Jennifer E Devoe
Biographic Data
| ID | 2010355 |
|---|---|
| NAME | Jennifer E Devoe |
| GIVEN NAMES | Jennifer E |
| FAMILY NAME | Devoe |
| SIGNATURE | DEVOE J E |
| AFFILIATIONS | Oregon Health & Science University |
| ORCID | 0000-0003-4812-6852 |
| VERIFIED | Yes |
| TOTAL WORKS | 44 |
| TOTAL CITATIONS | 59 |
| AUTHOR COUNT | 44 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2003 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 4 |
Insurance Churn and Diabetes Outcomes Among Patients With Low Income
This case-control study assesses the association of losing insurance with diabetes outcomes among people with low income served by community health centers
Measuring Primary Care Spending in the US by State
This case series identifies states’ estimates of primary care spending and recommends steps policymakers can take toward standardizing these estimates
Association Between a Mother’s Cervical Cancer Screening and Child’s Human Papillomavirus (HPV) Vaccination Status
Does ethnic concentration buffer effects of neighborhood deprivation on early childhood growth
Latino Adolescent-Mother Language Concordance, Neighborhood Deprivation, and Vaccinations in Community Health Centers
Delivery of Cervical and Colorectal Cancer Screenings During the Pandemic in Community Health Centers
BACKGROUND: The coronavirus disease 2019 pandemic led to clinical practice changes, which affected cancer preventive care delivery. OBJECTIVES: To investigate the impact of the coronavirus disease 2019 pandemic on the delivery of colorectal cancer (CRC) and cervical cancer (CVC) screenings. RESEARCH DESIGN: Parallel mixed methods design using electronic health record data (extracted between January 2019 and July 2021). Study results focused on 3 …
Advancing Data Capacity for Economic Outcomes in Patient-Centered Outcomes Research
The economic impacts of health care treatments and services on individuals and their families are central to many decisions people make about the use of health care. However, without the high-quality data needed to generate evidence on the clinical effectiveness and economic impacts of an intervention, decision-makers are generally limited in their ability to make informed health care decisions that reflect patient values and preferences. The imp…
Focus on Families to Improve Child Health During the Covid-19 Pandemic and Beyond
Regional Strategies for Academic Health Centers to Support Primary Care During the Covid-19 Pandemic
John Heintzman, MD, MPH; Jean O'Malley, MPH; Miguel Marino, PhD; Jonathan V. Todd, PhD, MSPH; Kurt C. Stange, MD, PhD; Natalie Huguet, PhD; Rachel Gold, PhD, MPH
Disparities in Biomarkers for Patients With Diabetes After the Affordable Care Act
BACKGROUND: Racial and ethnic minorities are disproportionately affected by diabetes and at greater risk of experiencing poor diabetes-related outcomes compared with non-Hispanic whites. The Affordable Care Act (ACA) was implemented to increase health insurance coverage and reduce health disparities. OBJECTIVE: Assess changes in diabetes-associated biomarkers [hemoglobin A1c (HbA1c) and low-density lipoprotein] 24 months pre-ACA to 24 months post…
Payment for Contraceptive Services in Safety Net Clinics
OBJECTIVES: We describe payor for contraceptive visits 2013-2014, before and after Medicaid expansion under the Affordable Care Act (ACA), in a large network of safety-net clinics. We estimate changes in the proportion of uninsured contraceptive visits and the independent associations of the ACA, Title X, and state family planning programs. METHODS: Our sample included 237 safety net clinics in 11 states with a common electronic health record. We…
Using Electronic Health Records in Longitudinal Studies
BACKGROUND: Electronic health records (EHRs) provide rich data on many domains not routinely available in other data, as such, they are a promising source to study changes in health outcomes using longitudinal study designs (eg, cohort studies, natural experiments, etc.). Yet, patient attrition rates in these data are unknown. OBJECTIVE: The objective of this study was to estimate overall and among adults with diabetes or hypertension: (1) patien…
Where Do Oregon Medicaid Enrollees Seek Outpatient Care Post-affordable Care Act Medicaid Expansion
BACKGROUND: Previous studies suggest the newly Medicaid insured are more likely to use the emergency department (ED) however they did not differentiate between patients established or not established with primary care. OBJECTIVES: To understand where Oregon Medicaid beneficiaries sought care after the Patient Protection and Affordable Care Act (PPACA) Medicaid expansion (ED, primary care, or specialist) and the interaction between primary care es…
Building Meaningful Patient Engagement in Research
BACKGROUND: Strategies to engage patients to improve and enhance research and clinical care are increasingly being implemented in the United States, yet little is known about best practices for or the impacts of meaningful patient engagement. OBJECTIVE: We describe and reflect on our patient stakeholder groups, engagement framework, experiences, and lessons learned in engaging patients in research, from generating proposal ideas to disseminating …
Oregon Medicaid Expenditures After the 2014 Affordable Care Act Medicaid Expansion
BACKGROUND: There is interest in assessing health care utilization and expenditures among new Medicaid enrollees after the 2014 Medicaid expansion. Recent studies have not differentiated between newly enrolled individuals and those returning after coverage gaps. OBJECTIVES: To assess health care expenditures among Medicaid enrollees in the 24 months after Oregon's 2014 Medicaid expansions and examine whether expenditure patterns were different am…
In Low-Income Latino Patients, Post-Affordable Care Act Insurance Disparities May Be Reduced Even More than Broader National Estimates
Healthcare Utilization After a Children’s Health Insurance Program Expansion in Oregon
Community Health Center Utilization Following the 2008 Medicaid Expansion in Oregon
Objectives. To assess longitudinal patterns of community health center (CHC) utilization and the effect of insurance discontinuity after Oregon’s 2008 Medicaid expansion (the Oregon Experiment). Methods. We conducted a retrospective cohort study with electronic health records and Medicaid data. We divided individuals who gained Medicaid in the Oregon Experiment into those who maintained (n = 788) or lost (n = 944) insurance coverage. We compared …
Health Care Utilization Rates After Oregon’s 2008 Medicaid Expansion
BACKGROUND: Although past research demonstrated that Medicaid expansions were associated with increased emergency department (ED) and primary care (PC) utilization, little is known about how long this increased utilization persists or whether postcoverage utilization is affected by prior insurance status. OBJECTIVES: (1) To assess changes in ED, PC, mental and behavioral health care, and specialist care visit rates among individuals gaining Medic…
The Association Between Medicaid Coverage for Children and Parents Persists
Linkage Methods for Connecting Children with Parents in Electronic Health Record and State Public Health Insurance Data
Predictors of Children’s Health Insurance Coverage Discontinuity in 1998 Versus 2009
Navigating the Murky Waters of Colorectal Cancer Screening and Health Reform
The Affordable Care Act (ACA) mandates that both Medicaid and insurance plans cover life-saving preventive services recommended by the US Preventive Services Task Force, including colorectal cancer (CRC) screening and choice between colonoscopy, flexible sigmoidoscopy, and fecal occult blood testing (FOBT). People who choose FOBT or sigmoidoscopy as their initial test could face high, unexpected, out-of-pocket costs because the mandate does not c…
Insurance Continuity and Human Papillomavirus Vaccine Uptake in Oregon and California Federally Qualified Health Centers
Objectives. We examined the association between insurance continuity and human papillomavirus (HPV) vaccine uptake in a network of federally qualified health clinics (FQHCs). Methods. We analyzed retrospective electronic health record data for females, aged 9–26 years in 2008 through 2010. Based on electronic health record insurance coverage information, patients were categorized by percent of time insured during the study period (0%, 1%–32%, 33%…
Recent Health Insurance Trends for US Families
Receipt of Preventive Care Among Adults
Objectives. This study ascertained the separate and combined effects of having insurance and a usual source of care on receiving preventive services. Methods. Descriptive and multivariate analyses of 1996 Medical Expenditure Panel Survey data were conducted. Results. Receipt of preventive services was strongly associated with insurance and a usual source of care. Significant differences were found between insured adults with a usual source of car…
In Low-Income Latino Patients, Post-Affordable Care Act Insurance Disparities May Be Reduced Even More than Broader National Estimates
Community Health Center Utilization Following the 2008 Medicaid Expansion in Oregon
Objectives. To assess longitudinal patterns of community health center (CHC) utilization and the effect of insurance discontinuity after Oregon’s 2008 Medicaid expansion (the Oregon Experiment). Methods. We conducted a retrospective cohort study with electronic health records and Medicaid data. We divided individuals who gained Medicaid in the Oregon Experiment into those who maintained (n = 788) or lost (n = 944) insurance coverage. We compared …
Navigating the Murky Waters of Colorectal Cancer Screening and Health Reform
The Affordable Care Act (ACA) mandates that both Medicaid and insurance plans cover life-saving preventive services recommended by the US Preventive Services Task Force, including colorectal cancer (CRC) screening and choice between colonoscopy, flexible sigmoidoscopy, and fecal occult blood testing (FOBT). People who choose FOBT or sigmoidoscopy as their initial test could face high, unexpected, out-of-pocket costs because the mandate does not c…
Perceptions of healthcare providers’ communication skills
Insurance Continuity and Human Papillomavirus Vaccine Uptake in Oregon and California Federally Qualified Health Centers
Objectives. We examined the association between insurance continuity and human papillomavirus (HPV) vaccine uptake in a network of federally qualified health clinics (FQHCs). Methods. We analyzed retrospective electronic health record data for females, aged 9–26 years in 2008 through 2010. Based on electronic health record insurance coverage information, patients were categorized by percent of time insured during the study period (0%, 1%–32%, 33%…
Survey mode matters
This study examined adults' self-reported understanding and formatting preferences of medical statistics, confidence in self-care and ability to obtain health advice or information, and perceptions of patient-health-care provider communication measured through dual survey modes (random digital dial and mail). Even while controlling for sociodemographic characteristics, significant differences in regard to adults' responses to survey variables eme…
Receipt of Preventive Care Among Adults
Objectives. This study ascertained the separate and combined effects of having insurance and a usual source of care on receiving preventive services. Methods. Descriptive and multivariate analyses of 1996 Medical Expenditure Panel Survey data were conducted. Results. Receipt of preventive services was strongly associated with insurance and a usual source of care. Significant differences were found between insured adults with a usual source of car…
Perceptions of healthcare providers’ communication skills
Congruent Satisfaction
CONTEXT: Satisfaction among both physicians and patients is optimal for the delivery of high-quality healthcare. Although some links have been drawn between physician and patient satisfaction, little is known about the degree of satisfaction congruence among physicians and patients living and working in geographic proximity to each other. OBJECTIVE: We sought to identify patients and physicians from similar geographic sites and to examine how clo…
Language Preference and Perceptions of Healthcare Providers’ Communication and Autonomy Making Behaviors among Hispanics
Uninsured but Eligible Children
BACKGROUND: Despite expansions in public health insurance programs, millions of US children lack coverage. Nearly two-thirds of Oregon's uninsured children seem to be eligible for public insurance. OBJECTIVES: We sought to identify uninsured but eligible children and to examine how parental coverage affects children's insurance status. METHODS: We collected primary data from families enrolled in Oregon's food stamp program, which has similar elig…
A Usual Source of Care
OBJECTIVES: To examine the separate and combined effects of having health insurance and a usual source of care (USC) on access to healthcare for low-income children and to determine if one or the other is superior in ensuring better access to necessary services. METHODS: We conducted cross-sectional, multivariable analyses of data from a mail-return survey of Oregon's food stamp program. Results from 2681 completed surveys were weighted back to a…
Measuring patients’ perceptions of communication with healthcare providers
Background National governments across the globe have set goals to improve healthcare delivery. Understanding patient–provider communication is essential for the development of policies that measure how well a healthcare system delivers care. Objectives This study was designed to determine which, if any, demographic factors were independently associated with how US patients perceive various aspects of communication with their healthcare providers…
Do Children in Rural Areas Still Have Different Access to Health Care? Results from a Statewide Survey of Oregon's Food Stamp Population
Purpose: To determine if rural residence is independently associated with different access to health care services for children eligible for public health insurance. Methods: We conducted a mail‐return survey of 10,175 families randomly selected from Oregon's food stamp population (46% rural and 54% urban). With a response rate of 31%, we used a raking ratio estimation process to weight results back to the overall food stamp population. We examin…
Insurance Continuity and Receipt of Diabetes Preventive Care in a Network of Federally Qualified Health Centers
BACKGROUND AND OBJECTIVES: Having health insurance is usually associated with better access to care and better health outcomes. For patients receiving care at Federally Qualified Health Centers (FQHCs), where care is provided regardless of insurance status, the role health insurance status plays in affecting receipt of services is less well understood. RESEARCH DESIGN: We used practice management data from a coalition of FQHCs in Oregon, and link…
The Impact of Citizenship Documentation Requirements on Access to Medicaid for Pregnant Women in Oregon
Insurance Coverage Gaps Among US Children with Insured Parents
Comparing Type of Health Insurance Among Low-Income Children
How Readable are Spanish-Language Medicaid Applications
Is Health Insurance Enough? A Usual Source of Care may be More Important to Ensure a Child Receives Preventive Health Counseling
Public Health Insurance in Oregon
Objectives. We identified characteristics of Oregon children who were eligible for the Oregon Health Plan (OHP), the state's combined Medicaid–Children's Health Insurance Program (CHIP), but were not enrolled in January 2005. We also assessed whether parents’ confusion regarding their children's status affected nonenrollment. Methods. We conducted cross-sectional analyses of linked statewide Food Stamp Program and OHP administrative databases (n …
Comparing Types of Health Insurance for Children
BACKGROUND: Many states have expanded public health insurance programs for children, and further expansions were proposed in recent national reform initiatives; yet the expansion of public insurance plans and the inclusion of a public option in state insurance exchange programs sparked controversies and raised new questions with regard to the quality and adequacy of various insurance types. OBJECTIVES: We aimed to examine the comparative effectiv…
Trends in Health Insurance Status of US Children and their Parents, 1998–2008
Does Health Insurance Continuity Among Low-income Adults Impact Their Children’s Insurance Coverage
Recent Health Insurance Trends for US Families
Survey mode matters
This study examined adults' self-reported understanding and formatting preferences of medical statistics, confidence in self-care and ability to obtain health advice or information, and perceptions of patient-health-care provider communication measured through dual survey modes (random digital dial and mail). Even while controlling for sociodemographic characteristics, significant differences in regard to adults' responses to survey variables eme…
Linkage Methods for Connecting Children with Parents in Electronic Health Record and State Public Health Insurance Data
Predictors of Children’s Health Insurance Coverage Discontinuity in 1998 Versus 2009
Navigating the Murky Waters of Colorectal Cancer Screening and Health Reform
The Affordable Care Act (ACA) mandates that both Medicaid and insurance plans cover life-saving preventive services recommended by the US Preventive Services Task Force, including colorectal cancer (CRC) screening and choice between colonoscopy, flexible sigmoidoscopy, and fecal occult blood testing (FOBT). People who choose FOBT or sigmoidoscopy as their initial test could face high, unexpected, out-of-pocket costs because the mandate does not c…
Insurance Continuity and Human Papillomavirus Vaccine Uptake in Oregon and California Federally Qualified Health Centers
Objectives. We examined the association between insurance continuity and human papillomavirus (HPV) vaccine uptake in a network of federally qualified health clinics (FQHCs). Methods. We analyzed retrospective electronic health record data for females, aged 9–26 years in 2008 through 2010. Based on electronic health record insurance coverage information, patients were categorized by percent of time insured during the study period (0%, 1%–32%, 33%…
The Association Between Medicaid Coverage for Children and Parents Persists
Medicine (42 works) · Health care (36 works) · Family medicine (27 works) · Healthcare Policy and Management (27 works) · Demography (25 works) · Environmental health (24 works) · Nursing (23 works) · Health insurance (22 works) · Primary Care and Health Outcomes (21 works) · Public health (17 works)