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Stakeholders’ perceptions of ways to support decisions about health insurance marketplace enrollment: a qualitative study

Overview of attention for article published in BMC Health Services Research, November 2016
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Title
Stakeholders’ perceptions of ways to support decisions about health insurance marketplace enrollment: a qualitative study
Published in
BMC Health Services Research, November 2016
DOI 10.1186/s12913-016-1890-8
Pubmed ID
Authors

A. J. Housten, K. Furtado, K. A. Kaphingst, C. Kebodeaux, T. McBride, B. Cusanno, M. C. Politi

Abstract

Approximately 29 million individuals are expected to enroll in health insurance using the Patient Protection and Affordable Care Act (ACA) Marketplace by 2022. Those seeking health insurance struggle to understand insurance options and choose a plan that best suits their needs. We interviewed stakeholders to identify the challenges associated with the ACA Marketplace health insurance enrollment and elicited feedback about what to include in health insurance decision support tools. Interviews were transcribed and themes were identified using inductive thematic analysis. Stakeholders stated that consumers felt frustrated by unclear terminology, high plan costs, and complex calculations required to assess costs. Consumers felt anxious about making the wrong choice and being unable to change plans within a calendar year. Stakeholders recommended using plain language tables defining complex terms, grouping information, and using engaging graphics to communicate information about health insurance. Stakeholders thought that narratives of how others made decisions about insurance might be helpful to consumers, but recommended that they be tailored to the needs of specific consumers. Strategies that clarify health insurance terms using plain language and graphics, acknowledge concern associated with making the wrong choice, calculate and enable cost comparison, and tailor information to consumers' unique needs could benefit those enrolling in ACA Marketplace plans, Narratives developed should be simple and inclusive enough for diverse populations.

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X Demographics

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 53 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 53 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 21 40%
Researcher 7 13%
Student > Bachelor 5 9%
Student > Doctoral Student 3 6%
Student > Ph. D. Student 3 6%
Other 5 9%
Unknown 9 17%
Readers by discipline Count As %
Nursing and Health Professions 13 25%
Social Sciences 8 15%
Business, Management and Accounting 6 11%
Medicine and Dentistry 6 11%
Economics, Econometrics and Finance 4 8%
Other 4 8%
Unknown 12 23%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 08 November 2016.
All research outputs
#15,395,259
of 22,903,988 outputs
Outputs from BMC Health Services Research
#5,577
of 7,663 outputs
Outputs of similar age
#197,222
of 312,897 outputs
Outputs of similar age from BMC Health Services Research
#90
of 115 outputs
Altmetric has tracked 22,903,988 research outputs across all sources so far. This one is in the 22nd percentile – i.e., 22% of other outputs scored the same or lower than it.
So far Altmetric has tracked 7,663 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 7.7. This one is in the 17th percentile – i.e., 17% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 312,897 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 28th percentile – i.e., 28% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 115 others from the same source and published within six weeks on either side of this one. This one is in the 17th percentile – i.e., 17% of its contemporaries scored the same or lower than it.