Evidence map›Paper›PMID 28168448›Full record

ArticleInternational journal of health economics and management2017

The impact of health insurance expansion on physician treatment choice: Medicare Part D and physician prescribing.

Tianyan Hu, Sandra L Decker, Shin-Yi Chou

Abstract read
In one paragraph

Article in International journal of health economics and management, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pharmaceutical policies: effects of regulating drug insurance schemes.The Cochrane database of systematic reviews · 2022
    Pooled it
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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.

Tianyan HuDepartment of Health Policy and Management, Florida International University, AHC5-452, 11200 SW 8th Street, Miami, FL, 33199, USA. tihu@fiu.edu.
Sandra L DeckerAgency for Healthcare Research and Quality (AHRQ), 540 Gaither Road, Rockville, MD, 20850, USA.
Shin-Yi ChouDepartment of Economics, Lehigh University, 621 Taylor Street, Bethlehem, PA, 18015, USA.

Funding

Intramural CDC HHS CC999999
6 · The paper itself

Abstract

We test the effect of the introduction of Medicare Part D on physician prescribing behavior by using data on physician visits from the National Ambulatory Medical Care Survey (NAMCS) 2002-2004 and 2006-2009 for patients aged 60-69. We use regression discontinuity designs to estimate the effect of part D around the age of 65 before and after 2006 and then compare the discrete jump in outcomes at age 65 before and after Part D. We find a 32% increase in the number of prescription drugs prescribed or continued per visit and a 46% increase in the number of generic drugs prescribed or continued for the elderly after the introduction of Medicare Part D.

Indexed as

Expenditure of health careMedicarePart DPrescribing patternPrescription drug

Identifiers

PMID28168448
PMCPMC6606398

What OpenQuestion holds

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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.