Evidence map›Paper›PMID 40820781›Full record

ArticleJournal of health care for the poor and underserved2025

Undocumented Patients with Access to Primary Care and Avoidable Emergency Department Visits: Evidence from a Safety-Net System.

Annie Ro, Celina Morales, Sarah Axeen, Anna Gorman, Todd Schneberk

Abstract read
In one paragraph

Article in Journal of health care for the poor and underserved, 2025. 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. 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

5 authors.

Annie Ro
Celina Morales
Sarah Axeen
Anna Gorman
Todd Schneberk

Funding

Access to medical care and health care utilization among low-income immigrantsR21MD019086 · NIMHD · UNIVERSITY OF CALIFORNIA-IRVINE · PI RO, ANNIE EUN YOUNG · 2023 to 2024
$425k
NIMHD NIH HHS R21 MD019086
6 · The paper itself

Abstract

We examined whether undocumented patients enrolled in a health care coverage program in Los Angeles have fewer avoidable emergency department (ED) visits than other foreign-born patients. We analyzed 2016-2020 ED encounters from all safety-net hospitals in Los Angeles County. We estimated the odds that an ED encounter was for an ambulatory care sensitive condition from mixed effects models among 1) undocumented patients in the program, My Health LA (MHLA), 2) non-MHLA undocumented patients, and 3) foreign-born documented patients (n=567,671). My Health LA patients had a lower likelihood of avoidable visits from acute conditions and non-diabetes chronic diseases than the foreign-born documented patients and non-MHLA patients. However, they had greater likelihood of visits related to type 2 diabetes (T2D). Having access to regular primary care improves some acute and chronic disease-related utilization but undocumented patients with T2D may select into the program and face ongoing challenges managing the disease.

Indexed as

Emergency Service, HospitalHealth Services AccessibilityPrimary Health CareSafety-net ProvidersUndocumented ImmigrantsAccess to Primary CareAdultAgedDiabetes Mellitus, Type 2Emergency Room VisitsFemaleHumansLos AngelesMaleMiddle AgedYoung Adult

Identifiers

PMID40820781
PMCPMC13485596

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.