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成年医疗补助计划福利的慷慨程度与低收入儿童获得推荐卫生服务之间的关系:医疗补助计划扩大成人牙科保险覆盖范围的溢出效应。

Adult Medicaid benefit generosity and receipt of recommended health services among low-income children: The spillover effects of Medicaid adult dental coverage expansions.

机构信息

San Diego State University, School of Public Health, 5500 Campanile Drive, San Diego, CA 92182, United States.

出版信息

J Health Econ. 2021 Jan;75:102404. doi: 10.1016/j.jhealeco.2020.102404. Epub 2020 Nov 23.

DOI:10.1016/j.jhealeco.2020.102404
PMID:33291015
Abstract

Low-income children are less likely to receive recommended health services than their high-income counterparts. This paper examines whether the design of parental Medicaid benefit packages could serve as a mechanism for reducing income-based disparities in unmet health care needs, considering dental benefits as a case study. Leveraging state-level changes to adult dental benefits over time, I find that coverage is associated with increases of 14 and 5 percentage points, respectively, in the likelihood of a recent dental visit among parents and children directly exposed to the policy. Child effects appear to be concentrated among younger children under age 12.

摘要

低收入家庭的孩子获得推荐的健康服务的可能性低于高收入家庭的孩子。本文以牙科福利为例,探讨了父母医疗补助计划的设计是否可以成为减少基于收入的未满足医疗需求差距的一种机制。利用各州随时间变化对成人牙科福利的调整,我发现,对于直接受到该政策影响的父母和儿童,最近一次看牙医的可能性分别增加了 14 和 5 个百分点。儿童的影响似乎主要集中在 12 岁以下的年幼儿童身上。

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Adult Medicaid benefit generosity and receipt of recommended health services among low-income children: The spillover effects of Medicaid adult dental coverage expansions.成年医疗补助计划福利的慷慨程度与低收入儿童获得推荐卫生服务之间的关系:医疗补助计划扩大成人牙科保险覆盖范围的溢出效应。
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引用本文的文献

1
Medicaid Dental Coverage and Preventive Dental Care Use Among Pregnant Adults.成年孕妇的医疗补助牙科保险覆盖范围及预防性牙科护理使用情况
Matern Child Health J. 2025 Sep 13. doi: 10.1007/s10995-025-04149-9.
2
Dental Care Use Among Children and Adolescents in Medicaid: Associations With State-Level Medicaid Policy Factors and Provider Availability.医疗补助计划中儿童和青少年的牙科护理使用情况:与州级医疗补助政策因素及医疗服务提供者可及性的关联
J Public Health Dent. 2025 Jun;85(2):143-152. doi: 10.1111/jphd.12662. Epub 2025 Jan 29.
3
Medicaid Dental Benefits for Pregnant People and Dental Care Use Among Very Young Children.
Medicaid 为孕妇提供的牙科福利与非常年幼儿童的牙科保健利用。
Matern Child Health J. 2024 Sep;28(9):1604-1611. doi: 10.1007/s10995-024-03955-x. Epub 2024 Jun 25.
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Association between parenthood and cardiovascular disease risk: Analysis from NHANES 2011-2016.为人父母与心血管疾病风险之间的关联:来自2011 - 2016年美国国家健康与营养检查调查(NHANES)的分析
Prev Med Rep. 2022 May 6;27:101820. doi: 10.1016/j.pmedr.2022.101820. eCollection 2022 Jun.
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The Association Between Medicaid Adult Dental Coverage And Children's Oral Health.医疗补助计划成人牙科保险与儿童口腔健康的关联。
Health Aff (Millwood). 2021 Nov;40(11):1731-1739. doi: 10.1377/hlthaff.2021.01135.