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医疗补助保险覆盖范围对牙科服务利用的影响。

The impact of Medicaid insurance coverage on dental service use.

机构信息

Department of Economics, University of California, 4122 Sproul Hall, Riverside, CA 92521, USA.

出版信息

J Health Econ. 2011 Sep;30(5):1020-31. doi: 10.1016/j.jhealeco.2011.08.002. Epub 2011 Aug 12.

Abstract

The new comprehensive health reform, beginning in 2014, will require Medicaid to expand all elements of coverage to individuals with incomes up to 133 percent of the federal poverty line. With millions more individuals gaining eligibility for adult Medicaid dental benefits, generating an unbiased estimate of the elasticity of demand for dental services is critical. The causal relationship between access to adult Medicaid dental benefits and usage of dental services for low-income adults is estimated, using difference-in-differences estimation procedures to exploit the state-level variation in adult Medicaid dental benefits. Results suggest that adult Medicaid dental benefits increase the probability of a dental visit within 12 months by 16.4-22 percent. A variety of robustness checks are invoked to confirm the finding.

摘要

新的全面健康改革于 2014 年开始实施,将要求医疗补助计划扩大覆盖范围,将收入在联邦贫困线 133%以下的个人全部纳入保障范围。随着越来越多的个人获得成人医疗补助牙科福利的资格,对牙科服务需求弹性进行无偏估计至关重要。利用差异中的差异估计程序来利用州级成人医疗补助牙科福利的变化,估计获得成人医疗补助牙科福利与低收入成年人使用牙科服务之间的因果关系。结果表明,医疗补助计划中的牙科福利将在 12 个月内增加 16.4%至 22%的看牙概率。进行了各种稳健性检查来确认这一发现。

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