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Assessing Disparities in Healthcare Utilization after Affordable Care Act Medicaid Expansions

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서명/저자사항Assessing Disparities in Healthcare Utilization after Affordable Care Act Medicaid Expansions.
개인저자Angier, Heather.
단체저자명The University of Wisconsin - Madison. Clinical Investigation - MED.
발행사항[S.l.]: The University of Wisconsin - Madison., 2018.
발행사항Ann Arbor: ProQuest Dissertations & Theses, 2018.
형태사항90 p.
기본자료 저록Dissertations Abstracts International 81-02A.
Dissertation Abstract International
ISBN9781085559744
학위논문주기Thesis (Ph.D.)--The University of Wisconsin - Madison, 2018.
일반주기 Source: Dissertations Abstracts International, Volume: 81-02, Section: A.
Advisor: Jacobs, Elizabeth .
이용제한사항This item must not be sold to any third party vendors.This item must not be added to any third party search indexes.
요약Objective: To assess changes in health insurance coverage and healthcare utilization on racial/ethnic minorities compared to their white equivalents before and after the Affordable Care Act (ACA) Medicaid eligibility expansion.Methods: Difference-in-difference-in-difference analysis of electronic health record data from community health centers (CHCs) in 10 Medicaid expansion states 6 non-expansion states. We examined pre-post difference of racial/ethnic disparities in health insurance among: 1) all patients, and 2) patients with diabetes in states that chose to expand compared to those that did not. We also assessed differences in healthcare utilization among patients with diabetes. Lastly, we searched the literature to understand how community-level social determinants of health (SDH) are used in primary care to address healthcare disparities.Results: In expansion states, uninsured visits for non-Hispanic white patients had twice the magnitude of decrease compared to uninsured visits for Hispanic patients
일반주제명Health sciences.
Law.
Health care management.
언어영어
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