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Статті в журналах з теми "Uninsured Populations"

Автор: Grafiati

Опубліковано: 7 червня 2025

Оновлено: 2 серпня 2025

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1

Wetta-Hall, Ruth, Gina M. Berg-Copas, and S. Edwards Dismuke. "Help on the Line." Evaluation & the Health Professions 28, no. 4 (2005): 414–27. http://dx.doi.org/10.1177/0163278705281069.

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Telephone triage programs have been shown to be cost-effective and favorably utilized by insured populations. However, there are 45 million Americans who are uninsured and who do not have access to telephone nursing. A telephone triage service was piloted for local uninsured residents. Within the 17-month trial period, 320 calls were received, representing 207 clients. This study reports on the results of the telephone survey with a cross-sectional sample of uninsured triage patrons (N = 80). One half reported they would have sought other medical care if the telephone triage service had not be

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2

Rowe, Gina C. "Geographic Variance in Maryland’s Potentially Preventable Emergency Visits: Comparison of Explanatory Models." Western Journal of Nursing Research 42, no. 7 (2019): 503–13. http://dx.doi.org/10.1177/0193945919867938.

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The use of emergency departments (EDs) for potentially preventable visits is costly and inefficient. In Maryland, about 20%–30% of such visits are ambulatory care sensitive and thus potentially preventable. The uninsured are often perceived to account for a disproportionate share of such visits. This analysis aimed to (a) compare and explain the geographic variance in Maryland’s potentially preventable ED visit (PPV) rates for the total and uninsured populations and (b) test the predictive value of regression models developed. Geographic hot spots of increased PPV rates were highly correlated

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3

PAGÁN, JOSÉ A., LAKSHMI BALASUBRAMANIAN, and MARK V. PAULY. "Physicians’ career satisfaction, quality of care and patients’ trust: the role of community uninsurance." Health Economics, Policy and Law 2, no. 4 (2007): 347–62. http://dx.doi.org/10.1017/s1744133107004239.

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Abstract:There is evidence that health care providers located in communities with relatively large uninsured populations face financial difficulties because of low service demand and high levels of uncompensated care. Data on 4,920 physicians from the 2000–2001 Community Tracking Study Physician Survey and from 25,637 adults from the 2003 Community Tracking Study Household Survey were used to analyze whether the relative size of the local uninsured population is associated with the level of career satisfaction and the quality of care provided by physicians and to assess whether patient trust i

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4

Hadley, Jack. "Sicker and Poorer—The Consequences of Being Uninsured: A Review of the Research on the Relationship between Health Insurance, Medical Care Use, Health, Work, and Income." Medical Care Research and Review 60, no. 2_suppl (2003): 3S—75S. http://dx.doi.org/10.1177/1077558703254101.

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Health services research conducted over the past 25 years makes a compelling case that having health insurance or using more medical care would improve the health of the uninsured. The literature's broad range of conditions, populations, and methods makes it difficult to derive a precise quantitative estimate of the effect of having health insurance on the uninsured's health. Some mortality studies imply that a 4% to 5% reduction in the uninsured's mortality is a lower bound; other studies suggest that the reductions could be as high as 20% to 25%. Although all of the studies reviewed suffer f

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5

Wippold, Guillermo M., Nwakaego Nmezi, Jaime L. Williams, Jacqueline Butler, and Tanya M. Hodge. "An Exploratory Study to Understand Factors Associated with Health-related Quality of Life Among Uninsured/Underinsured Patients as Identified by Clinic Providers and Staff." Journal of Primary Care & Community Health 11 (January 2020): 215013272094941. http://dx.doi.org/10.1177/2150132720949412.

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Since the release of Healthy People 2020, there has been extensive research understanding factors associated with health-related quality of life (HRQoL) among specific populations. Despite this growing body of research, little has been conducted to understand the factors associated with HRQoL among uninsured/underinsured Americans. The purposes of the present study were to assess clinic staff to determine: (1) whether there is a need to examine HRQoL among uninsured/underinsured individuals, (2) whether there is a need for tailored HRQoL-promoting interventions among uninsured/underinsured ind

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6

Misra, Sanghamitra M., Danielle Guffey, Isabel Roth, and Angelo P. Giardino. "Complementary and Alternative Medicine Use in Uninsured Children in Texas." Clinical Pediatrics 56, no. 9 (2017): 866–69. http://dx.doi.org/10.1177/0009922817709556.

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Use of complementary and alternative medicine (CAM) among US children is 12% according to the 2012 National Health Interview Study. Certain pediatric populations have higher CAM use. We studied an uninsured population because limited access to care likely results in higher CAM use. We surveyed 250 uninsured patients in a free pediatric mobile clinic program. In the largely Hispanic population, rate of CAM use in the preceding 12 months was 45% among children and 59% among parents. Ninety-one percent of children who used CAM had parents who used CAM while only 32% of parents used CAM for themse

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7

Doherty, Ryan, Jennifer L. Walsh, Katherine G. Quinn, and Steven A. John. "Association of Race and Other Social Determinants of Health With HIV Pre-Exposure Prophylaxis Use: A County-Level Analysis Using the PrEP-to-Need Ratio." AIDS Education and Prevention 34, no. 3 (2022): 183–94. http://dx.doi.org/10.1521/aeap.2022.34.3.183.

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Research is limited on the effect of racism and social determinants of health on HIV pre-exposure prophylaxis (PrEP) use. This study used the PrEP-to-Need Ratio (PNR), which measures PrEP prescriptions divided by HIV diagnoses in the county, to evaluate sufficient PrEP use. AIDSVu datasets were compared to county-level social determinants of health. Standardized regression coefficients (β) were compared to identify strongest associations with PNR. Overall, factors including percent African American and percent uninsured had negative correlations with PNR, whereas median household income and se

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8

Barlow, Zoe. "Medication usage, patient health practices, and healthcare accessibility in the community of Tirrases, San Jose, Costa Rica." UNED Research Journal 9, no. 1 (2017): 165–70. http://dx.doi.org/10.22458/urj.v9i1.1693.

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A survey regarding medication use and health care accessibility was distributed to residents of the urban marginalized community of Tirrases, San Jose, Costa Rica. Individual interviews were conducted with selected patients and medical practitioners to add detail and perspective to the survey responses. One hundred and ninety four individuals responded to the survey, and five individuals were interviewed, four patients and one medical practitioner. Sixteen percent of the surveyed population did not have medical insurance, and comparisons between insured and uninsured populations showed that th

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9

Kamimura, Akiko, Samin Panahi, Hsien-Wen Meng, Justine Sundrud, and Mary Lucero. "Patient Satisfaction With Telehealth and Experiences During the COVID-19 Pandemic Among Uninsured Free Clinic Patients." Journal of Patient Experience 8 (January 1, 2021): 237437352110331. http://dx.doi.org/10.1177/23743735211033107.

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The COVID-19 pandemic is a significant public health issue especially for underserved populations. Little is known about patient satisfaction with telehealth among free clinic patients or other underserved populations. The purpose of this study is to examine factors associated with patient satisfaction with in-person services and telehealth during the pandemic and describe the experiences during the pandemic among free clinic patients. Data were collected from 628 uninsured English- and Spanish-speaking patients of a free clinic using an online survey from June to August in 2020. Free clinic p

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10

Mahadevia, Himil, Benjamin Eidenschink, Stephanie Sarita Harry, and Lara Ann Kujtan. "Impact of ethnicity and insurance on adverse effects and treatment outcomes related to immune checkpoint inhibitors at a safety net hospital." Journal of Clinical Oncology 41, no. 16_suppl (2023): e18538-e18538. http://dx.doi.org/10.1200/jco.2023.41.16_suppl.e18538.

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e18538 Background: Clinical trials have shown efficacy and safety of immune checkpoint inhibitors (ICI) in the treatment of various malignancies. However, trial populations often do not adequately represent patient populations in the real-world. We report immune related adverse effects (IRAEs) among patients with various malignancies, diverse ethnicities, and government sponsored insurance or uninsured, as well as treatment outcomes of ICIs in metastatic non-small cell lung cancer (mNSCLC). Methods: A retrospective study of adult patients with malignancy, who received ICI or ICI plus chemother

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11

Gruber, Jonathan. "Policy Watch: Medicaid and Uninsured Women and Children." Journal of Economic Perspectives 11, no. 4 (1997): 199–208. http://dx.doi.org/10.1257/jep.11.4.199.

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This paper focuses on the role of Medicaid, the public health insurance program for low income populations, as a means of reducing uninsurance among uninsured women and children. The author discusses the structure of the Medicaid program and recent findings of its effects on insurance status, medical utilization, and health. He concludes that public insurance can be a cost-effective tool for reducing uninsurance and improving health, but only if eligibility is targeted to populations in need of insurance; expansions up the income scale should be accompanied by other program features that minim

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12

Rezaeizadeh, Afsaneh, Katherine Sanchez, Kiumars Zolfaghari, and Nancy D. Madia. "Depression screening and treatment among uninsured populations in Primary Care." International Journal of Clinical and Health Psychology 21, no. 3 (2021): 100241. http://dx.doi.org/10.1016/j.ijchp.2021.100241.

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13

Han, Jayoung. "Perceived Value of Health Insurance and Enrollment Decision among Low-Income Population." INNOVATIONS in pharmacy 9, no. 2 (2018): 7. http://dx.doi.org/10.24926/iip.v9i2.988.

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The individual mandate is one of the key features of the Affordable Care Act (ACA) and has contributed to a substantial decrease in the overall uninsured rate. We examined the relationship between the individual’s insurance status and his/her attitude towards risk and uncertainty among the nonelderly adults, without employer-sponsored insurance (ESI) sources and who are most likely to benefit from the ACA. A descriptive, cross-sectional study was conducted using the 2014 full-year consolidated data file from the Household Component of the Medical Expenditure Panel Survey-Household Component (M

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14

Romo Valenzuela, Alberto, Nikhil L. Chervu, Yvonne Roca, Yas Sanaiha, Saad Mallick, and Peyman Benharash. "Socioeconomic disparities in risk of financial toxicity following elective cardiac operations in the United States." PLOS ONE 19, no. 1 (2024): e0292210. http://dx.doi.org/10.1371/journal.pone.0292210.

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Background While insurance reimbursements allay a portion of costs associated with cardiac operations, uncovered and additional fees are absorbed by patients. An examination of financial toxicity (FT), defined as the burden of patient medical expenses on quality of life, is warranted. Therefore, the present study used a nationally representative database to demonstrate the association between insurance status and risk of financial toxicity (FT) among patients undergoing major cardiac operations. Methods Adults admitted for elective coronary artery bypass grafting (CABG) and isolated or concomi

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15

Kamimura, Akiko, Maziar M. Nourian, Alla Chernenko, Naveen Rathi, Michael-Ann Oslund, and Jeanie Ashby. "Beliefs and knowledge of cardiovascular-related disease among uninsured primary care patients: A cross-sectional study." Chronic Illness 15, no. 1 (2017): 41–50. http://dx.doi.org/10.1177/1742395317746469.

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Objective The purpose of this study was to examine cardiovascular disease-related health beliefs and how they are influenced by knowledge and a sense of community among uninsured primary care patients. Method This study was a cross-sectional study using a self-administered paper survey (January to April 2016). The study population included medically uninsured US-born English speakers, non-US-born English speakers, and Spanish speakers. Results Medically uninsured adults utilizing a free clinic (N = 374) participated in the survey. Increasing knowledge about major risk factors for developing ca

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16

Allen, Heidi, Bill Wright, and Lauren Broffman. "The Impacts of Medicaid Expansion on Rural Low-Income Adults: Lessons From the Oregon Health Insurance Experiment." Medical Care Research and Review 75, no. 3 (2017): 354–83. http://dx.doi.org/10.1177/1077558716688793.

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Medicaid expansions through the Affordable Care Act began in January 2014, but we have little information about what is happening in rural areas where provider access and patient resources might be more limited. In 2008, Oregon held a lottery for restricted access to its Medicaid program for uninsured low-income adults not otherwise eligible for public coverage. The Oregon Health Insurance Experiment used this opportunity to conduct the first randomized controlled study of a public insurance expansion. This analysis builds off of previous work by comparing rural and urban survey outcomes and a

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17

Masterson, Eileen, Priyanka Patel, Yen-Hong Kuo, and Charles K. Francis. "Quality of Cardiovascular Care in an Internal Medicine Resident Clinic." Journal of Graduate Medical Education 2, no. 3 (2010): 467–73. http://dx.doi.org/10.4300/jgme-d-10-00030.1.

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Abstract Background Attainment of treatment goals derived from evidence-based practice guidelines can be a useful measure of the quality of cardiovascular care. To date, there are few studies of the quality of care provided in a resident continuity clinic, as measured by success in meeting nationally defined guidelines for control of cardiovascular risk factors. There also is limited information regarding the quality of care in resident continuity clinics serving multiethnic uninsured/underinsured populations. This study assessed the efficacy of residents in internal medicine in attaining evid

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18

Davidow, Amy L., Pauline Thomas, Soyeon Kim, Marian Passannante, Stella Tsai, and Christina Tan. "Access to Care in the Wake of Hurricane Sandy, New Jersey, 2012." Disaster Medicine and Public Health Preparedness 10, no. 3 (2016): 485–91. http://dx.doi.org/10.1017/dmp.2016.79.

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AbstractObjectiveEvacuation and damage following a widespread natural disaster may affect short-term access to medical care. We estimated medical care needs in New Jersey following Hurricane Sandy in 2012.MethodsHurricane Sandy-related questions regarding medical needs included in the Behavioral Risk Factor Surveillance System survey were administered to survey respondents living in New Jersey when Sandy occurred.ResultsRecently arrived foreign-born residents were more likely than US-born residents to need medical care following Sandy. Others with greater medical needs included the uninsured a

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19

Lin, Shen (Lamson). "Inequities in Access: The Impact of a Segmented Health Insurance System on Physician Visits and Hospital Admissions Among Older Adults in the 2014 China Family Panel Studies." International Journal of Health Services 50, no. 2 (2019): 184–98. http://dx.doi.org/10.1177/0020731419867529.

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The fragmentation of job-based and community-based insurance plans inevitably undermines health care accessibility in China’s market-oriented health system, especially for uninsured and rural residents. Based on the 2014 China Family Panel Studies, this secondary data analysis examined whether socioeconomic indicators, health-related determinants, and particularly social health insurance status affect physician visits in the past 2 weeks and hospital admissions in the past 12 months among a representative sample of older adults (n = 6,570). Grounded in Andersen’s behavioral framework, 2 series

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20

Holl, Jane L., Andrew W. Dick, Laura Pollard Shone, et al. "A Profile of the Population Enrolled in New York State's Child Health Plus." Pediatrics 105, Supplement_E1 (2000): 706–10. http://dx.doi.org/10.1542/peds.105.se1.706.

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Background. The recently enacted State Children's Health Insurance Program (SCHIP), designed to provide affordable health insurance for uninsured children, was modeled in part on New York State's Child Health Plus (CHPlus), which was implemented in 1991. All SCHIP programs involve voluntary enrollment of eligible children. Little is known about characteristics of children who enroll in these programs. Objectives. To provide a profile of children enrolled in CHPlus between 1993 and 1994 in the 6-county upstate New York study area, and to estimate the participation rate in CHPlus. Methods. A par

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21

Damilola, Osamika, Yeboah Forkuo Adelaide, Yetunde Mustapha Ashiata, Chinonso Chianumba Ernest, and Saturday Komi Leesi. "Advances in Public-Private Partnerships for Expanding Telehealth Services to Medicaid and Uninsured Populations in the U.S." Engineering and Technology Journal 10, no. 05 (2025): 4865–91. https://doi.org/10.5281/zenodo.15349906.

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Expanding equitable access to healthcare for Medicaid beneficiaries and uninsured populations remains a critical public health challenge in the United States. Telehealth has emerged as a promising solution to bridge gaps in care delivery, yet its expansion is often hindered by regulatory, financial, and infrastructural barriers. This paper explores recent advances in public-private partnerships (PPPs) as strategic mechanisms to accelerate the deployment of telehealth services among Medicaid and uninsured populations. By combining public sector oversight and funding with private sector innovati

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22

Osmani, Ahmad Reshad. "Unequal Gains? A Literature Review on the Affordable Care Act’s Effects on Healthcare Utilization Across Racial and Ethnic Groups." International Journal of Environmental Research and Public Health 22, no. 7 (2025): 1059. https://doi.org/10.3390/ijerph22071059.

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The Affordable Care Act (ACA), implemented in 2010, aimed to expand healthcare access, reduce costs, and address long-standing disparities in the U.S. healthcare system, particularly among racial and ethnic minorities. This paper reviews the ACA’s impact on healthcare utilization for these populations, with a focus on insurance coverage, preventive services, and health outcomes. While Medicaid expansion significantly reduced uninsured rates and increased access to care in states that adopted the expansion, millions of low-income individuals, many of whom are racial and ethnic minorities, remai

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23

Patel, Rahul, Marie Vu, Jessica Wong, and John Browning. "25925 Travel burden for free dermatologic care in uninsured and homeless populations." Journal of the American Academy of Dermatology 85, no. 3 (2021): AB75. http://dx.doi.org/10.1016/j.jaad.2021.06.327.

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24

Higbea, Raymond J., Charles H. Palumbo, Samantha A. Pearl, Mary Jo Byrne, and Jill Wise. "Dentists’ Partnership Of Michigan’s Calhoun County: A Care Model For Uninsured Populations." Health Affairs 32, no. 9 (2013): 1646–51. http://dx.doi.org/10.1377/hlthaff.2013.0159.

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25

Rowland, Diane, and Barbara Lyons. "Medicaid's Role in Health Reform and Closing the Coverage Gap." Journal of Law, Medicine & Ethics 44, no. 4 (2016): 580–84. http://dx.doi.org/10.1177/1073110516684790.

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Medicaid coverage matters for millions of low-income Americans, and especially for those with ongoing and serious health challenges. A source of comprehensive and affordable coverage, Medicaid has long been a cornerstone of federal and state efforts to improve access and health outcomes for very poor and medically vulnerable populations. The Affordable Care Act (ACA) leveraged Medicaid's role in serving the poor to broaden the program's reach to millions of low-income uninsured adults, and positioned the program as a fundamental component of the newly established continuum of public and privat

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26

Jones, Trahern Wallace, Cinthya N. De La Cruz, Adam Spivak, and Susana Keeshin. "1274. The PrEP Care Continuum Among an Uninsured Patient Population." Open Forum Infectious Diseases 6, Supplement_2 (2019): S458—S459. http://dx.doi.org/10.1093/ofid/ofz360.1137.

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Abstract Background Despite the clear preventive benefits of HIV Pre-Exposure Prophylaxis (PrEP), uptake among populations at highest risk of HIV acquisition has been limited by lack of health insurance and access to care. In March 2018 we opened a free PrEP clinic for those without insurance. We provide HIV prevention services, following the CDC guidelines, with PrEP case manager navigation, medical management, and medication for at-risk individuals free of charge. Methods Half-day clinics were organized on a twice-monthly basis with supervision provided by two infectious disease specialists

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27

Kamimura, Akiko, Samin Panahi, Zobayer Ahmmad, Mu Pye, and Jeanie Ashby. "Transportation and Other Nonfinancial Barriers Among Uninsured Primary Care Patients." Health Services Research and Managerial Epidemiology 5 (January 1, 2018): 233339281774968. http://dx.doi.org/10.1177/2333392817749681.

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Introduction: Nonfinancial barriers are frequent causes of unmet need in health-care services. The significance of transportation barriers can weigh more than the issues of access to care. The purpose of this cross-sectional study was to examine transportation and other nonfinancial barriers among low-income uninsured patients of a safety net health-care facility (free clinic). Methods: The survey data were collected from patients aged 18 years and older who spoke English or Spanish at a free clinic, which served uninsured individuals in poverty in the United States. Results: Levels of transpo

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Maulana, Nirwan, Prastuti Soewondo, Nadhila Adani, Paulina Limasalle, and Anooj Pattnaik. "How Jaminan Kesehatan Nasional (JKN) coverage influences out-of-pocket (OOP) payments by vulnerable populations in Indonesia." PLOS Global Public Health 2, no. 7 (2022): e0000203. http://dx.doi.org/10.1371/journal.pgph.0000203.

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While Indonesia introduced a national health insurance scheme (JKN) in 2014 and coverage has grown to over 80% of the population, Indonesians still spend significant sums out-of-pocket (OOP) for their healthcare–over 30% of current health expenditure (CHE). This study aims to better understand how JKN is influencing OOP payments, especially among the poor and rural, at the range of health facilities. This study uses data from the National Socio-Economic Survey (SUSENAS) in 2018 and 2019, as these surveys started including a question on how much OOP spending a household incurs on health. The re

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Shokar, Navkiran K., Jessica Calderón-Mora, Rebekah Salaiz, et al. "Implementation and Evaluation of a Large Community-Based Colorectal Cancer Screening Program." Journal of Public Health Management & Practice 30, no. 3 (2024): E143—E153. http://dx.doi.org/10.1097/phh.0000000000001864.

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Context: Colorectal cancer (CRC) screening can significantly reduce incidence and mortality; however, screening rates are suboptimal. The lowest rates are among those with no usual source of care and the uninsured. Objective: We describe the implementation and evaluation of a community-based CRC screening program from 2012 to 2015 designed to increase screening within a predominantly Hispanic US-Mexico border population. Methods: The multicomponent, evidence-based program provided in-person, bilingual, culturally tailored health education facilitated by community health workers, no-cost primar

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Liang, Bryan. "Crisis on Campus: Student Access to Health Care." University of Michigan Journal of Law Reform, no. 43.3 (2010): 617. http://dx.doi.org/10.36646/mjlr.43.3.crisis.

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College-aged adults are an overrepresented group in the uninsured population of the United States, and traditionally underserved minorities are disproportionately affected. Students with private health insurance are often functionally uninsured as well, since most schools refuse to accept this traditionally elite calling card on campus. Consequently, the large uninsured and functionally uninsured populations often rely on school-sponsored health insurance plans for access to care. These plans have uneven coverage, limited benefits, exclusions and high co-pays and deductibles, and provide littl

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McCahill, Laurence E., Jamie Kokko, Alan T. Davis, Wendy K. Taylor, Coralyn Martinez, and Mary May. "Coordination and timeliness of care by insurance status in a gastrointestinal (GI) multidisciplinary care (MDC) program." Journal of Clinical Oncology 30, no. 34_suppl (2012): 272. http://dx.doi.org/10.1200/jco.2012.30.34_suppl.272.

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272 Background: Patients with newly diagnosed GI cancers require diagnostic studies and evaluations by physicians that may delay initiation of cancer care. Uninsured populations are particularly vulnerable. A Nurse Navigator (NN) can help decrease barriers and improve timeliness of care. This study aims to compare timeliness of cancer care received by patients referred to a GI MDC Program by the patient’s insurance status at the time of referral. Methods: Patients referred to the GI MDC are assigned a NN who evaluates medical history, diagnostic studies, and coordinates further testing and phy

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32

Chen, Zhaoyi, Jae Min, Jiang Bian, Mo Wang, Le Zhou, and Mattia Prosperi. "Risk of health morbidity for the uninsured: 10-year evidence from a large hospital center in Boston, Massachusetts." International Journal for Quality in Health Care 31, no. 5 (2018): 325–30. http://dx.doi.org/10.1093/intqhc/mzy175.

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AbstractObjectiveTo investigate the independent contribution of insurance status toward the risk of diagnosis of specific clinical comorbidities for individuals admitted to intensive care unit (ICU).DesignRetrospective analysis of secondary database.SettingTen years of public de-identified ICU electronic medical records from a large hospital in USA.ParticipantsPatients (18–65 years old) who had private insurance or no insurance were extracted from the database.Main outcome measuresIndependent association of insurance status (uninsured vs. privately insured) with the risk of diagnosis of specif

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Elson, Leah, Nadeem Bilani, Elizabeth Blessing Elimimian, and Zeina A. Nahleh. "Has Medicaid expansion improved access to care among socioeconomically disadvantaged breast cancer patients? An NCDB analysis." Journal of Clinical Oncology 38, no. 15_suppl (2020): e19003-e19003. http://dx.doi.org/10.1200/jco.2020.38.15_suppl.e19003.

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e19003 Background: For socioeconomically disadvantaged individuals without insurance, expenses related to diagnosis and management of chronic conditions, such as cancer, may be too costly to afford. This contributes to diagnoses made at later stages of disease, and inadequate treatment compliance. These factors are reported to lead to unfavorable clinical outcomes and higher mortality risk, historically making uninsured/Medicaid-ineligible patients an especially vulnerable group. With recent Affordable Care Act-related Medicaid expansion, state adoption allows new access to coverage for indivi

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Vallabhajosyula, Saraschandra, Vinayak Kumar, Pranathi R. Sundaragiri, et al. "Influence of primary payer status on the management and outcomes of ST-segment elevation myocardial infarction in the United States." PLOS ONE 15, no. 12 (2020): e0243810. http://dx.doi.org/10.1371/journal.pone.0243810.

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Background There are limited contemporary data on the influence of primary payer status on the management and outcomes of ST-segment elevation myocardial infarction (STEMI). Objective To assess the influence of insurance status on STEMI outcomes. Methods Adult (>18 years) STEMI admissions were identified using the National Inpatient Sample database (2000–2017). Expected primary payer was classified into Medicare, Medicaid, private, uninsured and others. Outcomes of interest included in-hospital mortality, use of coronary angiography and percutaneous coronary intervention (PCI), hospitalizat

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Naylor, Keith B., Cassandra D. Fritz, and Karen E. Kim. "313 Comparing Screening Colonoscopy Quality Measures in Navigated Uninsured and Insured Patient Populations." Gastroenterology 146, no. 5 (2014): S—70. http://dx.doi.org/10.1016/s0016-5085(14)60254-7.

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Gruber, Kenneth J., Kelly Jay Poole, Kelly N. Graves, and Antonia Monk Richburg. "Addressing treatment capacity of uninsured adults with co-occurring disorders." Advances in Dual Diagnosis 13, no. 3 (2020): 111–21. http://dx.doi.org/10.1108/add-04-2020-0003.

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Purpose The purpose of this paper is to report on the success of an initiative involving the transformation of a group of small substance use treatment only or mental health treatment only provider agencies serving uninsured adults into providers of co-occurring disorder treatment. Design/methodology/approach The paper uses a case study narrative to describe the initiative and the transformation of the participant agencies from being providers of mental health or substance use treatment to providers of co-occurring disorders. Findings Six agencies serving uninsured adults expanded their scope

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Jemal, Ahmedin, Chun Chieh Lin, Amy J. Davidoff, and Xuesong Han. "Changes in Insurance Coverage and Stage at Diagnosis Among Nonelderly Patients With Cancer After the Affordable Care Act." Journal of Clinical Oncology 35, no. 35 (2017): 3906–15. http://dx.doi.org/10.1200/jco.2017.73.7817.

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Purpose To examine change in the percent uninsured and early-stage diagnosis among nonelderly patients with newly diagnosed cancer after the Affordable Care Act (ACA). Patients and Methods By using the National Cancer Data Base, we estimated absolute change (APC) and relative change in percent uninsured among patients with newly diagnosed cancer age 18 to 64 years between 2011 to the third quarter of 2013 (pre-ACA implementation) and the second to fourth quarter of 2014 (post-ACA) in Medicaid expansion and nonexpansion states by family income level. We also examined demographics-adjusted diffe

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Hulsebos, Ian F., Maxwell B. Johnson, Leigh J. Spera, Elise M. Hulsebos, Haig A. Yenikomshian, and Justin Gillenwater. "6 Burn Patient Insurance Status Influences Hospital Discharge Disposition Locations." Journal of Burn Care & Research 42, Supplement_1 (2021): S10. http://dx.doi.org/10.1093/jbcr/irab032.011.

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Abstract Introduction Post-discharge services, such as outpatient wound care, may affect long term health outcomes and post-recovery quality of life. Access to these services may vary according to insurance status and ability to withstand out-of-pocket expenses. Our objective was to compare discharge location between burn patients who were uninsured, publicly insured, or privately insured at the time of their burn unit admissions. We hypothesized that uninsured patients were more likely to be discharged to locations with fewer wound care resources. Methods A retrospective review from July 1, 2

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Dinehart, Claire, Samin Panahi, and Akiko Kamimura. "Household environmental safety and perceived stress among uninsured free clinic patients." International Journal of Emerging Trends in Health Sciences 5, no. 3 (2021): 53–59. http://dx.doi.org/10.18844/ijeths.v5i3.7155.

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The purpose of this research project is to examine the association between household environmental safety and stress among uninsured primary care patients who live in poverty. Data were collected from patients of a free clinic using a self-administered survey in Fall 2019. A total of 559 patients participated in the survey. Higher levels of concern regarding environmental issues at home are associated with higher levels of perceived stress. The following demographic characteristics were associated with higher levels of concern regarding household environmental safety issues— higher educational

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Wetta-Hall, Ruth, Mark Berry, Elizabeth Ablah, Jacki M. Gillispie, and Linda K. Stepp-Cornelius. "Community Case Management: A Strategy to Improve Access to Medical Care in Uninsured Populations." Care Management Journals 5, no. 2 (2004): 87–93. http://dx.doi.org/10.1891/cmaj.5.2.87.66280.

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Case management is a rapidly growing strategy to help vulnerable populations access the health care they need in a fragmented U.S. service delivery system. A number of lessons can be learned from the successes and challenges of a developing, hospital-based, community-focused case management group in Sedgwick County, Kansas. The Community Case Management program has a case management team based at each of four hospitals. Each team has a social worker and a nurse, whose main goal is to help the uninsured find a primary health care home. This dynamic combination has several benefits. Each team me

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Castañeda, Heide, and James Arango. "Health Concerns for Mexican Migrants in Central Florida: Collaborations with the Sending State via Mobile Consulates and Hometown Associations." Practicing Anthropology 36, no. 3 (2014): 43–47. http://dx.doi.org/10.17730/praa.36.3.x5224pv864980448.

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Contemporary debates on health and immigration reform often display a lack of understanding of how limited health care access can aggravate problems and contribute to major disparities. The Affordable Care Act (ACA) of 2010, designed to ensure broader health insurance coverage for populations across the United States, is likely to actually reduce access to care for many immigrants by isolating them from the general, formerly uninsured, population (Arredondo et al. 2012; Bustamante et al. 2012; Zuckerman, Waidmann, and Lawton 2011). These changes will become increasingly relevant to practicing

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Wenzel, L., D. Chase, J. Hawk, K. Osann, and K. Tewari. "Predictors of compliance in colposcopy clinic follow-up among the uninsured." Journal of Clinical Oncology 27, no. 15_suppl (2009): e20511-e20511. http://dx.doi.org/10.1200/jco.2009.27.15_suppl.e20511.

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e20511 Background: Despite successful screening programs for cervical cancer, ethnic disparities persist. The no-show rate for follow-up appointments after HPV-related abnormal pap smears approximates 50% in high risk populations. We sought to identify factors that may influence follow-up compliance in a multi-ethnic, low income population at risk for cervical cancer. Methods: A longitudinal cohort study was conducted by chart review for all patients identified as having had a colposcopy exam for HPV-associated cervical dysplasia at a southern California inner city clinic from 2006 to 2007. Co

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Iyer, Sharat Parameswaran, Andrea Jones, Efrain Talamantes, et al. "Improving Health Care for the Future Uninsured in Los Angeles County: A Community Partnered Dialogue." Ethnicity & Disease 25, no. 4 (2015): 487. http://dx.doi.org/10.18865/ed.25.4.487.

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<p class="Pa7"><strong>Objectives: </strong>To understand the health care access issues faced by Los Angeles (LA) County’s uninsured and residually uninsured after implementation of the Affordable Care Act (ACA) and to identify potential solutions using a community-partnered dialogue.</p><p class="Pa7"><strong>Design: </strong>Qualitative study using a community-partnered participatory research framework.</p><p class="Pa7"><strong>Setting: </strong>Community forum breakout discussion.</p><p class="Pa7"><stron

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Kamimura, Akiko, Bethany Gull, Shannon Weaver, Lindsey Wright, Jeanie Ashby, and Lea E. Erickson. "Association Between Health-Related Beliefs and Oral Health Behaviors Among Uninsured Primary Care Patients." Journal of Primary Care & Community Health 8, no. 3 (2016): 115–21. http://dx.doi.org/10.1177/2150131916680887.

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Introduction: The collaborations between dental care providers and other health care providers are especially needed for underserved populations. There is a deficit of research focused on underserved populations who utilize a safety net facility such as a free clinic in the United States. The purpose of this study is to examine the association between health-related beliefs and oral health behaviors among uninsured adults utilizing a primary care free clinic providing oral health care. Methods: Uninsured primary care patients utilizing a free clinic (N = 585) participated in a self-administere

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Englum, Brian R., Xuan Hui, Cheryl K. Zogg, et al. "Association between Insurance Status and Hospital Length of Stay following Trauma." American Surgeon 82, no. 3 (2016): 281–88. http://dx.doi.org/10.1177/000313481608200324.

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Previous research has demonstrated that nonclinical factors are associated with differences in clinical care, with uninsured patients receiving decreased resource use. Studies on trauma populations have also shown unclear relationships between insurance status and hospital length of stay (LOS), a commonly used metric for evaluating quality of care. The objective of this study is to define the relationship between insurance status and LOS after trauma using the largest available national trauma dataset and controlling for significant confounders. Data from 2007 to 2010 National Trauma Data Bank

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Johnson, Jeremiah, Asa Radix, Raniyah Copeland, and Guillermo Chacón. "Building Racial and Gender Equity into a National PrEP Access Program." Journal of Law, Medicine & Ethics 50, S1 (2022): 55–59. http://dx.doi.org/10.1017/jme.2022.37.

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AbstractTransgender and gender diverse (TGD), Black, and Latinx communities have long borne a disproportionate share of the U.S. HIV epidemic, yet these same key demographics are continually underrepresented in national PrEP prescriptions. Black, Latinx, and TGD individuals are also more likely to be uninsured, meaning that a proposed federal program to cover PrEP for people without insurance could provide significant benefit to potential PrEP users from these populations. However, coverage of PrEP costs alone will not end disparities in uptake. This commentary provides additional context and

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Henry, Olivia, Alexandra Brito, Marguerite Cooper Lloyd, Robert Miller, Eleanor Weaver, and Raghu Upender. "A Model for Sleep Apnea Management in Underserved Patient Populations." Journal of Primary Care & Community Health 13 (January 2022): 215013192110689. http://dx.doi.org/10.1177/21501319211068969.

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Introduction: Obstructive sleep apnea (OSA) is a common condition in the United States that is strongly linked to metabolic disease, cardiovascular disease, and increased mortality. Uninsured populations experience sleep health disparities, including delayed recognition, diagnosis, and treatment of OSA due to barriers accessing and affording care. Partnerships between primary care clinics and sleep medicine specialists for sleep apnea management have the potential to increase screening, testing, and treatment among underserved populations. Here, we present an integrated and cost-effective mode

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Harrell, Sharon Nicholson, Marguerite Ro, and Lisa Gaarde Hartsock. "Improving Access to Oral Health Services Among Uninsured and Underserved Populations: FirstHealth Dental Care Centers." American Journal of Public Health 107, S1 (2017): S48—S49. http://dx.doi.org/10.2105/ajph.2017.303773.

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van der Steen, Alex, Amy B. Knudsen, Frank van Hees, et al. "Optimal Colorectal Cancer Screening in States' Low-Income, Uninsured Populations-The Case of South Carolina." Health Services Research 50, no. 3 (2014): 768–89. http://dx.doi.org/10.1111/1475-6773.12246.

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Panahi, Samin, Brenda Spearman, Justine Sundrud, Mason Lunceford, and Akiko Kamimura. "The Impact of Patient Autonomy Among Uninsured Free Clinic Patients." Journal of Patient Experience 10 (January 2023): 237437352311790. http://dx.doi.org/10.1177/23743735231179041.

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Uninsured primary care patients tend to experience barriers to autonomy in clinical decision-making due to limited choices of healthcare facilities and low health literacy. This study examined whether certain factors, including the component of patient-centeredness, are associated with patient autonomy among these populations and contribute to reducing disparities in healthcare. This was a cross-sectional study using a convenience sample of free clinic patients aged 18 years and older who spoke English and/or Spanish. Multiple regression analyses were performed to understand factors associated

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