Evidence map›Paper›PMID 27256684›Full record

ArticleHealth services research2017

Evaluating the Impact of Parent-Reported Medical Home Status on Children's Health Care Utilization, Expenditures, and Quality: A Difference-in-Differences Analysis with Causal Inference Methods.

Bing Han, Hao Yu, Mark W Friedberg

Abstract read
In one paragraph

Article in Health services research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the 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.

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

12 citing papers in PubMed.

  1. Difference-in-differences analysis with repeated cross-sectional survey data.Health services & outcomes research methodology · 2025
    Article
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Patient-Centered Medical Home Care for Adolescents in Need of Mental Health Treatment.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2018
    Article
  9. Article
  10. Article
  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

3 authors.

Bing HanRAND Corporation, Santa Monica, CA.
Hao YuRAND Corporation, Pittsburgh, PA.
Mark W FriedbergRAND Corporation, Boston, MA.

Funding

A Novel Casual Difference-in-differences Method to Study the Medical Home EffectsR21HD078881 · NICHD · RAND CORPORATION · PI HAN, BING · 2014 to 2015
$526k
NICHD NIH HHS R21 HD078881
6 · The paper itself

Abstract

objectiveTo evaluate the effects of the parent-reported medical home status on health care utilization, expenditures, and quality for children. DATA SOURCES: Medical Expenditure Panel Survey (MEPS) during 2004-2012, including a total of 9,153 children who were followed up for 2 years in the survey. STUDY

designWe took a causal difference-in-differences approach using inverse probability weighting and doubly robust estimators to study how changes in medical home status over a 2-year period affected children's health care outcomes. Our analysis adjusted for children's sociodemographic, health, and insurance statuses. We conducted sensitivity analyses using alternative statistical methods, different approaches to outliers and missing data, and accounting for possible common-method biases. PRINCIPAL

findingsCompared with children whose parents reported having medical homes in both years 1 and 2, those who had medical homes in year 1 but lost them in year 2 had significantly lower parent-reported ratings of health care quality and higher utilization of emergency care. Compared with children whose parents reported having no medical homes in both years, those who did not have medical homes in year 1 but gained them in year 2 had significantly higher ratings of health care quality, but no significant differences in health care expenditures and utilization.

conclusionsHaving a medical home may help improve health care quality for children; losing a medical home may lead to higher utilization of emergency care.

Indexed as

ChildChild Health ServicesFemaleHealth ExpendituresHumansMalePatient-Centered CareQuality of Health CareSurveys and Questionnaireschildrendifference-in-differencesexpendituresMedical homequality of careutilization

Identifiers

PMID27256684
PMCPMC5346503

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.