Domino Marisa Elena, Fried Bruce, Moon Yoosun, Olinick Joshua, Yoon Jangho
Department of Health Policy and Administration, School of Public Health, University of North Carolina, Chapel Hill, 27599-7411, USA.
Am J Public Health. 2003 Jul;93(7):1122-7. doi: 10.2105/ajph.93.7.1122.
We measured the effect of Hurricane Floyd on Medicaid enrollment and health services use in the most severely affected counties of North Carolina.
We used differences-in-differences models on balanced panels of Medicaid claims and enrollment data.
Overall spending per enrollee showed little short-term effect but demonstrated a moderate increase 1 year after the storm. We found very modest short-term increases in Medicaid enrollment, a small long-term decrease in enrollment, and large increases in the long-term use of emergency room and outpatient services.
Our findings suggest that hurricane victims experienced substantial changes in patterns of care that endured for much longer than the initial crisis period. These findings can have important implications for the management of disaster relief for this population.
我们评估了弗洛伊德飓风对北卡罗来纳州受灾最严重县医疗补助计划登记情况及医疗服务使用的影响。
我们对医疗补助计划理赔和登记数据的平衡面板使用了双重差分模型。
每位参保人的总体支出短期内影响不大，但在风暴过后1年呈现适度增长。我们发现医疗补助计划登记人数短期内有非常适度的增长，长期来看登记人数有小幅下降，而急诊室和门诊服务的长期使用则大幅增加。
我们的研究结果表明，飓风受害者的护理模式发生了重大变化，且这种变化持续的时间远长于最初的危机时期。这些发现可能对该人群的救灾管理具有重要意义。
