ECONOMIC DETERMINANTS OF MORTALITY

描述：这项研究旨在更好地理解经济因素的作用 在解释死亡率模式方面，特别是在低收入人口中。我们的 重点是医疗保险制度的作用，更具体地说，是如何 人口健康保险覆盖面的巨大变化可能会影响 死亡率。为了协同开始建立一个经验主义的机构 规律性，我们建议分析实际大的 保险在不同环境下的扩张。一组分析将检查 实施医疗保险和医疗补助对死亡率的影响 节目在20世纪60年代在美国的S，其中收到了 令人惊讶的是，几乎没有研究。一组平行的分析将建立在以前的 研究哥斯达黎加保险覆盖面的大规模扩大 S。该项目还包括对影响的方法论调查 分析按地区汇总的死亡率数据的常见做法 而不是个人层面的微观数据。这个项目预计将产生 了解健康保险对以下方面影响的重要新信息 死亡模式本身，并解释了 健康。这一知识不仅对这两个国家很重要，而且对 许多其他国家以及他们正在辩论大规模的医疗改革 保险系统。

DESCRIPTION: This study seeks to better understand the role of economic factors in explaining mortality patterns, particularly in low-income populations. Our focus is on the role of the health insurance system, and more specifically, how large changes in the health insurance coverage of a population might influence mortality. In order to synergistically begin to build a body of empirical regularities, we propose to analyze the causal effects of actual large insurance expansions in different settings. One set of analyses will examine the mortality effects of the implementation of the Medicare and Medicaid programs in the United States during the 1960's, which have received surprisingly little study. A parallel set of analyses will build on previous work examining a large expansion in insurance coverage in Costa Rica during the 1970's. The project also includes a methodological investigation of the effects of the common practice of analyzing regionally aggregated mortality data instead of individual-level micro data. This project is expected to yield important new information in understanding the effect of health insurance on mortality patterns themselves, and on explaining socioeconomic differences in health. This knowledge is important not only for these two countries, but for many other countries as well as they debate large-scale reforms of their health insurance systems.