Protocol for the analysis of a natural experiment on the impact of the Affordable Care Act on diabetes care in community health centers
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- 作者：Nathalie Huguet ; Heather Angier ; Miguel Marino ; K. John McConnell…
- 关键词：Affordable Care Act ; Diabetes ; Natural experiment ; Community health center
- 刊名：Implementation Science
- 出版年：2017
- 出版时间：December 2017
- 年：2017
- 卷：12
- 期：1
- 全文大小：565KB
- 刊物主题：Health Promotion and Disease Prevention; Health Administration; Health Informatics; Public Health;
- 出版者：BioMed Central
- ISSN：1748-5908
- 卷排序：12
文摘
BackgroundIt is hypothesized that Affordable Care Act (ACA) Medicaid expansions could substantially improve access to health insurance and healthcare services for patients at risk for diabetes mellitus (DM), with pre-DM, or already diagnosed with DM. The ACA called for every state to expand Medicaid coverage by 2014. In a 2012 legal challenge, the US Supreme Court ruled that states were not required to implement Medicaid expansions. This 'natural experiment' presents a unique opportunity to learn whether and to what extent Medicaid expansion can affect healthcare access and services for patients with DM risk, pre-DM, or DM.