Evidence map›Paper›PMID 31657003›Full record

ArticleHealth services research2019

Coordinated Care Organizations and mortality among low-income infants in Oregon.

Linh N Bui, Jangho Yoon, S Marie Harvey, Jeff Luck

Open access · greenAbstract read
In one paragraph

Article in Health services research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
0.5field-weighted citation impact, top 18% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. 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

4 authors at 1 institution in 1 country.

Linh N BuiCollege of Public Health and Human Sciences, Oregon State University, Corvallis, Oregon.ORCID 0000-0002-0854-6476
Jangho YoonCollege of Public Health and Human Sciences, Oregon State University, Corvallis, Oregon.ORCID 0000-0001-7385-4515
S Marie HarveyCollege of Public Health and Human Sciences, Oregon State University, Corvallis, Oregon.
Jeff LuckCollege of Public Health and Human Sciences, Oregon State University, Corvallis, Oregon.
Oregon State University · US

Funding

Medicaid Expansion in Oregon: Access and Health Outcomes for Women and InfantsU01DP004783 · DP · OREGON STATE UNIVERSITY · PI HARVEY, SANDY MARIE, LUCK, JEFF · 2013 to 2018
$1.5M
ACL HHS U01DP004783National Center for Chronic Disease Prevention and Health Promotion (NCCDPP) of the Centers for Disease Control and Prevention 1U01DP004783-01NCCDPHP CDC HHS U01 DP004783
6 · The paper itself

Abstract

objectiveTo examine the impact of Oregon's Coordinated Care Organizations (CCOs), an accountable care model for Oregon Medicaid enrollees implemented in 2012, on neonatal and infant mortality. DATA SOURCES: Oregon birth certificates linked with death certificates, and Medicaid/CCO enrollment files for years 2008-2016. STUDY

designThe sample consisted of the pre-CCO birth cohort of 135 753 infants (August 2008-July 2011) and the post-CCO birth cohort of 148 650 infants (August 2012-December 2015). We used a difference-in-differences probit model to estimate the difference in mortality between infants enrolled in Medicaid and infants who were not enrolled. We examined heterogeneous effects of CCOs for preterm and full-term infants and the impact of CCOs over the implementation timeline. All models were adjusted for maternal and infant characteristics and secular time trends. PRINCIPAL

findingsThe CCO model was associated with a 56 percent reduction in infant mortality compared to the pre-CCO level (-0.20 percentage points [95% CI: -0.35; -0.05]), and also with a greater reduction in infant mortality among preterm infants compared to full-term infants. The impact on mortality grew in magnitude over the postimplementation timeline.

conclusionsThe CCO model contributed to a reduction in mortality within the first year of birth among infants enrolled in Medicaid.

Indexed as

Infant MortalityPovertyAccountable Care OrganizationsAdultCohort StudiesFemaleHumansInfantInfant, NewbornInfant, PrematureInsurance CoverageMaleManaged Care ProgramsMedicaidOregonUnited StatesHealth Care Organizations and SystemsIntegrated Delivery SystemsMedicaidPediatricsState Health Policies

Identifiers

PMID31657003
PMCPMC6863224
OpenAlexW2981334661

What OpenQuestion holds

Textmetadata
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.