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阿片类药物获取途径如何影响物质滥用治疗供应:来自医疗保险处方药部分的证据。

How access to addictive drugs affects the supply of substance abuse treatment: Evidence from Medicare Part D.

机构信息

Department of Economics, Vanderbilt University, Nashville, Tennessee, USA.

出版信息

Health Econ. 2022 Aug;31(8):1649-1675. doi: 10.1002/hec.4530. Epub 2022 May 23.

Abstract

This paper documents how substance abuse treatment (SAT) providers and services respond to increases in population-level opioid addiction. I do this by exploiting the implementation of Medicare Part D as an exogenous increase in the availability of prescription opioids. Starting in 2006, states with higher shares of the population eligible for Medicare Part D experienced increases in residential and hospital inpatient SAT facilities, beds dedicated to SAT, and SAT facilities offering medication-assisted treatment, relative to states with lower shares. These results suggest that the supply of SAT in the United States is capable of responding significantly to changes in demand.

摘要

本文记录了物质滥用治疗(SAT)提供者和服务如何应对人群中阿片类药物成瘾的增加。我通过利用医疗保险部分 D 的实施作为处方类阿片类药物供应增加的外生变量来实现这一目标。从 2006 年开始,符合医疗保险部分 D 资格的人群比例较高的州,与比例较低的州相比,住宅和医院住院 SAT 设施、专门用于 SAT 的床位以及提供药物辅助治疗的 SAT 设施有所增加。这些结果表明,美国 SAT 的供应能够对需求变化做出显著反应。

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