Recession Led To A Decline In Out-Of-Pocket Spending For Children With Special Health Care Needs
Recession Led To A Decline In Out-Of-Pocket Spending For Children With Special Health Care Needs
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DOI：
10.1377/hlthaff.2012.1137
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发表时间：
2013-06-01
期刊：
影响因子：
9.7
通讯作者：
Sommers, Benjamin D.
中科院分区：
文献类型：
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作者：
Karaca-Mandic, Pinar;Yoo, Sung J. Choi;Sommers, Benjamin D.
2007-09年的经济衰退导致医疗保健支出增长总体放缓，但目前尚不清楚支出增长放缓是否对成人和儿童产生了不同的影响。尽管大多数儿童是健康的，但放弃常规保健可能会对公共卫生产生长期的不利影响。此外，有特殊卫生保健需求的儿童如果得不到适当的护理，就有可能出现不良后果。我们重点调查了有孩子的私人保险家庭，调查了自付支出趋势在经济衰退之前和期间的变化。2001年至2009年期间的医疗支出小组调查数据显示，经济衰退并未影响大多数儿童的自付支出，但它导致有特殊需要的儿童的支出下降，他们的自付支出在基线水平上要高得多。成年人在经济衰退期间的自付支出明显较低，这表明父母可能会在经济困难时期减少自己的医疗保健，以满足孩子的医疗保健需求。
The 2007-09 recession led to an overall slowing in health care spending growth, but it is unclear whether the slowed spending growth had different impacts on adults and children. Although most children are healthy, forgoing routine health care could have long-term adverse implications for public health. Furthermore, children with special health care needs are at risk of adverse outcomes if they do not receive adequate care. Focusing on privately insured families with children, we investigated how out-of-pocket spending trends changed before and during the recession. Medical Expenditure Panel Survey data from the period 2001-09 revealed that the recession did not affect out-of-pocket spending for most children, but it led to a decline in spending for children with special needs, who had much higher out-of-pocket spending at baseline. Adults had significantly lower out-of-pocket spending during the recession, which suggests that parents may reduce their own medical care in difficult economic times to meet their children's health care needs.