The long-term impacts of Medicaid exposure in early childhood: Evidence from the program's origin
The long-term impacts of Medicaid exposure in early childhood: Evidence from the program's origin
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DOI：
10.1016/j.jhealeco.2015.11.001
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发表时间：
2016-01-01
影响因子：
3.5
通讯作者：
McAlpine, Donna D.
中科院分区：
文献类型：
--
作者：
Boudreaux, Michel H.;Golberstein, Ezra;McAlpine, Donna D.
本文探讨了幼儿期接受医疗补助对成人健康和经济状况的长期影响。各州采用医疗补助的时间错开，导致现在已成年的出生群体享受医疗补助的累积暴露量产生了有意义的变化。收入动态小组研究的分析表明，幼儿期（0-5 岁）接受医疗补助与成人（25-54 岁）健康状况的统计显着且有意义的改善相关，并且这种效果仅在该计划针对的亚组中出现。经济结果的结果并不精确，我们无法得出明确的结论。使用单独的数据，我们发现了两种机制的证据，这两种机制可能将医疗补助的引入与长期结果联系起来：儿童卫生服务利用率的同时增加和家庭医疗债务的减少。 (C) 2015 Elsevier B.V. 保留所有权利。
This paper examines the long-term impact of exposure to Medicaid in early childhood on adult health and economic status. The staggered timing of Medicaid's adoption across the states created meaningful variation in cumulative exposure to Medicaid for birth cohorts that are now in adulthood. Analyses of the Panel Study of Income Dynamics suggest exposure to Medicaid in early childhood (age 0-5) is associated with statistically significant and meaningful improvements in adult health (age 25-54), and this effect is only seen in subgroups targeted by the program. Results for economic outcomes are imprecise and we are unable to come to definitive conclusions. Using separate data we find evidence of two mechanisms that could plausibly link Medicaid's introduction to long-term outcomes: contemporaneous increases in health services utilization for children and reductions in family medical debt. (C) 2015 Elsevier B.V. All rights reserved.