James B Kirby's research while affiliated with Agency for Healthcare Research and Quality and other places

... Food insecurity prevalence in the United States typically hovers around 10% but the prevalence among Blacks (20%) and Hispanics (16%) is much higher when compared to Whites (7%) [6]. Food insecurity is more prevalent among people with T2D when compared to those without (16% versus 9%) [7]. Since following a healthful diet is central to T2D management, food insecurity is a major barrier, especially among underrepresented groups [1]. ...

... The combination of low socioeconomic resources along with the cultural value emphasizing providers' medical knowledge and authority, highlight the potentially critical role of provider communication for stress appraisal, coping behavior, and health outcomes among Chinese American survivors. Unfortunately, this assumption is rarely studied, despite clear evidence that Asian Americans including Chinese Americans have suboptimal communication with providers [22,24,25]. ...

... After drying of the DBS, delivery by post is possible as the stability of the proteins is demonstrated over several days [3]. Nowadays, medical deserts are present, especially in rural areas, making it difficult to access health facilities and the possibility of taking a blood sample [4]. Medical staff are stretched and waiting times are thus increased. ...

... Individuals with LEP are at risk for healthcare disparities related to limited access to health care and not obtaining preventive services, such as cancer screening and early-detection screening (Foiles Sifuentes et al., 2020). A number of factors contribute to poor cancer outcomes, including the following: cultural and ethnic beliefs about cancer, inability to navigate the U.S. medical system, limited access to screening services, lack of health insurance, lack of language-concordant education about cancer and treatments, and institutional barriers impeding access to high-quality cancer care (Berdahl & Kirby, 2019;Perez et al., 2016) (see Figure 1). The diagnosis of cancer may be delayed in patients with LEP because they are less likely to have a regular HCP and often postpone visits because of apprehension or because they do not recognize symptoms of cancer. ...

... [7][8][9][10][11] Prior studies have found that Marketplace coverage is associated with increased access to a usual source of care and pre-scription medications, increased use of inpatient and outpatient care, and higher diagnosis rates of hypertension, but they have not examined pregnant people specifically. [12][13][14][15] Although any type of insurance change may result in interruptions in care, examining transitions into Marketplace coverage during pregnancy is important given the time-sensitive nature of prenatal care use. ...

... They claim that the causality may be an illusion because factors such as adverse selection by purchasers and cream skimming by insurers may lead to reverse causality of the insured's health status on PHI participation behavior, i.e., there is an endogeneity problem that is not addressed (13,14). In addition, the effects of insurance on health service utilization and health expenditure are confirmed to vary among different populations, such as across age (15,16), gender (17,18), income (19,20), or ethnic subgroups (21), between sick and healthy people (22), and across geographical locations (23)(24)(25), which is less considered in the studies of PHI's effects on health. ...

... Greater FQHC accessibility is associated with lower rates of preventable hospitalizations and emergency department visits and higher rates of having a usual source of care and having a doctor visit in the past 12 months. [9][10][11][12][13] NAP funding to increase the number of FQHCs was intended to work synergistically with Medicaid expansion under the Affordable Care Act (ACA) by increasing FQHC accessibility and health care affordability-2 dimensions of health care access 14 -in tandem for low-income U.S. residents. Medicaid expansion extended health insurance coverage to adults aged 19-64 earning up to 138% of the federal poverty level. ...

... This study is related to the research finding that Medicaid expansion has improved general access to health care services (Kirby & Vistnes, 2016;Miller & Wherry, 2017;Simon et al., 2017). However, some studies suggest no effect of the ACA Medicaid expansion on behavioral health treatment utilization (Andrews et al., 2019;Gertner et al., 2020). ...

... Three breast cancer-related preventive services covered under the ACA are mammography screening for women aged 40 years and older, genetic screening and counseling, and preventive medication, for women at high risk for breast cancer (1). Studies examining women's financial burden for breast cancer screening before and after the implementation of the ACA have found a substantial reduction in out-of-pocket (OOP) expense and a marked increase in the proportion of women with zero cost-share associated with their screening mammography service (2)(3)(4). ...

... In addition, Medicaid patients both with and without treatment-resistant depression in this study had higher baseline mental health-related health care resource utilization, compared with the Medicare and commercially insured populations. However, several states have Medicaid behavioral health carve-outs, and more than 40% of Medicaid patients in this study also had health maintenance organization plans, which tend to be more restrictive than other health plans (21). Potentially, the Medicaid population in this study had a greater burden of psychiatric illness, even among those without treatment-resistant depression, compared with the Medicare and commercially insured populations, and less generous insurance benefits would have limited even higher levels of resource use above this elevated baseline. ...