ArticleCulture, medicine and psychiatry2017
"They Treat you a Different Way:" Public Insurance, Stigma, and the Challenge to Quality Health Care.
Article in Culture, medicine and psychiatry, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
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.
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.
Who cites it
22 citing papers in PubMed.
- Does perceived stigma impact opioid use disorder treatment uptake? A cross-sectional secondary analysis of buprenorphine engagement among syringe service program participants.Addiction science & clinical practice · 2026Trial
- The uneven impact of Medicaid expansion on rural and urban Black, Latino/a, and White mortality.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2025Article
- The Legality of Labor and Perceptions of Deservingness of Rights and Services for Sex Workers.Archives of sexual behavior · 2024Article
- Empowering emerging adults with type 1 diabetes: crafting a financial and health insurance toolkit through community-based participatory action research.Research involvement and engagement · 2024Article
- Association between patient-provider communication and withholding information due to privacy concerns among women in the United States: an analysis of the 2011 to 2018 Health Information National Trends Survey.BMC health services research · 2023Article
- A qualitative investigation of uninsured patient and primary care provider perspectives on specialty care eConsults.BMC health services research · 2023Article
- Tailoring dissemination strategies to increase evidence-informed policymaking for opioid use disorder treatment: study protocol.Implementation science communications · 2023Article
- Insurance-Based Discrimination Reports and Access to Care Among Nonelderly US Adults, 2011-2019.American journal of public health · 2023Article
- Association of Health Insurance and Documentation with Stigma and Social Support Among Myanmar Migrants with Tuberculosis Before and During Thailand's Policy on Border Closure Due to COVID-19: a Cross-Sectional Study.Journal of racial and ethnic health disparities · 2022Article
- Relationship between Patient Experience Scores and Health Insurance.Healthcare (Basel, Switzerland) · 2022Article
- Psychological Distress and Attitudes Toward Seeking Professional Psychological Services Among Black Women: the Role of Past Mental Health Treatment.Journal of racial and ethnic health disparities · 2022Article
- Perceptions of barriers to effective family planning services among women with disabilities.Disability and health journal · 2021Article
- Pharmacy Technicians, Stigma, and Compassion Fatigue: Front-Line Perspectives of Pharmacy and the US Opioid Epidemic.International journal of environmental research and public health · 2021Article
- Understanding the Role of Past Health Care Discrimination in Help-Seeking and Shared Decision-Making for Depression Treatment Preferences.Qualitative health research · 2020Article
- Healthcare avoidance due to anticipated discrimination among transgender people: A call to create trans-affirmative environments.SSM - population health · 2020Article
- Toward Structural Competency in Emergency Medical Education.AEM education and training · 2020Article
- Intersectionality, special populations, needs and suggestions: the Flint Women's study.International journal for equity in health · 2020Article
- Effects of ACA Expansion of Dependent Coverage on Hospital-Based Care of Young Adults With Early Psychosis.Psychiatric services (Washington, D.C.) · 2019Article
- Racialized Risk in Clinical Care: Clinician Vigilance and Patient Responsibility.Medical anthropology · 2019Article
- Challenges and opportunities in examining and addressing intersectional stigma and health.BMC medicine · 2019Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Under the Affordable Care Act, Medicaid Expansion programs are extending Medicaid eligibility and increasing access to care. However, stigma associated with public insurance coverage may importantly affect the nature and content of the health care beneficiaries receive. In this paper, we examine the health care stigma experiences described by a group of low-income public insurance beneficiaries. They perceive stigma as manifest in poor quality care and negative interpersonal interactions in the health care setting. Using an intersectional approach, we found that the stigma of public insurance was compounded with other sources of stigma including socioeconomic status, race, gender, and illness status. Experiences of stigma had important implications for how subjects evaluated the quality of care, their decisions impacting continuity of care, and their reported ability to access health care. We argue that stigma challenges the quality of care provided under public insurance and is thus a public health issue that should be addressed in Medicaid policy.
Indexed as
Identifiers
28025774What OpenQuestion holds
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.