DOES MEDICARE SAVE LIVES?

DOES MEDICARE SAVE LIVES?
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DOI:
10.1162/qjec.2009.124.2.597
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发表时间:
2009
期刊:
The quarterly journal of economics
影响因子:
--
通讯作者:
Maestas N
Maestas N
中科院分区:
其他
文献类型:
--
作者:
Card D;Dobkin C;Maestas N

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Health insurance characteristics shift at age 65 as most people become eligible for Medicare. We measure the impacts of these changes on patients who are admitted to hospitals through emergency departments for conditions with similar admission rates on weekdays and weekends. The age profiles of admissions and comorbidities for these patients are smooth at age 65, suggesting that the severity of illness is similar on either side of the Medicare threshold. In contrast, the number of procedures performed in hospitals and total list charges exhibit small but statistically significant discontinuities, implying that patients over 65 receive more services. We estimate a nearly 1-percentage-point drop in 7-day mortality for patients at age 65, equivalent to a 20% reduction in deaths for this severely ill patient group. The mortality gap persists for at least 9 months after admission.
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影响因子: 1.5
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