Evidence map›Paper›PMID 26911812›Full record

ArticleJournal of the American Medical Informatics Association : JAMIA2016

Using the electronic health record for assessment of health insurance in community health centers.

Brigit Hatch, Carrie Tillotson, Heather Angier, Miguel Marino, Megan Hoopes, Nathalie Huguet, Jennifer DeVoe

2 registry-linked trialsAbstract read
In one paragraph

Article in Journal of the American Medical Informatics Association : JAMIA, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing 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.

NCT02298361 completednot on this map

Innovative Methods for Parents And Clinics to Create Tools (IMPACCT) for Kids' Care

TypeobservationalSponsorOCHIN, Inc.Ran2013 to 2016Enrolled27,251ConditionsInsurance Status/StabilityArmsHealth insurance outreach IT tools
NCT02355262 completednot on this map

Community-Based HIT Tools for Cancer Screening and Health Insurance Promotion (CATCH-UP)

TypeobservationalSponsorOHSU Knight Cancer InstituteRan2014 to 2020Enrolled45ConditionsBreast Carcinoma, Cervical Carcinoma, Colorectal Carcinoma, Health Status UnknownArmsInformational Intervention
3 · Its place in the literature

Who cites it

12 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Data Challenges for Externally Controlled Trials: Viewpoint.Journal of medical Internet research · 2023
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Measures of SES for Electronic Health Record-based Research.American journal of preventive medicine · 2018
    Article
  10. Review
  11. Article
  12. 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

7 authors.

Brigit HatchDepartment of Family Medicine, Oregon Health & Science University, Portland Oregon, USA adamusb@ohsu.edu.
Carrie TillotsonDepartment of Family Medicine, Oregon Health & Science University, Portland Oregon, USA.
Heather AngierDepartment of Family Medicine, Oregon Health & Science University, Portland Oregon, USA.
Miguel MarinoDepartment of Family Medicine, Oregon Health & Science University, Portland Oregon, USA.
Megan HoopesOCHIN, Inc, Research Division, Portland, Oregon, USA.
Nathalie HuguetDepartment of Family Medicine, Oregon Health & Science University, Portland Oregon, USA.
Jennifer DeVoeDepartment of Family Medicine, Oregon Health & Science University, Portland Oregon, USA OCHIN, Inc, Research Division, Portland, Oregon, USA.

Funding

Community-based HIT Tools for Cancer Screening and Health Insurance PromotionR01CA181452 · NCI · OREGON HEALTH & SCIENCE UNIVERSITY · PI DEVOE, JENNIFER E · 2014 to 2018
$3.1M
NCI NIH HHS R01 CA181452
6 · The paper itself

Abstract

objectiveTo demonstrate use of the electronic health record (EHR) for health insurance surveillance and identify factors associated with lack of coverage. MATERIALS AND

methodsUsing EHR data, we conducted a retrospective, longitudinal cohort study of adult patients (n = 279 654) within a national network of community health centers during a 2-year period (2012-2013).

resultsFactors associated with higher odds of being uninsured (vs Medicaid-insured) included: male gender, age >25 years, Hispanic ethnicity, income above the federal poverty level, and rural residence (P < .01 for all). Among patients with no insurance at their initial visit (n = 114 000), 50% remained uninsured for every subsequent visit. DISCUSSION: During the 2 years prior to 2014, many patients utilizing community health centers were unable to maintain stable health insurance coverage.

conclusionAs patients gain access to health insurance under the Affordable Care Act, the EHR provides a novel approach to help track coverage and support vulnerable patients in gaining and maintaining coverage.

Indexed as

Community Health CentersElectronic Health RecordsInsurance, HealthAdultFemaleHumansInsurance CoverageLongitudinal StudiesMaleMedicaidMedically UninsuredMiddle AgedPatient Protection and Affordable Care ActRetrospective StudiesUnited StatesYoung Adultcommunity health centerselectronic health recordshealth insurancehealth services accessibilityPatient Protection and Affordable Care Act

Identifiers

PMID26911812
PMCPMC6375120

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.