Evidence map›Paper›PMID 30288438›Full record

ArticleMDM policy & practice

Access Is Necessary but Not Sufficient: Factors Influencing Delay and Avoidance of Health Care Services.

Kyle T Smith, Denise Monti, Nageen Mir, Ellen Peters, Renuka Tipirneni, Mary C Politi

Abstract read
In one paragraph

Article in MDM policy & practice. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 67 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
67citing papers in PubMed, 3 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

67 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
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  6. Article
  7. Price Transparency and Patient Empowerment.Health care analysis : HCA : journal of health philosophy and policy · 2026
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  20. Patient Healthcare Seeking If There Were No Limits.Journal of the American Board of Family Medicine : JABFM · 2025
    Article

7 more citing papers are in PubMed but not listed here.

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

6 authors.

Kyle T SmithDivision of Public Health Sciences, Department of Surgery, Washington University in St. Louis School of Medicine, St. Louis, MO, USA.
Denise MontiDivision of Public Health Sciences, Department of Surgery, Washington University in St. Louis School of Medicine, St. Louis, MO, USA.
Nageen MirDivision of Public Health Sciences, Department of Surgery, Washington University in St. Louis School of Medicine, St. Louis, MO, USA.
Ellen PetersDepartment of Psychology, The Ohio State University, Columbus, OH, USA.
Renuka TipirneniDivision of General Medicine, Department of Internal Medicine, and Institute for Healthcare Policy & Innovation, University of Michigan, Ann Arbor, MI, USA.
Mary C PolitiDivision of Public Health Sciences, Department of Surgery, Washington University in St. Louis School of Medicine, St. Louis, MO, USA.ORCID https://orcid.org/0000-0001-9103-6495

Funding

Washington University Center for Cellular ImagingP30CA091842 · NCI · WASHINGTON UNIVERSITY · PI David G DeNardo · 2001 to 2026
$128.0M
NCI NIH HHS P30 CA091842
6 · The paper itself

Abstract

PubMed holds no abstract for this paper.

Indexed as

financial toxicityhealthcare utilizationhealth insurance literacynumeracy

Identifiers

PMID30288438
PMCPMC6125037

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.