Evidence map›Paper›PMID 28176158›Full record

ArticleJournal of racial and ethnic health disparities2018

Health Insurance Challenges in the Post-Affordable Care Act (ACA) Era: a Qualitative Study of the Perspective of Low-Income People of Color in Metropolitan Detroit.

Minal R Patel, Alison Jensen, Erminia Ramirez, Madiha Tariq, Ian Lang, Theresa Kowalski-Dobson, Joslyn Pettway, Michelle Famulare, Richard Lichtenstein

Abstract read
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In one paragraph

Article in Journal of racial and ethnic health disparities, 2018. 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
–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

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Inflammatory Bowel Disease Patient Experiences with Psychotherapy in the Community.Journal of clinical psychology in medical settings · 2019
    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

9 authors.

Minal R PatelDepartment of Health Behavior and Health Education, University of Michigan School of Public Health, 1415 Washington Heights, SPH 1, Ann Arbor, MI, 48109-2029, USA. minalrp@umich.edu.
Alison JensenDepartment of Health Management and Policy, University of Michigan School of Public Health, 1415 Washington Heights, SPH 2, Ann Arbor, MI, 48109-2029, USA.
Erminia RamirezCommunity Health and Social Services Center Inc., 5635 W Fort St, Detroit, MI, 48209, USA.
Madiha TariqArab Community Center for Economic and Social Services, 2651 Saulino Court, Dearborn, MI, 48120, USA.
Ian LangDepartment of Health Behavior and Health Education, University of Michigan School of Public Health, 1415 Washington Heights, SPH 1, Ann Arbor, MI, 48109-2029, USA.
Theresa Kowalski-DobsonDepartment of Health Behavior and Health Education, University of Michigan School of Public Health, 1415 Washington Heights, SPH 1, Ann Arbor, MI, 48109-2029, USA.
Joslyn PettwayCovenant Community Care, 5716 Michigan Ave, Detroit, MI, 48210, USA.
Michelle FamulareMercy Primary Care, 5555 Conner Ln #2691, Detroit, MI, 48215, USA.
Richard LichtensteinDepartment of Health Management and Policy, University of Michigan School of Public Health, 1415 Washington Heights, SPH 2, Ann Arbor, MI, 48109-2029, USA.

Funding

National Institute for Health Care Reform UM#N019071
6 · The paper itself

Abstract

Low-income people of color are at risk of remaining uninsured due to a variety of factors. This study examined Affordable Care Act (ACA)-related and other health insurance enrollment experiences, observations, navigation needs, and experiences maintaining health insurance coverage among low-income communities of color in an economically disadvantaged community (Metropolitan Detroit). We conducted nine focus groups (n = 87) between May and June 2015. Participants were recruited through community-based organizations serving our key populations of interest. Using an inductive thematic analysis approach, codes and themes were generated. Findings from six themes demonstrated that although health insurance is perceived as important, confusion and frustration persist around health plan benefits and coverage, eligibility requirements and key provisions of the ACA, and enrollment. Individuals face difficulties justifying the cost of health insurance. More focused insurance outreach efforts are needed to achieve the ultimate goal of improving the health of low-income communities of color.

Indexed as

Patient Protection and Affordable Care ActAdultArabsBlack or African AmericanFemaleHealth Services AccessibilityHispanic or LatinoHumansIncomeInsurance, HealthMaleMiddle AgedQualitative ResearchUnited StatesUrban PopulationYoung AdultAffordable Care ActBarriersHealth insuranceOutreach

Identifiers

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.