Evidence map›Paper›PMID 31007612›Full record

ArticleSocial theory & health : STH2018

A Conceptual Framework for Examining Healthcare Access and Navigation: A Behavioral-Ecological Perspective.

Miriam Ryvicker

Abstract read
In one paragraph

Article in Social theory & health : STH, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 50 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
50citing 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

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

  1. Pooled it
  2. Trial
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  9. Health Promotion and Disease Prevention in Public Housing Areas: A Scoping Review.International journal of environmental research and public health · 2025
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  20. Improving Access to Care Through Youth-Focused Virtual Sexual Health Navigation.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2024
    Article
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

1 author.

Miriam RyvickerCenter for Home Care Policy and Research, Visiting Nurse Service of New York, 1250 Broadway, 7th Floor, New York, NY 10001, , Miriam.ryvicker@vnsny.org.

Funding

Built Environment and Health Care Use: Disparities Among Chronically Ill EldersK01AG039463 · NIA · VISITING NURSE SERVICE OF NEW YORK · PI RYVICKER, MIRIAM · 2011 to 2015
$642k
NIA NIH HHS K01 AG039463
6 · The paper itself

Abstract

This paper introduces a conceptual framework for investigating individual ability to navigate healthcare in the contexts of the built environment, social environment, and healthcare infrastructure in which a person is embedded. Given the complexity of healthcare delivery in the United States, consumers are expected to have an increasingly sophisticated set of skills in order to effectively navigate and benefit from the healthcare resources available to them. Addressing barriers to navigation in vulnerable populations may be essential to reducing health disparities. This paper builds on previous conceptual developments in the areas of healthcare use, navigation, and ecological perspectives on health in order to present a behavioral-ecological framework for examining healthcare navigation and access. The model posits that healthcare navigation is an ecologically informed process not only because of the spatial distribution of health services, but because of the spatial distribution of individual and environmental factors that influence decision-making and behavior with respect to service use. The paper discusses areas for further research on healthcare navigation, challenges for research, and implications for reducing health disparities.

Identifiers

PMID31007612
PMCPMC6474407

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Registered trials

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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.