Evidence map›Paper›PMID 29754279›Full record

ArticleAdministration and policy in mental health2018

Changes in Health Insurance Coverage and Barriers to Health Care Access Among Individuals with Serious Psychological Distress Following the Affordable Care Act.

Priscilla Novak, Andrew C Anderson, Jie Chen

Abstract read
In one paragraph

Article in Administration and policy in mental health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
–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

23 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  19. The Affordable Care Act and Recent Reforms: Policy Implications for Equitable Mental Health Care Delivery.Health care analysis : HCA : journal of health philosophy and policy · 2020
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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

3 authors.

Priscilla NovakDepartment of Health Services Administration, School of Public Health, University of Maryland at College Park, 4200 Valley Dr, Suite 2242, College Park, MD, 20742, USA. pnovak1@umd.edu.
Andrew C AndersonDepartment of Health Services Administration, School of Public Health, University of Maryland at College Park, 4200 Valley Dr, Suite 2242, College Park, MD, 20742, USA.
Jie ChenDepartment of Health Services Administration, School of Public Health, University of Maryland at College Park, 4200 Valley Dr, Suite 2242, College Park, MD, 20742, USA.

Funding

Effects of Hospital-Community-Public Health Integration on Racial and Ethnic Disparities in Mental HealthR01MD011523 · NIMHD · UNIV OF MARYLAND, COLLEGE PARK · PI CHEN, JIE · 2017 to 2022
$2.9M
Effect of Local Health Departments on Health Care Disparities for Individuals with Mental Health DisordersR21MH106813 · NIMH · UNIV OF MARYLAND, COLLEGE PARK · PI CHEN, JIE · 2016 to 2017
$423k
NIMHD NIH HHS R01 MD011523NIMH NIH HHS R21 MH106813
6 · The paper itself

Abstract

The Affordable Care Act (ACA) aims to expand health insurance coverage and minimize financial barriers to receiving health care services for individuals. However, little is known about how the ACA has impacted individuals with mental health conditions. This study finds that the implementation of the ACA is associated with an increase in rate of health insurance coverage among nonelderly adults with serious psychological distress (SPD) and a reduction in delaying and forgoing necessary care. The ACA also reduced the odds of an individual with SPD not being able to afford mental health care. Mental health care access among racial and ethnic minority populations and people with low income has improved during 2014-2016, but gaps remain.

Indexed as

Patient Protection and Affordable Care ActAdolescentAdultFemaleHealth Services AccessibilityHumansInsurance CoverageInsurance, HealthMaleMiddle AgedStress, PsychologicalSurveys and QuestionnairesUnited StatesYoung AdultAccess to careAffordable Care ActMental healthSerious psychological distress

Identifiers

PMID29754279
PMCPMC6477535

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.