Medicare and inequalities in health outcomes: The case of breast cancer
Medicare and inequalities in health outcomes: The case of breast cancer
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DOI：
10.1093/cep/20.1.1
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发表时间：
2002-01-01
影响因子：
1.5
通讯作者：
Rapaport, C
中科院分区：
文献类型：
--
作者：
Decker, SL;Rapaport, C
本文评估了将医疗保险扩大到55岁至64岁之间的人群是否会改善这些近老年人的健康状况。我们比较了近老年和老年乳腺癌妇女的经历，并特别关注那些传统上被认为处于不利地位的人口群体。使用来自国家癌症研究所的独特的个人水平数据，我们发现，扩大医疗保险并没有提高黑人妇女早期诊断癌症的可能性。然而，如果她碰巧在早期被诊断出来，离散时间生存风险模型发现，保险的价格效应将提高她的生存几率。
This article evaluates whether expanding Medicare to cover those between ages 55 and 64 will improve the health status of these near-elderly individuals. We compare the experiences of near-elderly and elderly women with breast cancer and pay special attention to those demographic groups traditionally thought to be disadvantaged. Using unique individual-level data from the National Cancer Institute, we find that expanding Medicare does not improve the probability that a black woman will have her cancer diagnosed early. However, if she does happen to be diagnosed early, a discrete-time hazard model of survival finds that the price effects of insurance will improve her odds of survival.