wow-inequalities/02-data/intermediate/wos_sample/8b8dc5f823fe8e430e0800fb075f8f34-barker-abigail-r.-a/info.yaml

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2023-09-28 14:46:10 +00:00
abstract: 'Objective To add to the evidence base on causal linkages between health
insurance coverage and health status, controlling for sociodemographic
factors, by analyzing longitudinal data. Data Source Secondary data from
the Panel Study of Income Dynamics (PSID), 2009-17, which is a
longitudinal, multigenerational study covering a wide array of
socioeconomic topics that began in 1968 but has only recently begun
collecting useful information on individual health insurance. Study
Design 2017 data on self-reported health status, work limitations, and
death were analyzed as outcomes based upon the degree of exposure to
health insurance in 2011-17. All variables were collected biannually for
four years beginning in 2011. Having health insurance at each point in
time was, in turn, modeled as a function of several sociodemographic
factors. Data Extraction Methods Data were downloaded using the
crosswalk tool available at the PSID website. Because individual health
insurance questions were only asked of heads and spouses in households
beginning in 2011, we analyzed only these records. Principal Findings
Among respondents who were not in fair or poor health in 2009, each
additional 2 years of subsequent reported insurance coverage reduced the
chance of reporting fair or poor health in 2017 by 10 percent; however,
this effect was not present for black respondents. Conclusions Our
results suggest that the effect of health insurance on health status may
compound over time, although unevenly by race. Since people who report
fair or poor health status represent the bulk of utilization and
spending, our findings provide evidence in support of viewing coverage
expansions as investments that will pay dividends in the form of lower
utilization over time. More work is needed to produce detailed estimates
of cost savings, which may in turn influence policy, as well as to
understand and address the source of racial disparity.'
affiliation: 'Barker, AR (Corresponding Author), Washington Univ St Louis, Brown Sch,
1 Brookings Dr,Campus Box 1196, St Louis, MO 63130 USA.
Barker, Abigail R.; Li, Linda, Washington Univ St Louis, Brown Sch, 1 Brookings
Dr,Campus Box 1196, St Louis, MO 63130 USA.'
author: Barker, Abigail R. and Li, Linda
author-email: arbarker@wustl.edu
author_list:
- family: Barker
given: Abigail R.
- family: Li
given: Linda
da: '2023-09-28'
doi: 10.1111/1475-6773.13325
earlyaccessdate: JUL 2020
eissn: 1475-6773
files: []
issn: 0017-9124
journal: HEALTH SERVICES RESEARCH
keywords: 'health care costs; health insurance; health status; Medicaid; Medicare;
race factors'
keywords-plus: MEDICAID; ADULTS
language: English
month: OCT
number: 2, SI
number-of-cited-references: '21'
orcid-numbers: 'Li, Linda/0000-0003-0996-7763
Barker, Abigail/0000-0002-0826-5156'
pages: 815-822
papis_id: 3cdc78abbfeefbff61d01dc317411728
ref: Barker2020cumulativeimpact
times-cited: '9'
title: The cumulative impact of health insurance on health status
2023-10-01 08:15:07 +00:00
type: article
2023-09-28 14:46:10 +00:00
unique-id: WOS:000551061100001
usage-count-last-180-days: '0'
usage-count-since-2013: '12'
volume: '55'
web-of-science-categories: Health Care Sciences \& Services; Health Policy \& Services
year: '2020'