医疗保健支出与劳动力市场结果：来自工人赔偿改革的证据。
Medical Care Spending and Labor Market Outcomes: Evidence from Workers' Compensation Reforms.
机构信息
RAND, 1200 S. Hayes Street, Arlington, VA 22202.
Department of Emergency Medicine and Leonard D. Schaeffer Center for Health Policy and Economics, University of Southern California, 635 Downey Way, VPD 414C, Los Angeles, CA 90089.
出版信息
Am Econ Rev. 2018 Oct;108(10):2995-3027.
Medical care represents an important component of workers' compensation benefits with the potential to improve health and post-injury labor outcomes, but little is known about the relationship between medical care spending and the labor outcomes of injured workers. We exploit the 2003--2004 California workers' compensation reforms which reduced medical spending disproportionately for workers incurring low back injuries. We link administrative claims data to earnings records for injured workers and their uninjured coworkers. We find that workers with low back injuries experienced a 7.6 percent post-reform decline in medical care, and an 8.1 percent drop in post-injury earnings relative to other injured workers.
医疗保健是工人赔偿福利的一个重要组成部分，有可能改善健康状况和受伤后劳动力的结果，但对于医疗保健支出与受伤工人劳动力结果之间的关系知之甚少。我们利用了 2003-2004 年加利福尼亚工人赔偿改革，这些改革不成比例地减少了低背部受伤工人的医疗支出。我们将行政索赔数据与受伤工人及其未受伤同事的收入记录联系起来。我们发现，低背部受伤工人在改革后医疗保健支出下降了 7.6%，受伤后收入比其他受伤工人下降了 8.1%。
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