ArticleOrthopaedic journal of sports medicine2017
The Influence of Medical Insurance on Patient Access to Orthopaedic Surgery Sports Medicine Appointments Under the Affordable Care Act.
Article in Orthopaedic journal of sports medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers.
What it found
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Who cites it
40 citing papers in PubMed, 95 citations in OpenAlex.
- Delays in Orthopaedic Care and Inferior Outcomes after Meniscus Repair in Young Patients With Medicaid versus Commercial Insurance.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2026Article
- Medicaid Insurance and Access to Orthopaedic Sports Medicine Care: A National "Mystery Caller" Study in the United States.Orthopaedic journal of sports medicine · 2025Article
- Social epidemiology of sports and extracurricular activities in early adolescents.Pediatric research · 2025Article
- Insurance Payor Status and Outcomes in Pediatric Sports-Related Injuries: A Rapid Review.Clinics and practice · 2025Review
- Article
- Telemedicine Use Following Onset of the COVID-19 Pandemic Was Associated With Youth and White Race but Not With Socioeconomic Deprivation: A Retrospective Cohort Study of Orthopedic Patients.HSS journal : the musculoskeletal journal of Hospital for Special Surgery · 2024Article
- Area Deprivation Index Is Not Associated With the Severity of Carpal Tunnel Syndrome.Hand (New York, N.Y.) · 2024Article
- The effects of social determinants of health on rotator cuff repair utilization and outcomes: a systematic review.JSES reviews, reports, and techniques · 2024Review
- Frontline perspectives on barriers to care for patients with California Medicaid: a qualitative study.International journal for equity in health · 2024Article
- Focus areas and methodological characteristics of North American-based health disparity research in sports medicine: a scoping review.British journal of sports medicine · 2024Article
- Adverse Events After Isolated Posterior Cruciate Ligament Reconstruction: A National Database Study.Orthopaedic journal of sports medicine · 2024Article
- Factors influencing physical therapy utilization after shoulder surgery: a retrospective review.JSES reviews, reports, and techniques · 2023Article
- Disparities in Elective Spine Surgery for Medicaid Beneficiaries: A Systematic Review.Global spine journal · 2023Review
- Socioeconomic status does not change decision-making in the treatment of distal radius fractures at a level 1 trauma center.OTA international : the open access journal of orthopaedic trauma · 2022Article
- Insurance status is not a predictor of rotator cuff tear magnitude.JSES international · 2022Article
- Effect of Institution and COVID-19 on Access to Adult Arthroplasty Surgery.Arthroplasty today · 2022Article
- Emergency Department Visits Within 90 Days of Anterior Cruciate Ligament Reconstruction.Orthopaedic journal of sports medicine · 2022Article
- Low socioeconomic status worsens access to care and outcomes for rotator cuff repair: a scoping review.JSES reviews, reports, and techniques · 2022Article
- Medicaid Payer Status Is Associated With Increased 90-Day Resource Utilization, Reoperation, and Infection Following Aseptic Revision Total Hip Arthroplasty.The Iowa orthopaedic journal · 2022Article
- Examining delays in diagnosis for slipped capital femoral epiphysis from a health disparities perspective.PloS one · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe goal of the Patient Protection and Affordable Care Act (PPACA) was to expand patient access to health care. Since the rollout of the PPACA, Medicaid patients have demonstrated difficulty obtaining appointments in some specialty care settings. PURPOSE: To assess the effect of insurance type (Medicaid and private) on patient access to orthopaedic surgery sports medicine specialists for a semiurgent evaluation of a likely operative bucket-handle meniscus tear. The study was designed to determine whether disparities in access exist since the PPACA rollout. STUDY
designCohort study; Level of evidence, 2.
methodsThe design was to call 180 orthopaedic surgery sports medicine specialists in 6 representative states (California, Ohio, New York, Florida, Texas, and North Carolina) between June 2015 and December 2015. An appointment was requested for the caller's fictitious 25-year-old-brother who had suffered a bucket-handle meniscus tear. Each office was called twice to assess the ease of obtaining an appointment: once for patients with Medicaid and once for patients with private insurance. For each call, data pertaining to whether an appointment was given, wait times, and barriers to receiving an appointment were recorded.
resultsA total of 177 surgeons were called within the study period. Overall, 27.1% of offices scheduled an appointment for a patient with Medicaid, compared with 91.2% (
conclusionDespite the passage of the PPACA, patients with Medicaid have reduced access to care. In addition, patients with Medicaid confront more barriers to receiving appointments than patients with private insurance and wait longer for an appointment.
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What 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.