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Impact of the affordable care act on utilization of benefits of eye care and primary care examinations
- Source :
- PLoS ONE, PLoS ONE, Vol 15, Iss 11, p e0241475 (2020)
- Publication Year :
- 2020
-
Abstract
- PurposeTo determine the impact of the Affordable Care Act (ACA) on utilization of benefits of both eye care and primary care examinations in individuals who did not have health insurance prior to the ACA.MethodsPatients examined in an urban eye clinic from 2017 to 2018 were invited to participate. Patients were classified into two groups: Insured Group, who had health insurance before and after the ACA; The ACA Group, who had insurance only after the ACA. Patients were surveyed on how often they were examined by their eye care and primary care physicians before and after the ACA. The care utilization frequency was categorized into 3 levels: Frequent Care Use, Rare Care Use, and Never. To test the utilization of benefits frequency difference between two groups, the z-ratio was calculated.ResultsA total of 4,355 patients were enrolled with 87.1% in the Insured Group and 12.9% in the ACA Group. After the ACA implementation, the percentage of "Frequent Care Use" of the eye care and primary care in the ACA Group patients significantly increased from 31.2% and 53.7% to 57.9% and 74.9%, respectively (PConclusionThe ACA significantly improved utilization of benefits of eye care and primary care for individuals in the ACA Group. Although improved, those patients who received health insurance through the ACA still had lower utilization of benefits than those in the Insured Group.
- Subjects :
- Male
Economics
Vision
Social Sciences
Care utilization
0302 clinical medicine
Patient Protection and Affordable Care Act
Medicine and Health Sciences
Medicine
Ethnicities
Psychology
Quality of Care
030212 general & internal medicine
Young adult
skin and connective tissue diseases
African American people
Multidisciplinary
food and beverages
Middle Aged
Female
Sensory Perception
Anatomy
Research Article
medicine.medical_specialty
Patients
Science
MEDLINE
Primary care
Eye care
03 medical and health sciences
Health Economics
Ocular System
Health insurance
Humans
Adults
Primary Care
Aged
Primary Health Care
business.industry
Cognitive Psychology
Biology and Life Sciences
Frequency difference
eye diseases
Health Care
Young Adults
stomatognathic diseases
Ophthalmology
Age Groups
Family medicine
People and Places
030221 ophthalmology & optometry
Eyes
Cognitive Science
Population Groupings
Perception
business
Head
Health Insurance
Neuroscience
Subjects
Details
- ISSN :
- 19326203
- Volume :
- 15
- Issue :
- 11
- Database :
- OpenAIRE
- Journal :
- PloS one
- Accession number :
- edsair.doi.dedup.....5db0107596c9322eb0ab8ed9b1e08507