Evidence map›Paper›PMID 28612354›Full record

ArticleHealth services research2018

Quantifying Disparities in Accessibility and Availability of Pediatric Primary Care across Multiple States with Implications for Targeted Interventions.

Monica Gentili, Pravara Harati, Nicoleta Serban, Jean O'Connor, Julie Swann

Abstract read
In one paragraph

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 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing 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

14 citing papers in PubMed.

  1. Article
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  5. Mapping Access to Children's Hospitals in Texas.International journal of environmental research and public health · 2024
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  7. Article
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  12. Article
  13. Asthma Prevalence Among Medicaid-Enrolled Children.The journal of allergy and clinical immunology. In practice · 2019
    Article
  14. 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

5 authors.

Monica GentiliIndustrial Engineering Department, J.B. Speed School of Engineering, University of Louisville, Louisville, KY.
Pravara HaratiIndustrial and System Engineering Department, Georgia Institute of Technology, Atlanta, GA.
Nicoleta SerbanIndustrial and System Engineering Department, Georgia Institute of Technology, Atlanta, GA.
Jean O'ConnorGeorgia Department of Public Health, Atlanta, GA.
Julie SwannIndustrial and System Engineering Department, Georgia Institute of Technology, Atlanta, GA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo quantify disparities in accessibility and availability of pediatric primary care by modeling interventions across multiple states that compare publicly insured versus privately insured children, and urban versus rural communities. DATA SOURCES: Secondary data sources include 2013 National Plan and Provider Enumeration System, 2009 MAX Medicaid claims, 2012 American Community Survey. STUDY

designThe study models accessibility and availability of care for all children in seven states.

methodsOptimization modeling with access constraints is used to estimate access. Statistical hypothesis testing is used to quantify systematic disparities. PRINCIPAL

findingsCalifornia has the best accessibility for privately insured children and Minnesota for publicly insured children. Mississippi has the lowest availability for both populations. Overall, the disparities in availability for pediatric primary care are not as significant as in accessibility. Both rural and urban communities are in need of improvement in accessibility to primary care for publicly insured children, although at varying levels across states.

conclusionsDisparities in availability are not as significant as disparities in accessibility. Opportunities to improve access to pediatric primary care vary by state. Generating specific recommendations for small areas is critical to enabling health policy decision makers to improvement access.

Indexed as

AdolescentChildChild, PreschoolHealthcare DisparitiesHealth Services AccessibilityHumansInfantInfant, NewbornInsurance Claim ReviewInsurance, HealthMedicaidMedically Underserved AreaPrimary Health CarePrivate SectorPublic SectorRural Populationhealth care disparitieshealth policySpatial access

Identifiers

PMID28612354
PMCPMC5980146

What OpenQuestion holds

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Registered trials

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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.