The impact of health care reform on hospital and preventive care: Evidence from Massachusetts
The impact of health care reform on hospital and preventive care: Evidence from Massachusetts
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DOI：
10.1016/j.jpubeco.2012.07.003
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发表时间：
2012-12-01
影响因子：
9.8
通讯作者：
Kowalski, Amanda E.
中科院分区：
文献类型：
--
作者：
Kolstad, Jonathan T.;Kowalski, Amanda E.
2006年4月，马萨诸塞州通过了旨在实现近乎全民医疗保险覆盖的立法。这项立法的主要特点是成为2010年3月通过的国家卫生改革的典范。这项改革给了我们一个新的机会，让我们来审视扩大到全州范围的近乎全民覆盖的影响。在马萨诸塞州的出院，我们发现，改革减少了36%，相对于其初始水平和其他国家的不保险。改革通过缩短住院时间和急诊室收治的住院病人数量影响了利用率。当我们控制病人的严重程度时，我们发现可预防的入院减少的证据。与此同时，医院的成本增长并没有增加。(C)2012爱思唯尔有限公司版权所有。
In April 2006, Massachusetts passed legislation aimed at achieving near-universal health insurance coverage. The key features of this legislation were a model for national health reform, passed in March 2010. The reform gives us a novel opportunity to examine the impact of expansion to near-universal coverage state-wide. Among hospital discharges in Massachusetts, we find that the reform decreased uninsurance by 36% relative to its initial level and to other states. Reform affected utilization by decreasing length of stay, and the number of inpatient admissions originating from the emergency room. When we control for patient severity, we find evidence that preventable admissions decreased. At the same time, hospital cost growth did not increase. (C) 2012 Elsevier B.V. All rights reserved.