收入、就业和医疗保险的变化如何影响家庭心理健康支出？
HOW DO CHANGES IN INCOME, EMPLOYMENT AND HEALTH INSURANCE AFFECT FAMILY MENTAL HEALTH SPENDING?
作者信息
Grafova Irina B, Monheit Alan C, Kumar Rizie
机构信息
Department of Health Systems and Policy, Rutgers University School of Public Health.
Department of Health Systems and Policy, Rutgers University School of Public Health and National Bureau of Economic Research.
出版信息
Rev Econ Househ. 2020 Mar;18(1):239-263. doi: 10.1007/s11150-018-9436-y. Epub 2018 Nov 7.
Abstract
Using eight two-year panels from the Medical Expenditure Panel Survey data for the period 2004 to 2012, we examine the effect of economic shocks on mental health spending by families with children. Estimating two-part expenditure models within the correlated random effects framework, we find that employment shocks have a greater impact on mental health spending than do income or health insurance shocks. Our estimates reveal that employment gains are associated with a lower likelihood of family mental health services utilization. By contrast employment losses are positively related to an increase in total family mental health. We do not detect a link between economic shocks and mental health spending on behalf of fathers.
摘要
利用2004年至2012年期间医疗支出面板调查数据中的八个两年期样本，我们研究了经济冲击对有孩子家庭心理健康支出的影响。在相关随机效应框架内估计两部分支出模型，我们发现就业冲击对心理健康支出的影响大于收入或医疗保险冲击。我们的估计表明，就业增加与家庭心理健康服务利用率降低的可能性相关。相比之下，就业减少与家庭心理健康总支出增加呈正相关。我们未发现经济冲击与父亲的心理健康支出之间存在联系。
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