Evidence map›Paper›PMID 36462106›Full record

ArticleJournal of community health2023

Addressing Financial Barriers to Health Care Among People Who are Low-Income and Insured in New York City, 2014-2017.

Taylor L Frazier, Priscilla M Lopez, Nadia Islam, Amber Wilson, Katherine Earle, Nerisusan Duliepre, Lynna Zhong, Stefanie Bendik, Elizabeth Drackett, Noel Manyindo and 2 more

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

Article in Journal of community health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
3.6field-weighted citation impact, top 7% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Pooled it
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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

12 authors at 4 institutions in 1 country.

Taylor L FrazierHealth Initiatives Department, Community Service Society of New York, New York, NY, USA.
Priscilla M LopezDepartment of Population Health, NYU Grossman School of Medicine, 180 Madison Avenue, New York, NY, 10016, USA.
Nadia IslamDepartment of Population Health, NYU Grossman School of Medicine, 180 Madison Avenue, New York, NY, 10016, USA.
Amber WilsonHealth Initiatives Department, Community Service Society of New York, New York, NY, USA.
Katherine EarleHealth Initiatives Department, Community Service Society of New York, New York, NY, USA.
Nerisusan DuliepreHealth Initiatives Department, Community Service Society of New York, New York, NY, USA.
Lynna ZhongNew York University-City University of New York Prevention Research Center, New York University Langone Health, New York, NY, USA.
Stefanie BendikDepartment of Population Health, NYU Grossman School of Medicine, 180 Madison Avenue, New York, NY, 10016, USA.
Elizabeth DrackettBureau of Harlem Neighborhood Health, Center for Health Equity and Community Wellness, NYC Department of Health and Mental Hygiene, New York, NY, USA.
Noel ManyindoBureau of Harlem Neighborhood Health, Center for Health Equity and Community Wellness, NYC Department of Health and Mental Hygiene, New York, NY, USA.
Lois SeidlBureau of Harlem Neighborhood Health, Center for Health Equity and Community Wellness, NYC Department of Health and Mental Hygiene, New York, NY, USA.
Lorna E ThorpeDepartment of Population Health, NYU Grossman School of Medicine, 180 Madison Avenue, New York, NY, 10016, USA. Lorna.Thorpe@nyulangone.org.ORCID 0000-0002-5535-2674
Community Service Society · USNeighborhood Health · USNew York University · USCity University of New York · US

Funding

New York University, City University of New York Health Promotion & Prevention ReU48DP005008 · DP · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI THORPE, LORNA, TRINH-SHEVRIN, CHAU · 2014 to 2018
$6.9M
NCCDPHP CDC HHS U48 DP005008
6 · The paper itself

Abstract

While health care-associated financial burdens among uninsured individuals are well described, few studies have systematically characterized the array of financial and logistical complications faced by insured individuals with low household incomes. In this mixed methods paper, we conducted 6 focus groups with a total of 55 residents and analyzed programmatic administrative records to characterize the specific financial and logistic barriers faced by residents living in public housing in East and Central Harlem, New York City (NYC). Participants included individuals who enrolled in a municipal community health worker (CHW) program designed to close equity gaps in health and social outcomes. Dedicated health advocates (HAs) were explicitly paired with CHWs to provide health insurance and health care navigational assistance. We describe the needs of 150 residents with reported financial barriers to care, as well as the navigational and advocacy strategies taken by HAs to address them. Finally, we outline state-level policy recommendations to help ameliorate the problems experienced by participants. The model of paired CHW-HAs may be helpful in addressing financial barriers for insured populations with low household income and reducing health disparities in other communities.

Indexed as

Delivery of Health CarePovertyFocus GroupsHumansNew York CityCommunity health workerFinancial barriersFinancial distressHealth careHealthcare costsHealth disparitiesHealth insuranceNew York cityPolicySocial determinants of health

Identifiers

PMID36462106
PMCPMC10060328
OpenAlexW4310644982

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.