《反贫困战争中的公共医疗实验：社区卫生中心与美国老年人的死亡率》
The War on Poverty's Experiment in Public Medicine: Community Health Centers and the Mortality of Older Americans.
机构信息
Department of Economics, University of Michigan, 611 Tappan Street, Ann Arbor, Michigan 48109.
出版信息
Am Econ Rev. 2015 Mar;105(3):1067-1104. doi: 10.1257/aer.20120070.
Abstract
This paper uses the rollout of the first Community Health Centers (CHCs) to study the longer-term health effects of increasing access to primary care. Within ten years, CHCs are associated with a reduction in age-adjusted mortality rates of 2 percent among those 50 and older. The implied 7 to 13 percent decrease in one-year mortality risk among beneficiaries amounts to 20 to 40 percent of the 1966 poor/non-poor mortality gap for this age group. Large effects for those 65 and older suggest that increased access to primary care has longer-term benefits, even for populations with near universal health insurance. (JEL H75, I12, I13, I18, I32, I38, J14).
摘要
本文利用第一批社区卫生中心（CHC）的推出，研究了增加初级保健服务可及性对长期健康的影响。在十年内，CHC 的推出与 50 岁及以上人群的年龄调整死亡率降低 2%有关。在受益人群中，一年死亡率风险降低 7%至 13%，相当于这一年龄组 1966 年贫困人口/非贫困人口死亡率差距的 20%至 40%。对于 65 岁及以上的人群来说，效果较大，这表明增加获得初级保健服务具有长期效益，即使是在几乎全民享有健康保险的人群中也是如此。（JEL H75、I12、I13、I18、I32、I38、J14）。
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