Dennett Julia M, Baicker Katherine
Yale University School of Public Health, New Haven, CT, USA.
University of Chicago Harris School of Public Policy, Chicago, IL, USA.
J Urban Health. 2022 Feb;99(1):116-133. doi: 10.1007/s11524-021-00579-2. Epub 2022 Jan 4.
Neighborhood characteristics may moderate the effects of Medicaid coverage on health outcomes. Identifying this interplay can inform the design, targeting, and implementation of health policy. We combine data from the Oregon Health Insurance Experiment, which randomized access to Medicaid, with rich new data on multiple domains of neighborhood characteristics to assess the interaction between the local environment and the effect of insurance on health. Overall, we do not find that neighborhood characteristics substantially affect the relationship between gaining insurance and health outcomes, suggesting that Medicaid expansions are similarly effective across neighborhoods. This analysis highlights the complex relationship between health insurance coverage, neighborhood characteristics, and health.
邻里特征可能会缓和医疗补助覆盖范围对健康结果的影响。识别这种相互作用可为健康政策的设计、目标定位和实施提供参考。我们将来自俄勒冈健康保险实验（该实验随机分配医疗补助资格）的数据与关于邻里特征多个领域的丰富新数据相结合，以评估当地环境与保险对健康影响之间的相互作用。总体而言，我们并未发现邻里特征会对获得保险与健康结果之间的关系产生实质性影响，这表明医疗补助扩大计划在各个邻里中同样有效。该分析突出了健康保险覆盖范围、邻里特征和健康之间的复杂关系。
