Evidence map›Paper›PMID 34782255›Full record

ArticleDisability and health journal2022

Time trends in emergency department use among adults with intellectual and developmental disabilities.

Willi Horner-Johnson, Stephan Lindner, Anna Levy, Jean Hall, Noelle Kurth, Erika Garcia, Alice Frame, Kimberly Phillips, Elizabeth Momany, Melissa Lurie and 6 more

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Disability and health journal, 2022. 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 34% 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, 3 citations in OpenAlex.

  1. Trial
  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

16 authors at 10 institutions in 1 country.

Willi Horner-JohnsonInstitute on Development and Disability, Oregon Health & Science University, Portland, OR, USA. Electronic address: hornerjo@ohsu.edu.
Stephan LindnerCenter for Health Systems Effectiveness, Oregon Health & Science University, Portland, OR, USA.
Anna LevyCenter for Health Systems Effectiveness, Oregon Health & Science University, Portland, OR, USA.
Jean HallInstitute for Health and Disability Policy Studies, University of Kansas, Lawrence, KS, USA.
Noelle KurthInstitute for Health and Disability Policy Studies, University of Kansas, Lawrence, KS, USA.
Erika GarciaMichigan Department of Health and Human Services, Lansing, MI, USA.
Alice FrameMichigan Department of Health and Human Services, Lansing, MI, USA.
Kimberly PhillipsInstitute on Disability, University of New Hampshire, Durham, NH, USA.
Elizabeth MomanyPublic Policy Center, University of Iowa, Iowa City, IA, USA.
Melissa LurieNew York State Department of Health, Albany, NY, USA.
Yejee ShinNew York State Department of Health, Albany, NY, USA.
Emily LauerEunice Kennedy Shriver Center, University of Massachusetts Medical School, Shrewsbury, MA, USA.
Parag KunteCommonwealth Medicine, University of Massachusetts Medical School, Shrewsbury, MA, USA.
Robin SilversteinMontana Department of Public Health & Human Services, Helena, MT, USA.
Catherine OkoroNational Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, USA.
Suzanne McDermottSchool of Public Health & Health Policy, City University of New York, New York, NY, USA.
Michigan Department of Health and Human Services · USNew York State Department of Health · USOregon Health & Science University · USUniversity of Kansas · USUniversity of Massachusetts Chan Medical School · USCity University of New York · USMontana Department of Public Health and Human Services · USNational Center on Birth Defects and Developmental Disabilities · USUniversity of Iowa · USUniversity of New Hampshire · US

Funding

Intramural CDC HHS CC999999
6 · The paper itself

Abstract

backgroundEmergency Department (ED) visits are common among adults with intellectual and developmental disabilities (IDD). However, little is known about how ED use has varied over time in this population, or how it has been affected by recent Medicaid policy changes.

objectiveTo examine temporal trends in ED use among adult Medicaid members with IDD in eight states that ranged in the extent to which they had implemented state-level Medicaid policy changes that might affect ED use.

methodsWe conducted repeated cross-sectional analyses of 2010-2016 Medicaid claims data. Quarterly analyses included adults ages 18-64 years with IDD (identified by diagnosis codes) who were continuously enrolled in Medicaid for the past 12 months. We assessed change in number of ED visits per 1000 member months from 2010 to 2016 overall and interacted with state level policy changes such as Medicaid expansion.

resultsStates with no Medicaid expansion experienced an increase in ED visits (linear trend coefficient: 1.13, p < 0.01), while states operating expansion via waiver had a much smaller (non-significant) increase, and states with ACA-governed expansion had a decrease in ED visits (linear trend coefficient: 1.17, p < 0.01). Other policy changes had limited or no association with ED visits.

conclusionsMedicaid expansion was associated with modest reduction or limited increase in ED visits compared to no expansion. We found no consistent decrease in ED visits in association with other Medicaid policy changes.

Indexed as

Developmental DisabilitiesPersons with DisabilitiesAdolescentAdultChildCross-Sectional StudiesEmergency Service, HospitalHumansMedicaidMiddle AgedPatient Protection and Affordable Care ActUnited StatesYoung AdultDevelopmental disabilitiesEmergency departmentsHealth policyIntellectual disabilityMedicaid

Identifiers

PMID34782255
PMCPMC10950032
OpenAlexW3211436251

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.