Evidence map›Paper›PMID 27265432›Full record

SynthesisHealth services research2016

Key Provisions of the Patient Protection and Affordable Care Act (ACA): A Systematic Review and Presentation of Early Research Findings.

Michael T French, Jenny Homer, Gulcin Gumus, Lucas Hickling

Abstract readSystematic Review
In one paragraph

Synthesis in Health services research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
51citing papers in PubMed, 3 pooled it
–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

51 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. The Impact of Social Determinants on Healthcare Transition Readiness Among Adolescent and Young Adult Childhood Cancer Survivors: A Mixed Methods Systematic Review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Pooled it
  2. The Impact of the Affordable Care Act on Dental Care: An Integrative Literature Review.International journal of environmental research and public health · 2021
    Pooled it
  3. Pooled it
  4. Article
  5. Development of a Navigator-Delivered Health Insurance Education Program for Hispanic and Latine Communities.Health education & behavior : the official publication of the Society for Public Health Education · 2025
    Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. The risk of losing health insurance in the United States is large, and remained so after the Affordable Care Act.Proceedings of the National Academy of Sciences of the United States of America · 2023
    Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. Article
  17. Article
  18. Review
  19. Article
  20. Observational
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

4 authors.

Michael T FrenchDepartments of Sociology, Health Sector Management and Policy, Economics, and Public Health Sciences, University of Miami, Coral Gables, FL. mfrench@miami.edu.
Jenny HomerHealth Economics Research Group, University of Miami, Coral Gables, FL.
Gulcin GumusDepartment of Management Programs, Florida Atlantic University, Boca Raton, FL.
Lucas HicklingHealth Economics Research Group, University of Miami, Coral Gables, FL.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo conduct a systematic literature review of selected major provisions of the Affordable Care Act (ACA) pertaining to expanded health insurance coverage. We present and synthesize research findings from the last 5 years regarding both the immediate and long-term effects of the ACA. We conclude with a summary and offer a research agenda for future studies. STUDY

designWe identified relevant articles from peer-reviewed scholarly journals by performing a comprehensive search of major electronic databases. We also identified reports in the "gray literature" disseminated by government agencies and other organizations. PRINCIPAL

findingsOverall, research shows that the ACA has substantially decreased the number of uninsured individuals through the dependent coverage provision, Medicaid expansion, health insurance exchanges, availability of subsidies, and other policy changes. Affordability of health insurance continues to be a concern for many people and disparities persist by geography, race/ethnicity, and income. Early evidence also indicates improvements in access to and affordability of health care. All of these changes are certain to ultimately impact state and federal budgets.

conclusionsThe ACA will either directly or indirectly affect almost all Americans. As new and comprehensive data become available, more rigorous evaluations will provide further insights as to whether the ACA has been successful in achieving its goals.

Indexed as

Health Services ResearchHealth Insurance ExchangesHumansInsurance CoverageInsurance, HealthMedically UninsuredPatient Protection and Affordable Care ActAffordable Care Act (ACA)health carehealth insurancesystematic review

Identifiers

PMID27265432
PMCPMC5034214

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.