{"id":"https://openalex.org/W182096047","doi":null,"title":"Churn, churn, churn: how instability of health insurance shapes America's uninsured problem.","display_name":"Churn, churn, churn: how instability of health insurance shapes America's uninsured problem.","publication_year":2003,"publication_date":"2003-11-01","ids":{"openalex":"https://openalex.org/W182096047","mag":"182096047","pmid":"https://pubmed.ncbi.nlm.nih.gov/14621666"},"language":"en","primary_location":{"id":"pmid:14621666","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/14621666","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Issue brief (Commonwealth Fund)","raw_type":"Journal Article"},"volume":null,"type":"article","indexed_in":["pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5103365879","display_name":"Pamela Farley Short","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I130769515","display_name":"Pennsylvania State University","ror":"https://ror.org/04p491231","country_code":"US","type":"education","lineage":["https://openalex.org/I130769515"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Pamela Farley Short","raw_affiliation_strings":["Pennsylvania State University, USA. pamshort@psu.edu"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Pennsylvania State University, USA. pamshort@psu.edu","institution_ids":["https://openalex.org/I130769515"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5037399024","display_name":"Deborah Roempke Graefe","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Deborah R Graefe","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"last","author":{"id":"https://openalex.org/A5112180694","display_name":"Cathy Schoen","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Cathy Schoen","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":13.6247,"has_fulltext":false,"cited_by_count":71,"citation_normalized_percentile":{"value":0.98378844,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":89,"max":99},"biblio":{"volume":null,"issue":"688","first_page":"1","last_page":"16"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":0.9990000128746033,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":0.9990000128746033,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T11531","display_name":"Healthcare Systems and Reforms","score":0.0006000000284984708,"subfield":{"id":"https://openalex.org/subfields/2003","display_name":"Finance"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10235","display_name":"Health disparities and outcomes","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/3306","display_name":"Health"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/health-insurance-coverage","display_name":"health insurance coverage","score":0.843999981880188},{"id":"https://openalex.org/keywords/uninsured-population","display_name":"uninsured population","score":0.7250000238418579},{"id":"https://openalex.org/keywords/churning","display_name":"churning","score":0.5600000023841858},{"id":"https://openalex.org/keywords/low-income-americans","display_name":"low-income Americans","score":0.7850000262260437},{"id":"https://openalex.org/keywords/racial-and-ethnic-minorities","display_name":"racial and ethnic minorities","score":0.8999999761581421},{"id":"https://openalex.org/keywords/young-adults","display_name":"young adults","score":0.9670000076293945},{"id":"https://openalex.org/keywords/health-insurance-enrollment","display_name":"health insurance enrollment","score":0.3499999940395355}],"concepts":[{"id":"https://openalex.org/C2983635472","wikidata":"https://www.wikidata.org/wiki/Q334911","display_name":"Health insurance","level":3,"score":0.5226656794548035},{"id":"https://openalex.org/C28719098","wikidata":"https://www.wikidata.org/wiki/Q44946","display_name":"Point (geometry)","level":2,"score":0.4835914969444275},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.4831763803958893},{"id":"https://openalex.org/C2778714722","wikidata":"https://www.wikidata.org/wiki/Q7883705","display_name":"Underinsured","level":4,"score":0.4599460959434509},{"id":"https://openalex.org/C149923435","wikidata":"https://www.wikidata.org/wiki/Q37732","display_name":"Demography","level":1,"score":0.44405123591423035},{"id":"https://openalex.org/C2777766161","wikidata":"https://www.wikidata.org/wiki/Q5195069","display_name":"Current Population Survey","level":3,"score":0.4269181191921234},{"id":"https://openalex.org/C190812933","wikidata":"https://www.wikidata.org/wiki/Q28923","display_name":"Chart","level":2,"score":0.4119882881641388},{"id":"https://openalex.org/C162118730","wikidata":"https://www.wikidata.org/wiki/Q1128453","display_name":"Actuarial science","level":1,"score":0.4075056314468384},{"id":"https://openalex.org/C4249254","wikidata":"https://www.wikidata.org/wiki/Q3044431","display_name":"Demographic economics","level":1,"score":0.3914795517921448},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.37125706672668457},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.3609515428543091},{"id":"https://openalex.org/C205649164","wikidata":"https://www.wikidata.org/wiki/Q1071","display_name":"Geography","level":0,"score":0.3487592935562134},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.27328962087631226},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.20297697186470032},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.19117027521133423},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.17990213632583618},{"id":"https://openalex.org/C105795698","wikidata":"https://www.wikidata.org/wiki/Q12483","display_name":"Statistics","level":1,"score":0.1240009069442749},{"id":"https://openalex.org/C144024400","wikidata":"https://www.wikidata.org/wiki/Q21201","display_name":"Sociology","level":0,"score":0.11225587129592896},{"id":"https://openalex.org/C2524010","wikidata":"https://www.wikidata.org/wiki/Q8087","display_name":"Geometry","level":1,"score":0.0},{"id":"https://openalex.org/C33923547","wikidata":"https://www.wikidata.org/wiki/Q395","display_name":"Mathematics","level":0,"score":0.0}],"mesh":[{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D002648","descriptor_name":"Child","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D002662","descriptor_name":"Child Health Services","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D005006","descriptor_name":"Ethnicity","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D006264","descriptor_name":"Health Benefit Plans, Employee","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007182","descriptor_name":"Income","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007348","descriptor_name":"Insurance, Health","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008484","descriptor_name":"Medicaid","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D011203","descriptor_name":"Poverty","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D013219","descriptor_name":"State Government","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014481","descriptor_name":"United States","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017057","descriptor_name":"Medically Uninsured","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D019458","descriptor_name":"Insurance Coverage","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true}],"locations_count":2,"locations":[{"id":"pmid:14621666","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/14621666","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Issue brief (Commonwealth Fund)","raw_type":"Journal Article"},{"id":"mag:182096047","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/14621666","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":"PubMed","raw_type":null}],"best_oa_location":null,"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":0.8048999905586243},{"display_name":"Reduced inequalities","id":"https://metadata.un.org/sdg/10","score":0.7578999996185303}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":4,"referenced_works":["https://openalex.org/W136035097","https://openalex.org/W1609399188","https://openalex.org/W1669414951","https://openalex.org/W2073174643"],"related_works":["https://openalex.org/W2185979642","https://openalex.org/W2098198818","https://openalex.org/W2049752688","https://openalex.org/W2419159745","https://openalex.org/W7117779562","https://openalex.org/W7066286575","https://openalex.org/W2324952378","https://openalex.org/W7099085823","https://openalex.org/W2939326050","https://openalex.org/W2399632030"],"abstract_inverted_index":{"A":[0],"new":[1],"analysis":[2],"of":[3,15,30,62,109],"health":[4,54,110],"insurance":[5,16],"coverage":[6,21,55,99,111],"in":[7,20,83,100],"America":[8],"reveals":[9],"a":[10,49],"complex":[11],"and":[12,18,105,117],"troubling":[13],"picture":[14],"instability":[17],"gaps":[19],"over":[22],"time.":[23,84],"Eighty-five":[24],"million":[25,92],"people,":[26],"or":[27,107],"38":[28],"percent":[29],"the":[31,74,90],"population":[32],"under":[33],"age":[34],"65,":[35],"were":[36,65,77],"uninsured":[37,66,78,103],"at":[38,79],"some":[39],"point":[40,82],"from":[41,48],"1996":[42],"through":[43],"1999,":[44],"based":[45],"on":[46],"findings":[47],"survey":[50],"that":[51],"followed":[52],"people\u2019s":[53],"for":[56],"four":[57],"years":[58],"(Chart":[59],"1).The":[60],"number":[61,75],"people":[63],"who":[64,76],"during":[67],"this":[68,124],"period":[69],"was":[70],"more":[71,121],"than":[72],"double":[73,89],"any":[80],"one":[81],"It":[85],"is":[86],"also":[87],"nearly":[88],"43.6":[91],"Americans":[93],"recently":[94],"estimated":[95],"to":[96],"be":[97],"without":[98],"2002.":[101],"High":[102],"rates":[104],"instability,":[106],"churning,":[108],"disproportionately":[112],"affect":[113],"low-income":[114],"Americans,":[115],"minorities,":[116],"young":[118],"adults.":[119],"For":[120],"information":[122],"about":[123],"study,":[125],"please":[126],"contact:":[127]},"counts_by_year":[{"year":2024,"cited_by_count":1},{"year":2022,"cited_by_count":1},{"year":2021,"cited_by_count":5},{"year":2020,"cited_by_count":3},{"year":2019,"cited_by_count":1},{"year":2018,"cited_by_count":3},{"year":2017,"cited_by_count":1},{"year":2016,"cited_by_count":6},{"year":2015,"cited_by_count":4},{"year":2014,"cited_by_count":8},{"year":2013,"cited_by_count":7},{"year":2012,"cited_by_count":5}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2016-06-24T00:00:00"}
