Evidence map›Paper›PMID 29505371›Full record

ArticleHealth affairs (Project Hope)2018

Oregon's Emphasis On Equity Shows Signs Of Early Success For Black And American Indian Medicaid Enrollees.

K John McConnell, Christina J Charlesworth, Thomas H A Meath, Rani M George, Hyunjee Kim

Open access · greenAbstract read
In one paragraph

Article in Health affairs (Project Hope), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
5.6field-weighted citation impact, top 4% of its field
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

13 citing papers in PubMed, 19 citations in OpenAlex.

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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 at 1 institution in 1 country.

K John McConnellK. John McConnell ( mcconnjo@ohsu.edu ) is a professor in the Department of Emergency Medicine and director of the Center for Health Systems Effectiveness, both at Oregon Health & Science University, in Portland.
Christina J CharlesworthChristina J. Charlesworth is a research associate at the Center for Health Systems Effectiveness, Oregon Health & Science University.
Thomas H A MeathThomas H. A. Meath is a research associate at the Center for Health Systems Effectiveness, Oregon Health & Science University.
Rani M GeorgeRani M. George is a research project manager at the Center for Health Systems Effectiveness, Oregon Health & Science University.
Hyunjee KimHyunjee Kim is a research assistant professor at the Center for Health Systems Effectiveness and in the Department of Emergency Medicine, Oregon Health & Science University.
Oregon Health & Science University · US

Funding

Evaluating health disparities among likely transgender persons in OregonR01MD011212 · NIMHD · OREGON HEALTH & SCIENCE UNIVERSITY · PI MCCONNELL, KENNETH JOHN · 2016 to 2019
$2.5M
NIMHD NIH HHS R01 MD011212
6 · The paper itself

Abstract

In 2012 Oregon transformed its Medicaid program, providing coverage through sixteen coordinated care organizations (CCOs). The state identified the elimination of health disparities as a priority for the CCOs, implementing a multipronged approach that included strategic planning, community health workers, and Regional Health Equity Coalitions. We used claims-based measures of utilization, access, and quality to assess baseline disparities and test for changes over time. Prior to the CCO intervention there were significant white-black and white-American Indian/Alaska Native disparities in utilization measures and white-black disparities in quality measures. The CCOs' transformation and implementation of health equity policies was associated with reductions in disparities in primary care visits and white-black differences in access to care, but no change in emergency department use, with higher visit rates persisting among black and American Indian/Alaska Native enrollees, compared to whites. States that encourage payers and systems to prioritize health equity could reduce racial and ethnic disparities for some measures in their Medicaid populations.

Indexed as

Accountable Care OrganizationsManaged Care ProgramsMedicaidPatient Acceptance of Health CareAdolescentAdultBlack or African AmericanBlack PeopleEmergency Service, HospitalFemaleHumansIndians, North AmericanMaleMiddle AgedModels, OrganizationalOregonDisparitiesHealth ReformMedicaidState/Local Issues

Identifiers

PMID29505371
PMCPMC5899901
OpenAlexW2789579447

What OpenQuestion holds

Textmetadata
LicenceTDM
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.