Evidence map›Paper›PMID 35095125›Full record

ArticleAmerican ethnologist2021

Managing the "hot spots": Health care, policing, and the governance of poverty in the US.

Mark D Fleming, Janet K Shim, Irene Yen, Leslie Dubbin, Ariana Thompson-Lastad, Christoph Hanssmann, Nancy J Burke

Abstract read
In one paragraph

Article in American ethnologist, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

7 authors.

Mark D FlemingUniversity of California, Berkeley.
Janet K ShimUniversity of California, San Francisco.
Irene YenUniversity of California, Merced.
Leslie DubbinUniversity of California, San Francisco.
Ariana Thompson-LastadUniversity of California, San Francisco.
Christoph HanssmannSan Francisco State University.
Nancy J BurkeUniversity of California, Merced.

Funding

UCSF/Kaiser-DOR Program for Developing Independent Women's Health ResearchersK12HD052163 · NICHD · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI ADLER, NANCY E, BRINDIS, CLAIRE D. · 2005 to 2023
$9.3M
Health literacy systems in the safety net: Lessons from complex care managementR01NR015233 · NINR · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI BURKE, NANCY J., SHIM, JANET K · 2014 to 2017
$2.2M
AHRQ HHS K01 HS027648NICHD NIH HHS K12 HD052163NINR NIH HHS R01 NR015233
6 · The paper itself

Abstract

Health care systems in the United States are experimenting with a form of surveillance and intervention known as "hot spotting," which targets high-cost patients-the so-called "super-utilizers" of emergency departments-with intensive health and social services. Through a calculative deployment of resources to the costliest patients, health care hot spotting promises to simultaneously improve population health and decrease financial expenditures on health care for impoverished people. Through an ethnographic investigation of hot spotting's modes of distribution and its workings in the lives of patients and providers, we find that it targets the same individuals and neighborhoods as the police, who maintain longer-standing practices of hot spotting in zones of racialized urban poverty. This has led to a convergence of caring and punitive strategies of governance. The boundaries between them are shifting as a financialized logic of governance has come to dominate both health and criminal justice. [

Identifiers

PMID35095125
PMCPMC8796821

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.