{"id":"https://openalex.org/W7224903109","doi":"https://doi.org/10.15766/mep_2374-8265.11647","title":"Teaching Health Insurance and Patient Barriers Through an Interprofessional Escape Room for Preclinical Medical and Health Professional Students","display_name":"Teaching Health Insurance and Patient Barriers Through an Interprofessional Escape Room for Preclinical Medical and Health Professional Students","publication_year":2026,"publication_date":"2026-10-30","ids":{"openalex":"https://openalex.org/W7224903109","doi":"https://doi.org/10.15766/mep_2374-8265.11647","pmid":"https://pubmed.ncbi.nlm.nih.gov/42964703","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/13720544"},"language":"en","primary_location":{"id":"doi:10.15766/mep_2374-8265.11647","doi":"https://doi.org/10.15766/mep_2374-8265.11647","is_oa":true,"landing_page_url":"https://doi.org/10.15766/mep_2374-8265.11647","pdf_url":null,"source":{"id":"https://openalex.org/S4210174909","display_name":"MedEdPORTAL","issn_l":"2374-8265","issn":["2374-8265"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","medline","poland-20","russia-white-list-3"],"host_organization":"https://openalex.org/P4310315862","host_organization_name":"Association of American Medical Colleges","host_organization_lineage":["https://openalex.org/P4310315862"],"host_organization_lineage_names":["Association of American Medical Colleges"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"MedEdPORTAL","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://doi.org/10.15766/mep_2374-8265.11647","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5160199733","display_name":"Kriti Devkota","orcid":"https://orcid.org/0009-0007-9680-7333","observed_orcids":["https://orcid.org/0009-0007-9680-7333"]},"institutions":[{"id":"https://openalex.org/I43267033","display_name":"Quinnipiac University","ror":"https://ror.org/00mpz5a50","country_code":"US","type":"education","lineage":["https://openalex.org/I43267033"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Kriti Devkota","raw_affiliation_strings":["Medical Student, Department of Medicine, Frank H. Netter MD School of Medicine, Quinnipiac University"],"raw_orcid":"https://orcid.org/0009-0007-9680-7333","affiliations":[{"raw_affiliation_string":"Medical Student, Department of Medicine, Frank H. Netter MD School of Medicine, Quinnipiac University","institution_ids":["https://openalex.org/I43267033"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5160211848","display_name":"Rachel Schlak","orcid":"https://orcid.org/0009-0002-6120-9476","observed_orcids":["https://orcid.org/0009-0002-6120-9476"]},"institutions":[{"id":"https://openalex.org/I43267033","display_name":"Quinnipiac University","ror":"https://ror.org/00mpz5a50","country_code":"US","type":"education","lineage":["https://openalex.org/I43267033"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Rachel Schlak","raw_affiliation_strings":["Medical Student, Department of Medicine, Frank H. Netter MD School of Medicine, Quinnipiac University"],"raw_orcid":"https://orcid.org/0009-0002-6120-9476","affiliations":[{"raw_affiliation_string":"Medical Student, Department of Medicine, Frank H. Netter MD School of Medicine, Quinnipiac University","institution_ids":["https://openalex.org/I43267033"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5106224298","display_name":"Lia Spencer","orcid":"https://orcid.org/0009-0001-4991-7376","observed_orcids":["https://orcid.org/0009-0001-4991-7376"]},"institutions":[{"id":"https://openalex.org/I43267033","display_name":"Quinnipiac University","ror":"https://ror.org/00mpz5a50","country_code":"US","type":"education","lineage":["https://openalex.org/I43267033"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Lia Spencer","raw_affiliation_strings":["Medical Student, Department of Medicine, Frank H. Netter MD School of Medicine, Quinnipiac University"],"raw_orcid":"https://orcid.org/0009-0001-4991-7376","affiliations":[{"raw_affiliation_string":"Medical Student, Department of Medicine, Frank H. Netter MD School of Medicine, Quinnipiac University","institution_ids":["https://openalex.org/I43267033"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5160168420","display_name":"Sar Kass","orcid":"https://orcid.org/0009-0008-7268-4137","observed_orcids":["https://orcid.org/0009-0008-7268-4137"]},"institutions":[{"id":"https://openalex.org/I43267033","display_name":"Quinnipiac University","ror":"https://ror.org/00mpz5a50","country_code":"US","type":"education","lineage":["https://openalex.org/I43267033"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Sar Kass","raw_affiliation_strings":["Graduate Student, Department of Social Work, Quinnipiac University"],"raw_orcid":"https://orcid.org/0009-0008-7268-4137","affiliations":[{"raw_affiliation_string":"Graduate Student, Department of Social Work, Quinnipiac University","institution_ids":["https://openalex.org/I43267033"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5160218901","display_name":"Khuram Ghumman","orcid":"https://orcid.org/0000-0001-8592-9502","observed_orcids":["https://orcid.org/0000-0001-8592-9502"]},"institutions":[{"id":"https://openalex.org/I43267033","display_name":"Quinnipiac University","ror":"https://ror.org/00mpz5a50","country_code":"US","type":"education","lineage":["https://openalex.org/I43267033"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Khuram Ghumman","raw_affiliation_strings":["Director of the Primary Care Clerkship, Department of Medicine, Frank H. Netter MD School of Medicine, Quinnipiac University"],"raw_orcid":"https://orcid.org/0000-0001-8592-9502","affiliations":[{"raw_affiliation_string":"Director of the Primary Care Clerkship, Department of Medicine, Frank H. Netter MD School of Medicine, Quinnipiac University","institution_ids":["https://openalex.org/I43267033"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5091023852","display_name":"Douglas McHugh","orcid":"https://orcid.org/0000-0003-4815-4503","observed_orcids":["https://orcid.org/0000-0003-4815-4503"]},"institutions":[{"id":"https://openalex.org/I43267033","display_name":"Quinnipiac University","ror":"https://ror.org/00mpz5a50","country_code":"US","type":"education","lineage":["https://openalex.org/I43267033"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Douglas McHugh","raw_affiliation_strings":["Assistant Dean for the Foundational Science Curriculum, Department of Medicine, Frank H. Netter MD School of Medicine, Quinnipiac University"],"raw_orcid":"https://orcid.org/0000-0003-4815-4503","affiliations":[{"raw_affiliation_string":"Assistant Dean for the Foundational Science Curriculum, Department of Medicine, Frank H. Netter MD School of Medicine, Quinnipiac University","institution_ids":["https://openalex.org/I43267033"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5160199733"],"corresponding_institution_ids":["https://openalex.org/I43267033"],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.85294628,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"22","issue":null,"first_page":"11647","last_page":"11647"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11497","display_name":"Interprofessional Education and Collaboration","score":0.8730000257492065,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11497","display_name":"Interprofessional Education and Collaboration","score":0.8730000257492065,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10731","display_name":"Educational Games and Gamification","score":0.08399999886751175,"subfield":{"id":"https://openalex.org/subfields/3204","display_name":"Developmental and Educational Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10254","display_name":"Innovations in Medical Education","score":0.015699999406933784,"subfield":{"id":"https://openalex.org/subfields/3304","display_name":"Education"},"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","display_name":"health insurance","score":0.9089999794960022},{"id":"https://openalex.org/keywords/patient-barriers","display_name":"patient barriers","score":0.824999988079071},{"id":"https://openalex.org/keywords/escape-rooms","display_name":"escape rooms","score":0.8320000171661377},{"id":"https://openalex.org/keywords/interprofessional-education","display_name":"interprofessional education","score":0.9959999918937683},{"id":"https://openalex.org/keywords/preclinical-medical-students","display_name":"preclinical medical students","score":0.7820000052452087},{"id":"https://openalex.org/keywords/health-professions-students","display_name":"health professions students","score":0.9629999995231628},{"id":"https://openalex.org/keywords/health-professions-education","display_name":"health professions education","score":0.3880000114440918}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.5303999781608582},{"id":"https://openalex.org/C2983635472","wikidata":"https://www.wikidata.org/wiki/Q334911","display_name":"Health insurance","level":3,"score":0.4846999943256378},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.4799000024795532},{"id":"https://openalex.org/C509550671","wikidata":"https://www.wikidata.org/wiki/Q126945","display_name":"Medical education","level":1,"score":0.414900004863739},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.3797999918460846},{"id":"https://openalex.org/C3019806175","wikidata":"https://www.wikidata.org/wiki/Q11974939","display_name":"Health professionals","level":3,"score":0.37459999322891235},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.3691999912261963},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.3262999951839447},{"id":"https://openalex.org/C2986740045","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health services","level":3,"score":0.273499995470047},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.26579999923706055},{"id":"https://openalex.org/C138816342","wikidata":"https://www.wikidata.org/wiki/Q189603","display_name":"Public health","level":2,"score":0.2624000012874603},{"id":"https://openalex.org/C71745522","wikidata":"https://www.wikidata.org/wiki/Q2476929","display_name":"Confidentiality","level":2,"score":0.2587999999523163}],"mesh":[{"descriptor_ui":"D003479","descriptor_name":"Curriculum","qualifier_ui":"Q000639","qualifier_name":"trends","is_major_topic":false},{"descriptor_ui":"D004504","descriptor_name":"Education, Medical, Undergraduate","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006282","descriptor_name":"Health Personnel","qualifier_ui":"Q000193","qualifier_name":"education","is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007348","descriptor_name":"Insurance, Health","qualifier_ui":"Q000639","qualifier_name":"trends","is_major_topic":true},{"descriptor_ui":"D007400","descriptor_name":"Interprofessional Relations","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011795","descriptor_name":"Surveys and Questionnaires","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D013337","descriptor_name":"Students, Medical","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":true},{"descriptor_ui":"D013337","descriptor_name":"Students, Medical","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D013663","descriptor_name":"Teaching","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":true},{"descriptor_ui":"D020377","descriptor_name":"Self Efficacy","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":4,"locations":[{"id":"doi:10.15766/mep_2374-8265.11647","doi":"https://doi.org/10.15766/mep_2374-8265.11647","is_oa":true,"landing_page_url":"https://doi.org/10.15766/mep_2374-8265.11647","pdf_url":null,"source":{"id":"https://openalex.org/S4210174909","display_name":"MedEdPORTAL","issn_l":"2374-8265","issn":["2374-8265"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","medline","poland-20","russia-white-list-3"],"host_organization":"https://openalex.org/P4310315862","host_organization_name":"Association of American Medical Colleges","host_organization_lineage":["https://openalex.org/P4310315862"],"host_organization_lineage_names":["Association of American Medical Colleges"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"MedEdPORTAL","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13720544","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13720544/","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13720544/pdf/mep_2374-8265.11647.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":"MedEdPORTAL","raw_type":"Text"},{"id":"pmid:42964703","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42964703","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":"MedEdPORTAL : the journal of teaching and learning resources","raw_type":"Journal Article"},{"id":"pmh:oai:doaj.org/article:d74d893d1ffd4f1497d9bec2a4b76f57","doi":null,"is_oa":false,"landing_page_url":"https://doaj.org/article/d74d893d1ffd4f1497d9bec2a4b76f57","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"MedEdPORTAL, Vol 22 (2026)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.15766/mep_2374-8265.11647","doi":"https://doi.org/10.15766/mep_2374-8265.11647","is_oa":true,"landing_page_url":"https://doi.org/10.15766/mep_2374-8265.11647","pdf_url":null,"source":{"id":"https://openalex.org/S4210174909","display_name":"MedEdPORTAL","issn_l":"2374-8265","issn":["2374-8265"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","medline","poland-20","russia-white-list-3"],"host_organization":"https://openalex.org/P4310315862","host_organization_name":"Association of American Medical Colleges","host_organization_lineage":["https://openalex.org/P4310315862"],"host_organization_lineage_names":["Association of American Medical Colleges"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"MedEdPORTAL","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":0.9763000011444092,"display_name":"Good health and well-being"},{"id":"https://metadata.un.org/sdg/4","score":0.9235000014305115,"display_name":"Quality education"}],"study_designs":[{"id":"https://openalex.org/study-designs/clinical-trial","display_name":"Clinical Trial"}],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7224903109.pdf","grobid_xml":"https://content.openalex.org/works/W7224903109.grobid-xml"},"referenced_works_count":13,"referenced_works":["https://openalex.org/W9059098","https://openalex.org/W1996637844","https://openalex.org/W2001007569","https://openalex.org/W2900872216","https://openalex.org/W2914873195","https://openalex.org/W2997890651","https://openalex.org/W3034290863","https://openalex.org/W3093907932","https://openalex.org/W3120677142","https://openalex.org/W3164301406","https://openalex.org/W4220992338","https://openalex.org/W4388878970","https://openalex.org/W4412765730"],"related_works":["https://openalex.org/W2898251410","https://openalex.org/W6944169007","https://openalex.org/W2975733180","https://openalex.org/W2607464180","https://openalex.org/W2999621462","https://openalex.org/W2928861566","https://openalex.org/W3156472931","https://openalex.org/W4408871575","https://openalex.org/W7105822771","https://openalex.org/W4385307725"],"abstract_inverted_index":{"Introduction:":[0],"Health":[1],"insurance":[2,49,131],"is":[3,162],"a":[4,24,54,90],"crucial":[5],"component":[6],"of":[7,47,75,111,125,150],"patient":[8,67,172],"care,":[9],"yet":[10,41],"current":[11],"medical":[12,36,82],"education":[13,132],"lacks":[14],"adequate":[15],"formal":[16],"training":[17],"in":[18,44],"this":[19],"subject":[20],"matter.":[21],"Escape":[22],"rooms,":[23],"novel":[25],"educational":[26],"modality,":[27],"have":[28,39],"been":[29,42],"shown":[30],"to":[31,71,93,107,138,156,164],"strengthen":[32],"knowledge":[33,96,112,158],"across":[34],"diverse":[35],"topics":[37],"but":[38],"not":[40],"used":[43],"the":[45,73,123,135,166],"context":[46],"health":[48,76,86,130],"education.":[50],"Methods:":[51],"We":[52],"created":[53],"2-part":[55],"event":[56,106],"that":[57],"combined":[58],"an":[59],"informative":[60],"1-hour":[61],"lecture":[62],"session":[63],"with":[64,99],"3":[65],"interactive":[66],"case-based":[68],"escape":[69,127],"rooms":[70,128],"navigate":[72],"complexities":[74],"insurance.":[77],"Preclinical":[78],"first-":[79],"and":[80,84,97,113,133,141,153,171],"second-year":[81],"students":[83,88],"other":[85],"professional":[87],"completed":[89],"preevent":[91],"survey":[92],"assess":[94,108],"baseline":[95],"self-efficacy,":[98],"follow-up":[100],"surveys":[101],"administered":[102],"4":[103],"months":[104],"post":[105],"long-term":[109],"retention":[110],"self-efficacy.":[114],"Results:":[115],"=":[116],".06).":[117],"Discussion:":[118],"This":[119],"pilot":[120],"intervention":[121],"demonstrates":[122],"feasibility":[124],"using":[126],"for":[129],"highlights":[134],"modality's":[136],"potential":[137],"promote":[139],"teamwork":[140],"learner":[142],"confidence.":[143],"Future":[144],"iterations":[145],"should":[146],"include":[147],"spaced":[148],"repetition":[149],"key":[151],"concepts":[152],"longitudinal":[154],"reinforcement":[155],"optimize":[157],"retention.":[159],"Additional":[160],"research":[161],"warranted":[163],"evaluate":[165],"impacts":[167],"on":[168],"physician":[169],"practice":[170],"outcomes.":[173]},"counts_by_year":[],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2026-10-31T00:00:00"}