Ellen Ingrid Gould, Dragan Kacie L, Glied Sherry
Ingrid Gould Ellen is the Paulette Goddard Professor of Urban Policy and Planning and faculty director of the NYU Furman Center, both in the Robert F. Wagner Graduate School of Public Service, New York University, in New York City.
Kacie L. Dragan was a lead analyst for the Policies for Action Research Hub in the Robert F. Wagner Graduate School of Public Service, New York University, when the article was submitted. She is now a PhD candidate in health policy at the Harvard University Graduate School of Arts and Sciences, in Cambridge, Massachusetts.
Health Aff (Millwood). 2020 Feb;39(2):224-232. doi: 10.1377/hlthaff.2019.00767.
Many public and subsidized housing developments in the US are aging and in need of significant repairs. Some observers worry that their poor condition threatens the health of residents. We evaluated a recent renovation of public housing that was undertaken through the transfer of six housing developments from the New York City Housing Authority to a public-private partnership. We studied whether the renovation and transfer to private managers led to improvements in tenants' health over three years, as measured by Medicaid claims. While we did not find significant improvements in individual health outcomes, we found significant relative improvements in overall disease burden when measured using an index of housing-sensitive conditions. These findings are not surprising. Given that broad-based housing renovations address a diverse set of health conditions, we should not expect them to have a significant impact on any single condition in the short run. Yet they may significantly improve residents' overall well-being over time.
美国许多公共和补贴住房项目都在老化,急需大规模维修。一些观察人士担心,这些住房的糟糕状况会威胁居民健康。我们评估了最近一次公共住房翻新项目,该项目通过将纽约市住房管理局的六个住房项目转移至公私合营企业来实施。我们研究了翻新以及转由私人管理者管理是否在三年时间里改善了租户的健康状况,衡量指标是医疗补助申请情况。虽然我们没有发现个体健康状况有显著改善,但在使用对住房敏感的状况指数进行衡量时,我们发现总体疾病负担有显著的相对改善。这些发现并不令人意外。鉴于大规模住房翻新解决的是一系列不同的健康问题,我们不应期望它们在短期内对任何单一健康问题产生重大影响。然而,随着时间推移,它们可能会显著改善居民的整体幸福感。