{"id":"https://openalex.org/W4306645232","doi":"https://doi.org/10.1007/s11606-022-07830-9","title":"Satisfaction and Cost-Related Access Barriers Among American Indian and Alaska Natives Adults by Insurance Type","display_name":"Satisfaction and Cost-Related Access Barriers Among American Indian and Alaska Natives Adults by Insurance Type","publication_year":2022,"publication_date":"2022-10-17","ids":{"openalex":"https://openalex.org/W4306645232","doi":"https://doi.org/10.1007/s11606-022-07830-9","pmid":"https://pubmed.ncbi.nlm.nih.gov/36253634","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/10160320"},"language":"en","primary_location":{"id":"doi:10.1007/s11606-022-07830-9","doi":"https://doi.org/10.1007/s11606-022-07830-9","is_oa":true,"landing_page_url":"https://doi.org/10.1007/s11606-022-07830-9","pdf_url":"https://link.springer.com/content/pdf/10.1007/s11606-022-07830-9.pdf","source":{"id":"https://openalex.org/S116608325","display_name":"Journal of General Internal Medicine","issn_l":"0884-8734","issn":["0884-8734","1525-1497"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310319900","host_organization_name":"Springer Science+Business Media","host_organization_lineage":["https://openalex.org/P4310319900","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Springer Science+Business Media","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of General Internal Medicine","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"https://link.springer.com/content/pdf/10.1007/s11606-022-07830-9.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5019931916","display_name":"Tristan Moss-Vazquez","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1315708478","display_name":"San Francisco VA Medical Center","ror":"https://ror.org/049peqw80","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1315708478","https://openalex.org/I1322918889","https://openalex.org/I2799886695","https://openalex.org/I4210125474","https://openalex.org/I4210143381"]},{"id":"https://openalex.org/I4210166254","display_name":"Northern California Institute for Research and Education","ror":"https://ror.org/05p48p517","country_code":"US","type":"nonprofit","lineage":["https://openalex.org/I4210166254"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Tristan Moss-Vazquez","raw_affiliation_strings":["Northern California Institute for Research and Education, San Francisco Veterans Affairs Medical Center, San Francisco, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Northern California Institute for Research and Education, San Francisco Veterans Affairs Medical Center, San Francisco, USA","institution_ids":["https://openalex.org/I1315708478","https://openalex.org/I4210166254"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5079501705","display_name":"Charlie M. Wray","orcid":"https://orcid.org/0000-0001-9203-2031","observed_orcids":["https://orcid.org/0000-0001-9203-2031"]},"institutions":[{"id":"https://openalex.org/I1315708478","display_name":"San Francisco VA Medical Center","ror":"https://ror.org/049peqw80","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1315708478","https://openalex.org/I1322918889","https://openalex.org/I2799886695","https://openalex.org/I4210125474","https://openalex.org/I4210143381"]},{"id":"https://openalex.org/I180670191","display_name":"University of California, San Francisco","ror":"https://ror.org/043mz5j54","country_code":"US","type":"education","lineage":["https://openalex.org/I180670191"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Charlie M. Wray","raw_affiliation_strings":["Department of Medicine, University of California, San Francisco, San Francisco, CA, USA","Division of Hospital Medicine, San Francisco Veterans Affairs Medical Center, San Francisco, CA, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Medicine, University of California, San Francisco, San Francisco, CA, USA","institution_ids":["https://openalex.org/I180670191"]},{"raw_affiliation_string":"Division of Hospital Medicine, San Francisco Veterans Affairs Medical Center, San Francisco, CA, USA","institution_ids":["https://openalex.org/I1315708478"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5101626872","display_name":"Lenny L\u00f3pez","orcid":"https://orcid.org/0000-0001-9361-0550","observed_orcids":["https://orcid.org/0000-0001-9361-0550"]},"institutions":[{"id":"https://openalex.org/I1315708478","display_name":"San Francisco VA Medical Center","ror":"https://ror.org/049peqw80","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1315708478","https://openalex.org/I1322918889","https://openalex.org/I2799886695","https://openalex.org/I4210125474","https://openalex.org/I4210143381"]},{"id":"https://openalex.org/I180670191","display_name":"University of California, San Francisco","ror":"https://ror.org/043mz5j54","country_code":"US","type":"education","lineage":["https://openalex.org/I180670191"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Lenny Lopez","raw_affiliation_strings":["Department of Medicine, University of California, San Francisco, San Francisco, CA, USA","Division of Hospital Medicine, San Francisco Veterans Affairs Medical Center, San Francisco, CA, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Medicine, University of California, San Francisco, San Francisco, CA, USA","institution_ids":["https://openalex.org/I180670191"]},{"raw_affiliation_string":"Division of Hospital Medicine, San Francisco Veterans Affairs Medical Center, San Francisco, CA, USA","institution_ids":["https://openalex.org/I1315708478"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5110234738","display_name":"Meena Khare","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1315708478","display_name":"San Francisco VA Medical Center","ror":"https://ror.org/049peqw80","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1315708478","https://openalex.org/I1322918889","https://openalex.org/I2799886695","https://openalex.org/I4210125474","https://openalex.org/I4210143381"]},{"id":"https://openalex.org/I4210166254","display_name":"Northern California Institute for Research and Education","ror":"https://ror.org/05p48p517","country_code":"US","type":"nonprofit","lineage":["https://openalex.org/I4210166254"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Meena Khare","raw_affiliation_strings":["Northern California Institute for Research and Education, San Francisco Veterans Affairs Medical Center, San Francisco, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Northern California Institute for Research and Education, San Francisco Veterans Affairs Medical Center, San Francisco, USA","institution_ids":["https://openalex.org/I1315708478","https://openalex.org/I4210166254"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5090402848","display_name":"Salomeh Keyhani","orcid":"https://orcid.org/0000-0001-9124-9618","observed_orcids":["https://orcid.org/0000-0001-9124-9618"]},"institutions":[{"id":"https://openalex.org/I1315708478","display_name":"San Francisco VA Medical Center","ror":"https://ror.org/049peqw80","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1315708478","https://openalex.org/I1322918889","https://openalex.org/I2799886695","https://openalex.org/I4210125474","https://openalex.org/I4210143381"]},{"id":"https://openalex.org/I180670191","display_name":"University of California, San Francisco","ror":"https://ror.org/043mz5j54","country_code":"US","type":"education","lineage":["https://openalex.org/I180670191"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Salomeh Keyhani","raw_affiliation_strings":["Department of Medicine, University of California, San Francisco, San Francisco, CA, USA. salomeh.keyhani@ucsf.edu","Division of General Internal Medicine, San Francisco Veterans Affairs Medical Center, San Francisco, CA, USA. salomeh.keyhani@ucsf.edu","Department of Medicine, University of California, San Francisco, San Francisco, CA, USA"],"raw_orcid":"https://orcid.org/0000-0001-9124-9618","affiliations":[{"raw_affiliation_string":"Department of Medicine, University of California, San Francisco, San Francisco, CA, USA. salomeh.keyhani@ucsf.edu","institution_ids":["https://openalex.org/I180670191"]},{"raw_affiliation_string":"Division of General Internal Medicine, San Francisco Veterans Affairs Medical Center, San Francisco, CA, USA. salomeh.keyhani@ucsf.edu","institution_ids":["https://openalex.org/I1315708478"]},{"raw_affiliation_string":"Department of Medicine, University of California, San Francisco, San Francisco, CA, USA","institution_ids":["https://openalex.org/I180670191"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":["https://openalex.org/A5090402848"],"corresponding_institution_ids":["https://openalex.org/I1315708478","https://openalex.org/I180670191"],"apc_list":{"value":4480,"currency":"USD","value_usd":4480},"apc_paid":{"value":4480,"currency":"USD","value_usd":4480},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.13176294,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"38","issue":"6","first_page":"1576","last_page":"1578"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":0.5845000147819519,"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":0.5845000147819519,"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/T10348","display_name":"Indigenous Health, Education, and Rights","score":0.26589998602867126,"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"}},{"id":"https://openalex.org/T10235","display_name":"Health disparities and outcomes","score":0.031300000846385956,"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/american-indian-and-alaska-native-adults","display_name":"American Indian and Alaska Native adults","score":0.9509999752044678},{"id":"https://openalex.org/keywords/indian-health-service","display_name":"Indian Health Service","score":0.7200000286102295},{"id":"https://openalex.org/keywords/health-insurance-coverage","display_name":"health insurance coverage","score":0.7570000290870667},{"id":"https://openalex.org/keywords/patient-satisfaction","display_name":"patient satisfaction","score":0.7490000128746033},{"id":"https://openalex.org/keywords/medication-non-adherence","display_name":"medication non-adherence","score":0.6209999918937683},{"id":"https://openalex.org/keywords/medicare","display_name":"Medicare","score":0.6299999952316284},{"id":"https://openalex.org/keywords/medicaid","display_name":"Medicaid","score":1.0},{"id":"https://openalex.org/keywords/veterans-health-care","display_name":"veterans' health care","score":0.5239999890327454},{"id":"https://openalex.org/keywords/health-disparities","display_name":"health disparities","score":0.3610000014305115},{"id":"https://openalex.org/keywords/rural-health-care-access","display_name":"rural healthcare access","score":0.5120000243186951},{"id":"https://openalex.org/keywords/brfss","display_name":"Behavioral Risk Factor Surveillance System","score":0.6909999847412109},{"id":"https://openalex.org/keywords/health-care-access","display_name":"health care access","score":0.3330000042915344}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9292125701904297},{"id":"https://openalex.org/C74909509","wikidata":"https://www.wikidata.org/wiki/Q10387","display_name":"Gerontology","level":1,"score":0.4937818944454193},{"id":"https://openalex.org/C2983635472","wikidata":"https://www.wikidata.org/wiki/Q334911","display_name":"Health insurance","level":3,"score":0.47314774990081787},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.41070204973220825},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.40603601932525635},{"id":"https://openalex.org/C149923435","wikidata":"https://www.wikidata.org/wiki/Q37732","display_name":"Demography","level":1,"score":0.38962864875793457},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.32834285497665405},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.2510262727737427},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.122290700674057},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.0},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.0},{"id":"https://openalex.org/C144024400","wikidata":"https://www.wikidata.org/wiki/Q21201","display_name":"Sociology","level":0,"score":0.0}],"mesh":[{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006297","descriptor_name":"Health Services Accessibility","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":true},{"descriptor_ui":"D006297","descriptor_name":"Health Services Accessibility","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007198","descriptor_name":"Indians, North American","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D007348","descriptor_name":"Insurance, Health","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":true},{"descriptor_ui":"D007348","descriptor_name":"Insurance, Health","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D010549","descriptor_name":"Personal Satisfaction","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014481","descriptor_name":"United States","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D017060","descriptor_name":"Patient Satisfaction","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":true},{"descriptor_ui":"D017060","descriptor_name":"Patient Satisfaction","qualifier_ui":"Q000208","qualifier_name":"ethnology","is_major_topic":true},{"descriptor_ui":"D017060","descriptor_name":"Patient Satisfaction","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D044467","descriptor_name":"American Indian or Alaska Native","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true}],"locations_count":3,"locations":[{"id":"doi:10.1007/s11606-022-07830-9","doi":"https://doi.org/10.1007/s11606-022-07830-9","is_oa":true,"landing_page_url":"https://doi.org/10.1007/s11606-022-07830-9","pdf_url":"https://link.springer.com/content/pdf/10.1007/s11606-022-07830-9.pdf","source":{"id":"https://openalex.org/S116608325","display_name":"Journal of General Internal Medicine","issn_l":"0884-8734","issn":["0884-8734","1525-1497"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310319900","host_organization_name":"Springer Science+Business Media","host_organization_lineage":["https://openalex.org/P4310319900","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Springer Science+Business Media","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of General Internal Medicine","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:10160320","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/10160320","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC10160320/pdf/11606_2022_Article_7830.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"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":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"J Gen Intern Med","raw_type":"Text"},{"id":"pmid:36253634","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/36253634","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":"Journal of general internal medicine","raw_type":"Journal Article"}],"best_oa_location":{"id":"doi:10.1007/s11606-022-07830-9","doi":"https://doi.org/10.1007/s11606-022-07830-9","is_oa":true,"landing_page_url":"https://doi.org/10.1007/s11606-022-07830-9","pdf_url":"https://link.springer.com/content/pdf/10.1007/s11606-022-07830-9.pdf","source":{"id":"https://openalex.org/S116608325","display_name":"Journal of General Internal Medicine","issn_l":"0884-8734","issn":["0884-8734","1525-1497"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310319900","host_organization_name":"Springer Science+Business Media","host_organization_lineage":["https://openalex.org/P4310319900","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Springer Science+Business Media","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of General Internal Medicine","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":0.8999999761581421},{"display_name":"Reduced inequalities","id":"https://metadata.un.org/sdg/10","score":0.8974000215530396}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[{"id":"https://openalex.org/G4535200915","display_name":null,"funder_award_id":"IK2 HX003139","funder_id":"https://openalex.org/F4320306127","funder_display_name":"U.S. Department of Veterans Affairs"}],"funders":[{"id":"https://openalex.org/F4320306127","display_name":"U.S. Department of Veterans Affairs","ror":"https://ror.org/05rsv9s98"}],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4306645232.pdf","grobid_xml":"https://content.openalex.org/works/W4306645232.grobid-xml"},"referenced_works_count":5,"referenced_works":["https://openalex.org/W2097177814","https://openalex.org/W2148144832","https://openalex.org/W2763457074","https://openalex.org/W2903282782","https://openalex.org/W3001902922"],"related_works":["https://openalex.org/W2148144832","https://openalex.org/W2768838306","https://openalex.org/W4408815199","https://openalex.org/W3165441439","https://openalex.org/W6908220414","https://openalex.org/W4297327206","https://openalex.org/W2509448848","https://openalex.org/W2962918679","https://openalex.org/W2952515178","https://openalex.org/W2335808075"],"abstract_inverted_index":{"Using":[0],"pooled":[1],"data":[2],"from":[3],"2016\u20132018":[4],"Behavior":[5],"Risk":[6],"Factor":[7],"Surveillance":[8],"(BRFSS),":[9],"we":[10,32,52],"identified":[11],"all":[12],"individuals":[13,49,55,380],"who":[14,50,56,285],"self-identified":[15],"as":[16],"AIAN":[17,48,69,74,207,237,283,379],"among":[18,88],"a":[19,113,125,141,352],"random":[20],"sample":[21,66],"of":[22,41,67,131,191,214,250,355],"adults":[23,70,208,284],"in":[24,63,115,310,331,349],"17":[25],"states":[26],"and":[27,95,194,203,229,245,266,383],"DC.":[28],"To":[29],"assess":[30],"coverage,":[31],"used":[33],"the":[34,38,81,107,116,135,173,182,188,192,230,235,289],"question,":[35,174],"\u201cWhat":[36],"is":[37],"primary":[39],"source":[40],"your":[42,148],"health":[43,160,269],"care":[44,161,183,372],"coverage?\u201d":[45],"Of":[46],"2699":[47],"responded,":[51],"excluded":[53],"13":[54],"had":[57,247,286],"reported":[58,267,293],"no":[59,307],"insurance":[60,215],"coverage":[61,216,275,287,337],"resulting":[62],"an":[64],"analytic":[65],"2686":[68,236],"representing":[71],"about":[72],"700,000":[73],"adults.":[75],"Survey":[76],"details":[77],"are":[78,164,179],"available":[79],"on":[80],"BRFSS":[82],"website.":[83],"We":[84,186],"examined":[85,187],"two":[86],"domains":[87],"this":[89],"sample:":[90],"self-reported":[91],"cost-related":[92,101],"access":[93,102],"barriers":[94,103],"satisfaction":[96,370],"with":[97,100,172,181,209,273,318,335,371,381],"care.":[98],"Experience":[99],"was":[104,139,170,306],"assessed":[105,171],"by":[106,243,254],"following":[108],"questions:":[109],"(1)":[110],"\u201cWas":[111],"there":[112,140],"time":[114,142],"past":[117,136],"12":[118,137],"months":[119,138],"when":[120,143],"you":[121,144,156,180,184],"needed":[122],"to":[123,152,211,271,298,323,329,333],"see":[124],"physician":[126,353],"but":[127],"could":[128],"not":[129,146,294,325],"because":[130,354],"cost?\u201d":[132,153],"(2)":[133],"\u201cIn":[134,175],"did":[145],"take":[147],"prescription":[149],"medications":[150,296,327],"due":[151,297,328],"(3)":[154],"\u201cDo":[155],"currently":[157],"have":[158],"any":[159],"bills":[162],"that":[163,282,316],"being":[165],"paid":[166],"over":[167],"time?\u201d":[168],"Satisfaction":[169],"general,":[176],"how":[177],"satisfied":[178],"received?\u201d":[185],"baseline":[189,204],"characteristics":[190],"respondents":[193],"then":[195],"performed":[196],"multivariable":[197],"analyses,":[198],"controlling":[199],"for":[200,227],"age,":[201],"gender,":[202],"health,":[205],"comparing":[206],"IHS":[210,244,255,290,319,382],"other":[212,222,248,274,311,336,384],"forms":[213,249],"(Medicare,":[217],"Medicaid,":[218],"VA/Military,":[219],"private":[220],"employer/individual,":[221],"insurance).":[223],"The":[224],"analyses":[225,314],"accounted":[226],"non-responses":[228],"complex":[231],"survey":[232],"design.":[233],"Among":[234],"adult":[238],"respondents,":[239],"640":[240],"were":[241,256,320,347],"covered":[242,253],"2046":[246],"insurance.":[251],"Adults":[252],"younger":[257],"(median":[258],"age":[259],"37.7":[260],"(\u00b12.3)":[261],"versus":[262],"46.6":[263],"(\u00b11.1)":[264],"years)":[265],"better":[268],"compared":[270],"those":[272],"(Table":[276,386],"1":[277,280],").":[278,388],"Table":[279],"demonstrates":[281],"through":[288],"less":[291,321],"commonly":[292],"taking":[295,326],"costs":[299,330],"(5.1%":[300],"vs.":[301],"13.4%,":[302],"P":[303],"<0.001).":[304],"There":[305],"significant":[308],"difference":[309],"outcomes.":[312],"Multivariable":[313],"demonstrated":[315],"AIANs":[317,334],"likely":[322],"report":[324],"comparison":[332],"(odds":[338],"ratio":[339],"(OR),":[340],"0.39;":[341],"95%":[342,359,366,375],"CI,":[343,360,367,376],"0.20\u20130.75).":[344],"No":[345],"differences":[346],"found":[348],"difficulty":[350],"seeing":[351],"cost":[356],"(OR,":[357,364,373],"1.28;":[358],"0.72\u20132.27),":[361],"medical":[362],"debt":[363],"0.70;":[365],"0.39\u20131.25),":[368],"or":[369],"0.76;":[374],"0.51\u20131.15)":[377],"between":[378],"coverages":[385],"2":[387]},"counts_by_year":[],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2022-10-18T00:00:00"}