2010. The Public Policy and Advocacy Committee of the Society for Surgery of the Alimentary Tract (SSAT) hosted a debate with an expert panel to discuss the ACA and its impact on surgical care after the first year of patient enrollment. The purpose of this debate was to focus on the impact of ACA on the public and surgeons. At the core of the ACA are insurance industry reforms and expanded coverage, with a goal of improved clinical outcomes and reduced costs of care. We have observed supportive and opposing views on ACA. Nonetheless, we will witness major shifts in health care delivery as well as restructuring of our relationship with payers, institutions, and patients. With the rapidly changing health care landscape, surgeons will become key members of health systems and will likely need to lead transition from solo-practice to integrated care systems. The full effects of the ACA remain unrealized, but its implementation has begun to change the map of the American health care system and will surely impact the practice of surgery. Herein, we provide a synopsis of the "pro" and "con" arguments for the expected and unexpected consequences of the ACA on society and surgeons.

Indexed as

Patient Protection and Affordable Care ActAttitude of Health PersonnelDelivery of Health CareHumansSurgical Procedures, OperativeUnited StatesACAAccountable care organizationsAffordable care actHealth care deliveryHealth care qualityHealth care reformHealth policyObamacarePatient protection and affordable care actPPACAPublic policyPublic policy committeeSSAT

Identifiers

PMID26589524

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.