ArticleHealth services research2018
Did Health Care Reform Help Kentucky Address Disparities in Coverage and Access to Care among the Poor?
Article in Health services research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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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.
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Who cites it
13 citing papers in PubMed.
- Article
- Article
- Health Insurance Literacy Perceptions and the Needs of a Working-Class Community.Health literacy research and practice · 2022Article
- Obamacare: A bibliometric perspective.Frontiers in public health · 2022Article
- Determinants of Diabetes Disease Management, 2011-2019.Healthcare (Basel, Switzerland) · 2021Article
- Changes in Insurance Coverage and Healthcare Use Among Immigrants and US-Born Adults Following the Affordable Care Act.Journal of racial and ethnic health disparities · 2021Article
- A comparison of methods for health policy evaluation with controlled pre-post designs.Health services research · 2020Article
- Unmet Medical Needs of Patients with Benign Prostate Enlargement.Journal of clinical medicine · 2020Article
- Differences in referral patterns for rural primary care physicians from 2005 to 2016.Health services research · 2020Article
- A population-based measure of chronic disease severity for health planning and evaluation in the United States.AIMS public health · 2020Article
- Impact of the Medicare hospital readmissions reduction program on vulnerable populations.BMC health services research · 2019Article
- The three-year impact of the Affordable Care Act on disparities in insurance coverage.Health services research · 2019Article
- The impact of ACA Medicaid expansion on socioeconomic inequality in health care services utilization.PloS one · 2018Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo evaluate the impact of Kentucky's full rollout of the Affordable Care Act on disparities in access to care due to poverty. DATA SOURCE: Restricted version of the Behavioral Risk Factor Surveillance System (BRFSS) for Kentucky and years 2011-2015. STUDY
designWe use a difference-in-differences framework to compare trends before and after implementation of the Affordable Care Act (ACA) in health insurance coverage, several access measures, and health care utilization for residents in higher versus lower poverty ZIP codes. PRINCIPAL
findingsMuch of the reduction in Kentucky's uninsured rate appears driven by large uptakes in coverage from areas with higher concentrations of poverty. Residents in high-poverty communities experienced larger reductions, 8 percentage points (pp) in uninsured status and 7.5 pp in reporting unmet needs due to costs, than residents of lower poverty areas. These effects helped remove pre-ACA disparities in uninsured rates across these areas.
conclusionBecause we observe positive effects on coverage and reductions in financial barriers to care among those from poorer communities, our findings suggest that expanding Medicaid helps address the health care needs of the impoverished.
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