{"id":"https://openalex.org/W78396366","doi":null,"title":"The impact of being uninsured on utilization of basic health care services.","display_name":"The impact of being uninsured on utilization of basic health care services.","publication_year":1992,"publication_date":"1992-01-01","ids":{"openalex":"https://openalex.org/W78396366","mag":"78396366","pmid":"https://pubmed.ncbi.nlm.nih.gov/1473869"},"language":"en","primary_location":{"id":"pmid:1473869","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/1473869","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":"Inquiry : a journal of medical care organization, provision and financing","raw_type":"Journal Article"},"parent_works":[],"lineage":["https://openalex.org/W78396366"],"child_works_count":0,"type":"article","is_traditional":true,"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/A5019451170","display_name":"Brenda C. Spillman","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I82994568","display_name":"Agency for Healthcare Research and Quality","ror":"https://ror.org/03jmfdf59","country_code":"US","type":"government","lineage":["https://openalex.org/I1299022934","https://openalex.org/I82994568"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"B C Spillman","raw_affiliation_strings":["Agency for Health Care Policy and Research, U.S. Department of Health and Human Services, Rockville, MD 20852"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Agency for Health Care Policy and Research, U.S. Department of Health and Human Services, Rockville, MD 20852","institution_ids":["https://openalex.org/I82994568"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5019451170"],"corresponding_institution_ids":["https://openalex.org/I82994568"],"apc_list":null,"apc_paid":null,"fwci":11.7798,"has_fulltext":false,"cited_by_count":71,"citation_normalized_percentile":{"value":0.98402379,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":88,"max":97},"biblio":{"volume":"29","issue":"4","first_page":"457","last_page":"466"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":0.9994999766349792,"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":0.9994999766349792,"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":0.0003000000142492354,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11792","display_name":"Pharmaceutical Economics and Policy","score":0.0,"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"}}],"keywords":[{"id":"https://openalex.org/keywords/uninsured-population","display_name":"uninsured population","score":0.6629999876022339},{"id":"https://openalex.org/keywords/health-care-utilization","display_name":"health care utilization","score":0.9330000281333923},{"id":"https://openalex.org/keywords/health-insurance-coverage","display_name":"health insurance coverage","score":0.7639999985694885},{"id":"https://openalex.org/keywords/hospital-care","display_name":"hospital care","score":0.6769999861717224},{"id":"https://openalex.org/keywords/outpatient-care","display_name":"outpatient care","score":0.996999979019165},{"id":"https://openalex.org/keywords/healthcare-spending","display_name":"health care spending","score":0.8050000071525574},{"id":"https://openalex.org/keywords/health-insurance-access","display_name":"health insurance access","score":0.7630000114440918},{"id":"https://openalex.org/keywords/nonelderly-adults","display_name":"non-elderly adults","score":0.6240000128746033},{"id":"https://openalex.org/keywords/health-care-costs","display_name":"health care costs","score":0.32199999690055847}],"concepts":[{"id":"https://openalex.org/C2983635472","wikidata":"https://www.wikidata.org/wiki/Q334911","display_name":"Health insurance","level":3,"score":0.5588151216506958},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.5367651581764221},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.5006873607635498},{"id":"https://openalex.org/C124306116","wikidata":"https://www.wikidata.org/wiki/Q2512965","display_name":"Ambulatory care","level":3,"score":0.4158177971839905},{"id":"https://openalex.org/C162118730","wikidata":"https://www.wikidata.org/wiki/Q1128453","display_name":"Actuarial science","level":1,"score":0.4149048924446106},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.33423876762390137},{"id":"https://openalex.org/C100001284","wikidata":"https://www.wikidata.org/wiki/Q2248246","display_name":"Public economics","level":1,"score":0.3330228328704834},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.32475805282592773},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.24400079250335693},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.19420775771141052}],"mesh":[{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000553","descriptor_name":"Ambulatory Care","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D002648","descriptor_name":"Child","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D004632","descriptor_name":"Emergency Medical Services","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006296","descriptor_name":"Health Services","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D006297","descriptor_name":"Health Services Accessibility","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":true},{"descriptor_ui":"D006302","descriptor_name":"Health Services Research","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006760","descriptor_name":"Hospitalization","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","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":"D011336","descriptor_name":"Probability","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":null,"qualifier_name":null,"is_major_topic":true}],"locations_count":2,"locations":[{"id":"pmid:1473869","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/1473869","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":"Inquiry : a journal of medical care organization, provision and financing","raw_type":"Journal Article"},{"id":"mag:78396366","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/1473869","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":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":0.8048999905586243}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":8,"referenced_works":["https://openalex.org/W1482174697","https://openalex.org/W2058428373","https://openalex.org/W2094975191","https://openalex.org/W2157181024","https://openalex.org/W2399632030","https://openalex.org/W2419806945","https://openalex.org/W3023254902","https://openalex.org/W3100945696"],"related_works":["https://openalex.org/W2127331842","https://openalex.org/W6997230193","https://openalex.org/W2074012461","https://openalex.org/W7099580642","https://openalex.org/W2058863999","https://openalex.org/W1596771864","https://openalex.org/W2007809992","https://openalex.org/W2089193922","https://openalex.org/W4250575847","https://openalex.org/W3009651101"],"abstract_inverted_index":{"Recent":[0],"proposals":[1],"to":[2,5,11,36,48,79,93,111],"increase":[3],"access":[4],"health":[6,68],"insurance":[7],"suggest":[8],"the":[9,14,21,33,54,87,100],"need":[10],"know":[12],"what":[13],"magnitude":[15],"of":[16,32,46,56,65,99,102],"responses":[17],"would":[18,71],"be":[19,72],"if":[20,74],"one":[22],"in":[23],"five":[24],"nonelderly":[25],"persons":[26],"uninsured":[27,77,104],"for":[28],"all":[29],"or":[30,62],"part":[31],"year":[34],"were":[35,78],"become":[37],"insured.":[38,89],"This":[39],"paper":[40],"finds":[41],"that":[42],"an":[43],"additional":[44],"commitment":[45],"resources":[47],"hospital":[49],"and":[50],"ambulatory":[51],"care":[52,69],"on":[53,83],"order":[55],"$26":[57],"billion":[58],"(in":[59],"1989":[60],"dollars),":[61],"about":[63],"4%":[64],"total":[66],"national":[67],"spending,":[70],"required":[73],"those":[75],"now":[76],"use":[80],"these":[81],"services":[82],"a":[84,107],"par":[85],"with":[86],"privately":[88],"The":[90],"primary":[91],"inputs":[92],"this":[94],"result":[95],"are":[96],"new":[97],"estimates":[98],"impact":[101],"being":[103],"which":[105],"indicate":[106],"substantial":[108],"potential":[109],"response":[110],"insurance,":[112],"particularly":[113],"by":[114],"adults.":[115]},"counts_by_year":[{"year":2026,"cited_by_count":1},{"year":2025,"cited_by_count":1},{"year":2024,"cited_by_count":1},{"year":2014,"cited_by_count":2},{"year":2012,"cited_by_count":3}],"updated_date":"2026-11-15T12:55:33.944570","created_date":"2016-06-24T00:00:00"}
