The impact of early discharge laws on the health of newborns
The impact of early discharge laws on the health of newborns
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DOI：
10.1016/j.jhealeco.2007.12.003
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发表时间：
2008-07-01
影响因子：
3.5
通讯作者：
Wei, Heng
中科院分区：
文献类型：
--
作者：
Evans, William N.;Garthwaite, Craig;Wei, Heng
使用中断的时间序列设计和人口普查出生在加州超过6年的时间，我们表明，州和联邦法律通过在20世纪90年代末，旨在增加产后住院时间大大减少了部分新生儿出院早。这项法律对私人保险的阴道分娩新生儿的再入院率影响不大，但在统计上显著降低了私人保险的剖腹产和医疗保险的阴道分娩新生儿的再入院率。我们的计算表明，该计划并没有节省成本。(c)2008 Elsevier B.V.保留所有权利。
Using an interrupted time series design and a census of births in California over a 6-year period, we show that state and federal laws passed in the late 1990s designed to increase the length of postpartum hospital stays reduced considerably the fraction of newborns that were discharged early. The law had little impact on re-admission rates for privately insured, vaginally delivered newborns, but reduced re-admission rates for privately insured c-section-delivered and Medicaid-insured vaginally delivered newborns by statistically significant amounts. Our calculations suggest the program was not cost saving. (c) 2008 Elsevier B.V. All rights reserved.