ArticlePloS one2018
The impact of ACA Medicaid expansion on socioeconomic inequality in health care services utilization.
Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.
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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.
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Who cites it
21 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- The Impact of the Affordable Care Act on Dental Care: An Integrative Literature Review.International journal of environmental research and public health · 2021Pooled it
- The Affordable Care Act's Medicaid Expansion and Impact Along the Cancer-Care Continuum: A Systematic Review.Journal of the National Cancer Institute · 2020Pooled it
- Differences in medicaid expansion effects on buprenorphine treatment utilization by county rurality and income: A pharmacy data claims analysis from 2009-2018.Drug and alcohol dependence reports · 2023Article
- Racial and Ethnic Inequities in Financial Hardship Among CVD Patients in the USA During the Pre- and Post-Affordable Care Act Era.Journal of racial and ethnic health disparities · 2023Article
- Associations between health insurance status, neighborhood deprivation, and treatment delays in women with breast cancer living in Georgia.Cancer medicine · 2023Article
- Synthesizing 30-years of adult medicaid dental policy research: A scoping review to identify gaps and opportunities.Heliyon · 2023Article
- Medicaid can and should play an active role in advancing health equity.Health services research · 2022Article
- Trends in the Impact of Medicaid Expansion on the Use of Clinical Preventive Services.American journal of preventive medicine · 2022Article
- Unmet healthcare needs among midlife adults with mental distress and multiple chronic conditions.Aging & mental health · 2022Article
- Racial/Ethnic Disparities in Health Care Setting Choice for Adults Seeking Severe Acute Respiratory Syndrome Coronavirus 2 Testing.Medical care · 2022Observational
- Obamacare: A bibliometric perspective.Frontiers in public health · 2022Article
- Drawbacks and aftermath of the Affordable Care Act: ex-ante moral hazard and inequalities in health care access.Journal of public health research · 2021Article
- Did the Expansion of Insurance Coverage for Oral Health Reduce Self-reported Oral Health Inequalities in Korea? Results of Repeated Cross-Sectional Analysis, 2007-2015.Journal of epidemiology · 2020Article
- Ethnicity and insurance status predict metastatic disease presentation in prostate, breast, and non-small cell lung cancer.Cancer medicine · 2020Article
- Did expanded access to denture services improve chewing ability in the Korean older population? Results of a regression discontinuity analysis.Scientific reports · 2020Article
- Anti-black Attitudes Are a Threat to Health Equity in the United States.Journal of racial and ethnic health disparities · 2020Article
- Patient care aides: Differences in healthcare coverage, health-related behaviors, and health outcomes in a low-wage workforce by healthcare setting.American journal of industrial medicine · 2020Article
- A population-based measure of chronic disease severity for health planning and evaluation in the United States.AIMS public health · 2020Article
- Does the national dental scaling policy reduce inequalities in dental scaling usage? A population-based quasi-experimental study.BMC oral health · 2019Article
- Clinical Preventive Services and Self-Management Practices Among Adult Cancer Survivors in the United States Over Time.Cancer control : journal of the Moffitt Cancer CenterArticle
Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveWe examined whether the Affordable Care Act (ACA) Medicaid expansion reduced socioeconomic inequalities in health care utilization.
methodsWe used data from the Behavioral Risk Factor Surveillance System, covering the 50 U.S. states and the District of Columbia, between 2011 and 2016. We selected outcome indicators, viz. ability to afford needed health care, having a personal doctor, use of health services in the past year (routine check-up, flu shot and dental visits), and attending screenings for breast, cervical, and colon cancers. Socioeconomic status was measured by household income. We calculated two indices of inequality by household income for each outcome: Slope Index of Inequality (SII) and Relative Index of Inequality (RII). We estimated difference-in-differences models to examine the impact of ACA Medicaid expansion on socioeconomic inequality in use of health care services.
resultsThe ACA Medicaid expansion appeared to reduce the socioeconomic gap in individuals reporting financial ability in accessing health care (difference-in-differences estimators, -0.045 for SII and RII), having a personal doctor (-0.037 for SII and RII), and receiving routine check-ups (-0.027 for SII and -0.039 for RII). However, the expansion was not associated with reduction in the socioeconomic gap for preventive health care visits or dental care.
conclusionsThe ACA Medicaid expansion had mixed effects on socioeconomic disparities in health care utilization. Medicaid expansion may not be sufficient to address socioeconomic disparities in preventive services uptake.
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