HEALTH CARE MARKETS & ACCESS FOR THE UNINSURED

该项目将利用医疗支出专题调查的数据，研究保健市场结构和安全网结构如何影响未投保者获得和利用医疗保健。具体而言，该项目将使用MEPS来检查医疗保健市场结构和安全网对未投保人员是否有通常的护理来源以及多种利用措施的影响，包括医生就诊，非医生就诊，住院和总住院夜，家庭医疗保健就诊，急诊室的使用，预防护理的使用，处方药的使用，和医疗保健总支出。该项目的主要方法创新将是使用非常详细的安全网措施，其中包括没有保险的个人与不同类型的安全网提供者之间的距离。 此外，该项目将探索替代方法来建模使用，以考虑健康保险的动态。

This project will use data from the Medical Expenditure Panel Survey (MEPS) to study how health care market structure and the structure of the safety net affects access to and utilization of medical care by uninsured persons. Specifically, the project will use the MEPS to examine the effects of health care market structure and the safety net on whether uninsured persons have a usual source of care and on multiple measures of utilization including physician visits, non-physician visits, hospital admissions and total hospital nights, home health care visits, use of the emergency room, use of preventative care, use of prescription medicines, and total medical care expenditures. The major methodological innovation in the project will be the use of highly detailed measures of the safety net that include the distance form individual uninsured persons to different types of safety net providers. In addition, the project will explore alternative approaches to modeling use in order to account for the dynamics in health insurance.