ArticleAnnals of emergency medicine2021
The Influence of Social Determinants of Health on Emergency Departments Visits in a Medicaid Sample.
Article in Annals of emergency medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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.
Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it, 41 citations in OpenAlex.
- Exploring differences in the utilization of the emergency department between migrant and non-migrant populations: a systematic review.BMC public health · 2024Pooled it
- Evaluation of an Emergency Department Over-the-Counter Analgesic Medication Starter Pack Initiative on 30-day Revisits.The Journal of emergency medicine · 2026Observational
- Comparison of Emergency Department Patients with Salpingitis and Oophoritis with and without Documented Social Determinants of Health.The western journal of emergency medicine · 2026Article
- Association Between Socioeconomic Status and Emergency Department Use for Non-traumatic Dental Conditions.The western journal of emergency medicine · 2026Article
- Residents' Learning Experiences about Patients' Social Difficulties in the Emergency Department: Qualitative Research.JMA journal · 2025Article
- Emergency Department Revisits Among Youth Compared With Adults in Sudbury, Ontario, Canada.Pediatric emergency care · 2025Observational
- Impact of Community-Level Social Vulnerability on Preventable Emergency Department Visits in Insured Patients.Journal of the American College of Emergency Physicians open · 2025Article
- Identifying lung cancer in Emergency Department patients outside national lung cancer screening guidelines.Journal of thoracic disease · 2025Article
- Undocumented Patients with Access to Primary Care and Avoidable Emergency Department Visits: Evidence from a Safety-Net System.Journal of health care for the poor and underserved · 2025Article
- Inpatient screening for social determinants of health: A quality improvement initiative.Journal of clinical and translational science · 2024Article
- Association of the affordable care act with racial and ethnic disparities in uninsured emergency department utilization.BMC health services research · 2023Article
- Social Determinants of Health in EMS Records: A Mixed-methods Analysis Using Natural Language Processing and Qualitative Content Analysis.The western journal of emergency medicine · 2023Article
- The Influence of Social Determinants on Cancer Screening in a Medicaid Sample.American journal of preventive medicine · 2023Article
- The association of patient-reported social determinants of health and hospitalization rate: A scoping review.Health science reports · 2023Article
- The perceived work environment and well-being: A survey of emergency health care workers during the COVID-19 pandemic.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2022Article
- Structural competency in emergency medical education: A scoping review and operational framework.AEM education and training · 2022Article
- Primary Care and Emergency Room Visits: The Virginia All-Payer Claims Database.Journal of the American Board of Family Medicine : JABFMObservational
- Coordinating Multisector Efforts to Address Social Needs in a Rural Midwestern Primary Care Setting.Journal of primary care & community healthArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 3 institutions in 1 country.
Funding
Abstract
STUDY
objectiveWe evaluate the relationship between social determinants of health and emergency department (ED) visits in the Medicaid Cohort of the District of Columbia.
methodsWe conducted a retrospective cohort analysis of 8,943 adult Medicaid beneficiaries who completed a social determinants of health survey at study enrollment. We merged the social determinants of health data with participants' Medicaid claims data for up to 24 months before enrollment. Using latent class analysis, we grouped our participants into 4 distinct social risk classes based on similar responses to the social determinants of health questions. We classified ED visits as primary care treatable or ED care needed, using the Minnesota algorithm. We calculated the adjusted log relative primary care treatable and ED care needed visit rates among the social risk classes by using generalized linear mixed-effects models.
resultsThe majority (71%) of the 49,111 ED visits made by the 8,943 participants were ED care needed. The adjusted log relative rate of both primary care treatable and ED care needed visit rates increased with each higher (worse) social risk class compared with the lowest class. Participants in the highest social risk class (ie, unemployed and many social risks) had a log relative primary care treatable and ED care needed rate of 39% (range 28% to 50%) and 29% (range 21% to 38%), respectively, adjusted for age, sex, and illness severity.
conclusionThere is a strong relationship between social determinants of health and ED utilization in this Medicaid sample that is worth investigating in other Medicaid samples and patient populations.
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What OpenQuestion holds
Registered trials
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.