Evidence map›Paper›PMID 28858388›Full record

ArticleHealth services research2018

Trends in the Types of Usual Sources of Care: A Shift from People to Places or Nothing at All.

Winston Liaw, Anuradha Jetty, Stephen Petterson, Andrew Bazemore, Larry Green

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 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing 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

16 citing papers in PubMed.

  1. Article
  2. Characteristics of Adolescents With Elevated Suicide Risk Presenting to the ED With Physical Health Complaints.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2026
    Article
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  8. Predictors of Interrupted Healthcare Coverage in a National Sample of US Refugees.Journal of racial and ethnic health disparities · 2022
    Article
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  12. Article
  13. Article
  14. Review
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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

5 authors.

Winston LiawRobert Graham Center, Washington, DC.ORCID 0000-0002-7865-1685
Anuradha JettyRobert Graham Center, Washington, DC.
Stephen PettersonRobert Graham Center, Washington, DC.
Andrew BazemoreRobert Graham Center, Washington, DC.
Larry GreenUniversity of Colorado School of Medicine, Aurora, CO.

Funding

American Academy of Family PhysiciansUniversity of Colorado School of Medicine
6 · The paper itself

Abstract

objective(1) To examine usual source of care (USC) trends across four categories (No USC, Person USC, Person, in Facility USC, and Facility USC), and (2) to determine whether USC types are associated with emergency department (ED) visits and hospital admissions. DATA SOURCE: 1996-2014 Medical Expenditure Panel Surveys. STUDY

designWe stratified each USC category, by age, region, gender, poverty, insurance, race/ethnicity, and education and used regression to determine the characteristics associated with USC types, ED visits, and hospital admissions. PRINCIPAL

findingsThose with No USC and Facility USCs increased 10 and 18 percent, respectively, while those with Person USCs decreased by 43 percent. Compared to those in the lowest income bracket, those in the highest income bracket were less likely to have a Facility USC. Among those with low incomes, individuals with No USC, Person, in Facility, and Facility USCs were more likely to have ED visits than those with Person USCs.

conclusionsA growing number are reporting facilities as their USCs or none at all. The impact of these trends is uncertain, although we found that some USC types are associated with ED visits and hospital admissions. Tracking USCs will be crucial to measuring progress toward enhanced care efficiency.

Indexed as

Health Services AccessibilitySocioeconomic FactorsAdolescentAdultAgedChildChild, PreschoolCross-Sectional StudiesEmergency Service, HospitalFemaleHealth Care SurveysHumansMaleMedicareMiddle AgedPatient Admissionaccess/demand/utilization of serviceshealth policy/politics/law/regulationPrimary care

Identifiers

PMID28858388
PMCPMC6052013

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.