Health insurance eligibility, utilization of medical care, and child health

Health insurance eligibility, utilization of medical care, and child health
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DOI:
10.2307/2946684
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发表时间:
1996-05-01
影响因子:
13.7
通讯作者:
Gruber, J
Gruber, J
中科院分区:
经济学1区
文献类型:
--
作者:
Currie, J;Gruber, J

文献摘要

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我们通过利用最近向低收入儿童扩展的医疗补助计划,研究儿童公共保险对其医疗保健利用和健康结果的影响。这些扩展使 1984 年至 1992 年间有资格享受医疗补助的儿童比例增加了一倍。然而,即使在其他没有保险的儿童中,这些扩展的实施率也远远低于全部。尽管存在使用问题,但医疗补助资格显着提高了医疗服务的利用率,特别是在医生办公室提供的护理。资格的提高也与儿童死亡率的大幅下降有关。
We study the effect of public insurance for children on their utilization of medical care and health outcomes by exploiting recent expansions of the Medicaid program to low-income children. These expansions doubled the fraction of children eligible for Medicaid between 1984 and 1992. Take-up of these expansions was much less than full, however, even among otherwise uninsured children. Despite this take-up problem, eligibility for Medicaid significantly increased the utilization of medical care, particularly care delivered in physicians' offices. Increased eligibility was also associated with a sizable and significant reduction in child mortality.