Evidence map›Paper›PMID 32011953›Full record

ArticleHealth affairs (Project Hope)2020

Changes In Health Insurance Coverage, Access To Care, And Income-Based Disparities Among US Adults, 2011-17.

Kevin N Griffith, David K Jones, Jacob H Bor, Benjamin D Sommers

Abstract read
In one paragraph

Article in Health affairs (Project Hope), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
–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

18 citing papers in PubMed.

  1. Article
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  11. Health insurance coverage and access to care in China.BMC health services research · 2022
    Article
  12. Article
  13. Article
  14. Article
  15. Health insurance coverage and self-employment.Health services research · 2021
    Article
  16. Article
  17. Article
  18. The Affordable Care Act's Coverage Impacts in the Trump Era.Inquiry : a journal of medical care organization, provision and financing
    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.

Kevin N GriffithKevin N. Griffith ( kgriffit@bu. edu ) is a PhD candidate in the Department of Health Law, Policy and Management at Boston University School of Public Health, in Massachusetts.
David K JonesDavid K. Jones is an associate professor in the Department of Health Law, Policy and Management, Boston University School of Public Health.
Jacob H BorJacob H. Bor is an assistant professor in the Departments of Global Health and Epidemiology, Boston University School of Public Health.
Benjamin D SommersBenjamin D. Sommers is a professor of health policy and economics in the Department of Health Policy and Management, Harvard T. H. Chan School of Public Health, and a professor of medicine at Brigham and Women's Hospital, both in Boston.

Funding

Evaluating UTT with a National HIV Cohort to Optimize South Africa's HIV Response (ENCORE)R01AI152149 · NIAID · WITS HEALTH CONSORTIUM (PTY), LTD · PI BOR, JACOB, ONOYA, DORINA · 2020 to 2024
$1.8M
NIAID NIH HHS R01 AI152149
6 · The paper itself

Abstract

The Affordable Care Act increased insurance coverage and access to care, according to numerous national studies. However, the administration of President Donald Trump implemented several policies that may have affected the act's effectiveness. It is unknown what effect these changes had on access to care. We used survey data for 2011-17 from the Behavioral Risk Factor Surveillance System to assess changes access to care among nonelderly adults from before to after the change in administration in 2017. We found that the proportion of adults who were uninsured or avoided care because of cost increased by 1.2 percentage points and 1.0 percentage points, respectively, during 2017. These changes were greater among respondents who had household incomes below 138 percent of the federal poverty level, resided in states that did not expand eligibility for Medicaid, or both. At the population level, our findings imply that approximately two million additional US adults experienced these outcomes at the end of 2017, compared to the end of 2016.

Indexed as

Health Services AccessibilityPatient Protection and Affordable Care ActAdultHumansInsurance CoverageInsurance, HealthMedicaidMedically UninsuredUnited StatesAccess to CareAffordable Care ActBehavioral Risk Factor Surveillance SystemHealth disparitiesHealth insurance exchangesHealth policyInsurance coverage and benefitsMedicaidPrivate health insuranceSocioeconomic disparities

Identifiers

PMID32011953
PMCPMC8139823

What OpenQuestion holds

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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.