Evidence map›Paper›PMID 27484081›Full record

ArticleInternational journal for equity in health2016

Insurance-related disparities in primary care quality among U.S. Type 2 diabetes patients.

De-Chih Lee, Hailun Liang, Leiyu Shi

Open access · goldAbstract read
In one paragraph

Article in International journal for equity in 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
1.3field-weighted citation impact, top 15% 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, 5 citations in OpenAlex.

  1. Article
  2. Article
  3. Cancer screening among racial/ethnic groups in health centers.International journal for equity in health · 2020
    Article
  4. Article
  5. 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 at 2 institutions in 2 countries.

De-Chih LeeJohns Hopkins Primary Care Policy Center, Baltimore, MD, 21205, USA.
Hailun LiangJohns Hopkins Primary Care Policy Center, Baltimore, MD, 21205, USA.
Leiyu ShiJohns Hopkins Primary Care Policy Center, Baltimore, MD, 21205, USA. lshi2@jhu.edu.
Dayeh University · TWJohns Hopkins University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study explored insurance-related disparities in primary care quality among Americans with type 2 diabetes.

methodsData came from the household component of the 2012 Medical Expenditure Panel Survey (MEPS). Analysis focused on adult subjects with type 2 diabetes. Logistic regressions were performed to investigate the associations between insurance status and primary care attributes related to first contact, longitudinality, comprehensiveness, and coordination, while controlling for confounding factors.

resultsPreliminary findings revealed differences among three insurance groups in the first contact domain of primary care quality. After controlling for confounding factors, these differences were no longer apparent, with all insurance groups reporting similar primary care quality according to the four domains of interest in the study. There were significant differences in socioeconomic status among different insurance groups.

conclusionThis study reveals equitable primary care quality for diabetes patients despite their health insurance status. In addition to insurance-related differences, the other socioeconomic stratification factors are assumed to be the root cause of disparities in care. This research emphasizes the crucial role that primary care plays in the accessibility and quality of care for chronically ill patients. Policy makers should continue their commitment to reduce gaps in insurance coverage and improve access as well as quality of diabetic care.

Indexed as

AdultChronic DiseaseDiabetes Mellitus, Type 2FemaleHealth ExpendituresHealth Services AccessibilityHumansInsurance CoverageLogistic ModelsMaleMiddle AgedPrimary Health CareQuality of Health CareSocial ClassSocioeconomic FactorsUnited StatesDiabetesInsurance-related disparitiesPrimary care quality

Identifiers

PMID27484081
PMCPMC4969633
OpenAlexW2491279638

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.