Evidence map›Paper›PMID 32804085›Full record

ArticleJournal of medical Internet research2020

Characteristics of Twitter Use by State Medicaid Programs in the United States: Machine Learning Approach.

Jane M Zhu, Abeed Sarker, Sarah Gollust, Raina Merchant, David Grande

Abstract read
In one paragraph

Article in Journal of medical Internet research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

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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

5 citing papers in PubMed.

  1. Observational
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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.

Jane M ZhuDivision of General Internal Medicine, Oregon Health and Science University, Portland, OR, United States.ORCID 0000-0002-4868-6078
Abeed SarkerDepartment of Biomedical Informatics, Emory University, Atlanta, GA, United States.ORCID 0000-0001-7358-544X
Sarah GollustDivision of Health Policy and Management, University of Minnesota, Minneapolis, MN, United States.ORCID 0000-0001-6109-5953
Raina MerchantCenter for Digital Health, University of Pennsylvania, Philadelphia, PA, United States.ORCID 0000-0002-9801-6881
David GrandeDivision of General Internal Medicine, University of Pennsylvania, Philadelphia, PA, United States.ORCID 0000-0002-6717-6735

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTwitter is a potentially valuable tool for public health officials and state Medicaid programs in the United States, which provide public health insurance to 72 million Americans.

objectiveWe aim to characterize how Medicaid agencies and managed care organization (MCO) health plans are using Twitter to communicate with the public.

methodsUsing Twitter's public application programming interface, we collected 158,714 public posts ("tweets") from active Twitter profiles of state Medicaid agencies and MCOs, spanning March 2014 through June 2019. Manual content analyses identified 5 broad categories of content, and these coded tweets were used to train supervised machine learning algorithms to classify all collected posts.

resultsWe identified 15 state Medicaid agencies and 81 Medicaid MCOs on Twitter. The mean number of followers was 1784, the mean number of those followed was 542, and the mean number of posts was 2476. Approximately 39% of tweets came from just 10 accounts. Of all posts, 39.8% (63,168/158,714) were classified as general public health education and outreach; 23.5% (n=37,298) were about specific Medicaid policies, programs, services, or events; 18.4% (n=29,203) were organizational promotion of staff and activities; and 11.6% (n=18,411) contained general news and news links. Only 4.5% (n=7142) of posts were responses to specific questions, concerns, or complaints from the public.

conclusionsTwitter has the potential to enhance community building, beneficiary engagement, and public health outreach, but appears to be underutilized by the Medicaid program.

Indexed as

HumansMachine LearningMedicaidSocial MediaUnited Statescommunity engagementhealth communicationmedicaidpublic healthsocial media

Identifiers

PMID32804085
PMCPMC7459428

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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.