{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T12:54:32Z","timestamp":1760100872572},"reference-count":47,"publisher":"Oxford University Press (OUP)","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2016,9,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Objective To demonstrate use of the electronic health record (EHR) for health insurance surveillance and identify factors associated with lack of coverage.<\/jats:p>\n               <jats:p>Materials and Methods Using EHR data, we conducted a retrospective, longitudinal cohort study of adult patients ( n \u2009=\u2009279\u2009654) within a national network of community health centers during a 2-year period (2012\u20132013).<\/jats:p>\n               <jats:p>Results Factors associated with higher odds of being uninsured (vs Medicaid-insured) included: male gender, age &amp;gt;25 years, Hispanic ethnicity, income above the federal poverty level, and rural residence ( P \u2009&amp;lt;\u2009.01 for all). Among patients with no insurance at their initial visit ( n \u2009=\u2009114\u2009000), 50% remained uninsured for every subsequent visit.<\/jats:p>\n               <jats:p>Discussion During the 2 years prior to 2014, many patients utilizing community health centers were unable to maintain stable health insurance coverage.<\/jats:p>\n               <jats:p>Conclusion As patients gain access to health insurance under the Affordable Care Act, the EHR provides a novel approach to help track coverage and support vulnerable patients in gaining and maintaining coverage.<\/jats:p>","DOI":"10.1093\/jamia\/ocv179","type":"journal-article","created":{"date-parts":[[2016,1,24]],"date-time":"2016-01-24T01:39:04Z","timestamp":1453599544000},"page":"984-990","source":"Crossref","is-referenced-by-count":13,"title":["Using the electronic health record for assessment of health insurance in community health centers"],"prefix":"10.1093","volume":"23","author":[{"given":"Brigit","family":"Hatch","sequence":"first","affiliation":[{"name":"Department of Family Medicine, Oregon Health & Science University, Portland Oregon, USA"}]},{"given":"Carrie","family":"Tillotson","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, Oregon Health & Science University, Portland Oregon, USA"}]},{"given":"Heather","family":"Angier","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, Oregon Health & Science University, Portland Oregon, USA"}]},{"given":"Miguel","family":"Marino","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, Oregon Health & Science University, Portland Oregon, USA"}]},{"given":"Megan","family":"Hoopes","sequence":"additional","affiliation":[{"name":"OCHIN, Inc, Research Division, Portland, Oregon, USA"}]},{"given":"Nathalie","family":"Huguet","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, Oregon Health & Science University, Portland Oregon, USA"}]},{"given":"Jennifer","family":"DeVoe","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, Oregon Health & Science University, Portland Oregon, USA"},{"name":"OCHIN, Inc, Research Division, Portland, Oregon, USA"}]}],"member":"286","published-online":{"date-parts":[[2016,1,23]]},"reference":[{"issue":"2","key":"2020110612373844300_ocv179-B1","doi-asserted-by":"crossref","first-page":"292","DOI":"10.2105\/AJPH.2002.006254","article-title":"Barriers to medicaid enrollment: who is at risk?","volume":"95","author":"Stuber","year":"2003","journal-title":"Am J Public Health."},{"key":"2020110612373844300_ocv179-B2","article-title":"Beyond stigma: what barriers actually affect the decisions of low-income families to enroll in Medicaid?","volume-title":"Center for Health Services Research and 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