Evidence map›Paper›PMID 39614287›Full record

ArticleBMC health services research2024

The impact of insurance status on psoriasis patients' healthcare-seeking behavior: a population-based study in the United States.

Kaviyon Sadrolashrafi, Audrey Hao, Rebecca K Yamamoto, Lily Guo, Robin Kikuchi, Hannah C Tolson, Sara N Bilimoria, Danielle K Yee, April W Armstrong

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC health services research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Review
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

9 authors.

Kaviyon SadrolashrafiKirk Kerkorian School of Medicine at UNLV, Las Vegas, USA.
Audrey HaoKeck School of Medicine of University of Southern California, Los Angeles, USA.
Rebecca K YamamotoGeorgetown University School of Medicine, Washington, DC, USA.
Lily GuoDuke University School of Medicine, Durham, USA.
Robin KikuchiKeck School of Medicine of University of Southern California, Los Angeles, USA.
Hannah C TolsonThe University of Arizona College of Medicine - Phoenix, Phoenix, USA.
Sara N BilimoriaDivision of Dermatology, Department of Medicine, David Geffen School of Medicine at UCLA, 200 Medical Plaza, Los Angeles, CA, 90095, USA.
Danielle K YeeDivision of Dermatology, Department of Medicine, David Geffen School of Medicine at UCLA, 200 Medical Plaza, Los Angeles, CA, 90095, USA.
April W ArmstrongDivision of Dermatology, Department of Medicine, David Geffen School of Medicine at UCLA, 200 Medical Plaza, Los Angeles, CA, 90095, USA. armstrongpublication@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPsoriasis is a chronic, inflammatory skin condition requiring long-term care. However, many psoriasis patients may not regularly receive care. Several factors affect access to care in the United States, including health insurance status. Additionally, it is unknown how health insurance status impacts the healthcare-seeking behavior of psoriasis patients. Healthcare-seeking behavior is broadly defined as an individual's actions to prevent or treat a perceived health problem, such as visiting a physician's office. Because early diagnosis and timely treatment improve patient outcomes, determining how insurance status impacts psoriasis patients' healthcare-seeking behavior and their ability to get care is important. This allows us to identify patients at risk for being untreated or undertreated. In this study, we aimed to assess the relationship between insurance status and (1) the degree to which psoriasis patients delay seeking or receiving care and (2) the degree to which psoriasis patients are unable to obtain care.

methodsThis population-based study used 20 years of data from the Medical Expenditure Panel Survey from 2002 to 2021. We calculated descriptive statistics and performed adjusted multivariable logistic regression analyses.

resultsWe identified a weighted total of 4,506,850 psoriasis patients. Compared to those with private insurance, psoriasis patients with public-only insurance were 2.7 times more likely to delay seeking or receiving care (95% CI, 1.26-5.87). Compared to private insurance patients, uninsured psoriasis patients were 3.4 times more likely to be unable to obtain care (95% CI, 1.31-8.92). Compared to those with public-only insurance, uninsured psoriasis patients were 3.7 times more likely to be unable to obtain care (95% CI, 1.32-10.38).

conclusionsThis study found that psoriasis patients with public-only insurance were significantly more likely to delay seeking or receiving care compared to those with private insurance. This study also found that uninsured psoriasis patients were significantly more likely to be unable to obtain care than psoriasis patients with private insurance and those with public-only insurance. Developing strategies to increase healthcare access is necessary to ensure equitable, timely, and appropriate care for all psoriasis patients, regardless of their insurance status.

Indexed as

Insurance CoverageInsurance, HealthPatient Acceptance of Health CarePsoriasisAdolescentAdultAgedFemaleHealth Services AccessibilityHumansMaleMedically UninsuredMiddle AgedUnited StatesYoung AdultAccess to careDelayed careHealthcare-seeking behaviorHealth equityHealth insuranceMedicaidMedical Expenditure Panel SurveyMedicareMEPSPsoriasis

Identifiers

PMID39614287
PMCPMC11606074

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LicenceCC BY
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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.