Lo Sasso Anthony T, Seamster Dorian G
University of Illinois at Chicago, IL, USA.
Med Care Res Rev. 2007 Dec;64(6):731-44. doi: 10.1177/1077558707305940.
The 1990s featured pronounced policy change that had important effects on safety net providers and their ability to care for the uninsured. The authors examined how changes in public policy affected hospital uncompensated care (UC) between 1990 and 2000. They found that aggregate state Medicaid Disproportionate Share Hospital spending had no impact on UC provision. Expanding public health insurance eligibility for children and adults and increasing Medicaid managed care had small negative effects on UC provision. State and local tax appropriations had the largest impact on UC provision. A better understanding of the effect of health care policies on UC provision is essential in crafting new policies and better anticipating their impact.
20世纪90年代出现了显著的政策变化，这些变化对安全网提供者及其照顾未参保者的能力产生了重要影响。作者研究了1990年至2000年间公共政策的变化如何影响医院的无偿医疗服务（UC）。他们发现，州医疗补助计划中针对不成比例份额医院的总体支出对无偿医疗服务的提供没有影响。扩大儿童和成人公共医疗保险资格以及增加医疗补助计划的管理式医疗对无偿医疗服务的提供有微小的负面影响。州和地方税收拨款对无偿医疗服务的提供影响最大。更好地理解医疗政策对无偿医疗服务提供的影响对于制定新政策以及更好地预测其影响至关重要。
