Evidence map›Paper›PMID 32045057›Full record

ArticleThe Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association2021

Exploring the Impact of ACA on Rural-Urban Disparity in Oral Health Services Among US Noninstitutionalized Adults.

Wei-Chen Lee, Chih-Ying Li, Hani Serag, Maryam Tabrizi, Yong-Fang Kuo

Open access · greenAbstract read
In one paragraph

Article in The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.6field-weighted citation impact, top 33% 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

4 citing papers in PubMed, 12 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. 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

5 authors at 2 institutions in 1 country.

Wei-Chen LeeOffice of Health Policy and Legislative Affairs, University of Texas Medical Branch, Galveston, Texas.ORCID 0000-0003-4333-5444
Chih-Ying LiDepartment of Occupational Therapy, University of Texas Medical Branch, Galveston, Texas.
Hani SeragOffice of Health Policy and Legislative Affairs, University of Texas Medical Branch, Galveston, Texas.
Maryam TabriziDepartment of General Practice and Dental Public Health, University of Texas Health Science Center at Houston, Houston, Texas.
Yong-Fang KuoDepartment of Preventive Medicine and Community Health and Office of Biostatistics, University of Texas Medical Branch, Galveston, Texas.
The University of Texas Medical Branch at Galveston · USThe University of Texas Health Science Center at Houston · US

Funding

Standardized Patient Assessment across Post-Acute Care: Opportunities and ChallengesK01HD101589 · NICHD · UNIVERSITY OF TEXAS MED BR GALVESTON · PI LI, CHIH-YING · 2020 to 2024
$632k
NICHD NIH HHS K01 HD101589
6 · The paper itself

Abstract

purposeTo explore the effect of the Affordable Care Act (ACA) on rural disparities in oral health services utilization based on disability status.

methodsComparing the 2011-2013 with the 2014-2016 Medical Expenditure Panel Survey, the study estimated the impacts of ACA on the likelihood of having preventive checkup and utilization of dental treatments in adults older than 18.

findingsThe sample consists of 216,184 noninstitutionalized adults with 14.5% living in rural areas. There was a slight improvement in the receipt of oral health services after ACA, but the improvement was not statistically significant. Disability remains a barrier to receiving preventive oral health checkups, and living in rural areas is a barrier for both utilization of preventive checkups and dental treatments.

conclusionsUnmet needs for preventive checkups may result in unnecessary, costly dental treatments. More strategies are needed to reduce the disparities in oral health services.

Indexed as

Health Services AccessibilityPatient Protection and Affordable Care ActAdultHumansOral HealthPreventive Health ServicesRural PopulationUnited StatesAffordable Care Acthealth disparitiesoral healthpreventionrural

Identifiers

PMID32045057
PMCPMC8457889
OpenAlexW3005825872

What OpenQuestion holds

Textmetadata
LicenceTDM
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.