ArticleJournal of general internal medicine2026
Access and Perceived Quality of Care in US Adults with Multiple Chronic Conditions: MEPS 2019-2021.
Article in Journal of general internal medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundManaging multiple chronic conditions (MCC) requires complex oversight. A usual source of care (USC) is pivotal in navigating complex care and coordination and enhancing self-management. However, the knowledge about access and quality of USC and associated disparities is limited in US adults with MCC.
objectivesTo examine access and perceived quality of USC and identify sociodemographic disparities in US adults with MCC.
designThis is a cross-sectional study using US Medical Expenditure Panel Survey (MEPS) data.
participantsThis study used 2019 and 2021 MEPS Household Component data to identify US adults reporting two or more chronic conditions. MAIN MEASURES: The outcomes included characteristics, accessibility, and perceived quality of USC. Quality of care was measured by asking respondents if their provider asked about treatments given by other providers and involved them in treatment decision-making. Logistic regression was used to identify sociodemographic disparities in access and perceived quality of USC. Person-level weights were applied to statistical analysis to obtain national estimates. KEY
resultsThe study sample included 9471 eligible US adults with MCC, of which 91.6% reported having a USC, representing 44.9 million US individuals. Respondents who were older (≥ 65 years), married, non-Hispanic White, insured, or Midwestern were more likely to have a USC. Family physicians accounted for 63.5% of reported USC providers. Nearly 43% of respondents indicated difficulty accessing providers after hours. Over 20% of the respondents reported that their providers did not ask about treatments from other doctors or consistently involve them in treatment decision-making. Younger (< 65 years), married, non-Hispanic White, or more educated respondents were more likely to be asked about treatments from other doctors or consistently involved in treatment decision-making.
conclusionMost US adults with MCC reported having a USC. However, sociodemographic disparities exist in having access to a USC and the quality of care.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.