Affordable Care Act Medicaid expansions and maternal morbidity.
Affordable Care Act Medicaid expansions and maternal morbidity.
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DOI：
10.1002/hec.4724
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发表时间：
2023-10
期刊：
影响因子：
2.1
通讯作者：
Montez, Jennifer Karas
中科院分区：
文献类型：
--
作者：
Chatterji, Pinka;Glenn, Hanna;Markowitz, Sara;Montez, Jennifer Karas
在本文中，我们测试是否平价医疗法案医疗补助扩张与产妇发病率有关。ACA的扩大可能通过增加孕前获得医疗保健的机会，以及通过改善医院的财务状况来改善分娩护理的质量，从而影响孕产妇发病率。我们将差中差模型与事件研究结合使用。数据来自个人层面的出生证明和州层面的医院出院数据。结果显示，几乎没有证据表明子宫扩张与总体产妇发病率或特定不良事件指标相关，包括子痫、子宫破裂和计划外子宫切除术。该结果与先前的研究一致，表明ACA医疗补助计划的扩大与孕前健康或怀孕期间的孕产妇健康没有统计学关联。我们的研究结果进一步证实了这一点，并发现很少有证据表明产妇分娩后的健康状况有所改善。
In this paper, we test whether the Affordable Care Act Medicaid expansions are associated with maternal morbidity. The ACA expansions may have affected maternal morbidity by increasing pre‐conception access to health care, and by improving the quality of delivery care, through enhancing hospitals' financial positions. We use difference‐in‐difference models in conjunction with event studies. Data come from individual‐level birth certificates and state‐level hospital discharge data. The results show little evidence that the expansions are associated with overall maternal morbidity or indicators of specific adverse events including eclampsia, ruptured uterus, and unplanned hysterectomy. The results are consistent with prior research showing that the ACA Medicaid expansions are not statistically associated with pre‐pregnancy health or maternal health during pregnancy. Our results add to this story and find little evidence of improvements in maternal health upon delivery.
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DOI：
10.1377/hlthaff.2021.01150
发表时间：
2022-01-01
期刊：
Health affairs (Project Hope)
影响因子：
--
作者：
Bellerose, Meghan;Collin, Lauren;Daw, Jamie R
通讯作者：
Daw, Jamie R
影响因子：
9.8
作者：
Grobman, William A.;Bailit, Jennifer L.;Van Dorsten, J. Peter
通讯作者：
Van Dorsten, J. Peter
影响因子：
7.2
作者：
Creanga, Andreea A.;Berg, Cynthia J.;Callaghan, William M.
通讯作者：
Callaghan, William M.
影响因子：
6.3
作者：
Goodman-Bacon, Andrew
通讯作者：
Goodman-Bacon, Andrew
影响因子：
9.7
作者：
Blavin, Fredric;Ramos, Christal
通讯作者：
Ramos, Christal