Evidence map›Paper›PMID 33616926›Full record

ArticleHealth services research2021

The effects of Medicaid on access to care and adherence to recommended preventive services.

Steven C Hill, Salam Abdus

Abstract read
In one paragraph

Article in Health services research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

11 citing papers in PubMed.

  1. Article
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  8. Review
  9. Healthcare Access and Utilization for Young Adults With Disability: U.S., 2014-2018.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2022
    Article
  10. Article
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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

2 authors.

Steven C HillDivision of Research & Modeling, Center for Financing, Access, and Cost Trends, Agency for Healthcare Research & Quality, Department of Health and Human Services, Rockville, Maryland, USA.ORCID 0000-0003-1840-3767
Salam AbdusDivision of Research & Modeling, Center for Financing, Access, and Cost Trends, Agency for Healthcare Research & Quality, Department of Health and Human Services, Rockville, Maryland, USA.ORCID 0000-0002-0984-7203

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo quantify the impact of Medicaid enrollment on access to care and adherence to recommended preventive services. DATA SOURCE: 2005-2015 Medical Expenditure Panel Survey Household Component. STUDY

designWe examined several access measures and utilization of several preventive services within the past year and within the time frame recommended by the United States Preventive Services Task Force, if more than a year. We estimated local average treatment effects of Medicaid enrollment using a new, two-stage regression model developed by Nguimkeu, Denteh, and Tchernis. This model accounts for both endogenous and underreported Medicaid enrollment by using a partial observability bivariate probit regression as the first stage. We identify the model with an exogenous measure of Medicaid eligibility, the simulated Medicaid eligibility rate by state, year, and parents vs childless adults. A wide range of changes in Medicaid eligibility occurred during the time period studied. DATA COLLECTION/EXTRACTION

methodsSample of low-income, nonelderly adults not receiving disability benefits. PRINCIPAL

findingsMedicaid enrollment decreased the probability of having unmet needs for medical care by 7.5 percentage points and the probability of experiencing delays getting prescription drugs by 7.7 percentage points. Medicaid enrollment increased the probability of having a usual source of care by 16.5 percentage points, the probability of having a routine checkup by 17.1 percentage points, and the probability of having a flu shot in past year by 12.6 percentage points.

conclusionMedicaid enrollment increased access to care and use of some preventive services. Additional research is needed on impacts for subgroups, such as parents, childless adults, and the smaller and generally older populations for whom screening tests are recommended.

Indexed as

Eligibility DeterminationHealth Services AccessibilityHealth Services Needs and DemandHumansInsurance CoverageMedicaidPatient Protection and Affordable Care ActPhysicians, Primary CarePovertyPreventive Health ServicesUnited Statesaccess to careMedicaidpreventive services

Identifiers

PMID33616926
PMCPMC7839643

What OpenQuestion holds

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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.