The Effect of Health Insurance Coverage on the Use of Medical Services

被引：165

作者：

Anderson, Michael ^{[1
]}

Dobkin, Carlos ^{[2
]}

Gross, Tal ^{[3
]}

机构：

[1] Univ Calif Berkeley, Dept Agr & Resource Econ, Berkeley, CA 94720 USA

[2] Univ Calif Santa Cruz, Dept Econ, Santa Cruz, CA 95064 USA

[3] Columbia Univ, Mailman Sch Publ Hlth, New York, NY 10032 USA

来源：

AMERICAN ECONOMIC JOURNAL-ECONOMIC POLICY | 2012年 / 4卷 / 01期

关键词：

EMERGENCY-DEPARTMENT; UNINSURED ADULTS; PUBLIC-HEALTH; UNITED-STATES; MANAGED CARE; IDENTIFICATION; OUTCOMES; ACCESS; IMPACT; COSTS;

D O I：

10.1257/pol.4.1.1

中图分类号：

F [经济];

学科分类号：

020101 [政治经济学];

摘要：

Substantial uncertainty exists regarding the causal effect of health insurance on the utilization of care. We exploit a sharp change in insurance coverage rates that results from young adults "aging out" of their parents' insurance plans to estimate the effect of insurance coverage on the utilization of emergency department (ED) and inpatient services. Aging out results in an abrupt 5 to 8 percentage point reduction in the probability of having health insurance. We find that uninsured status leads to a 40 percent reduction in ED visits and a 61 percent reduction in inpatient hospital admissions. (JEL G22, I11, I18)

引用

页码：1 / 27

页数：27

共 41 条

[1]

ABELSON R, 2008, NY TIMES 1208

[2]

Anderson M., 2010, 15823 NAT BUR EC RES

[3]

Angrist JD, 1996, J AM STAT ASSOC, V91, P444, DOI 10.2307/2291629

[4]

Unmet health needs of uninsured adults in the United States [J].

Ayanian, JZ ;

Weissman, JS ;

Schneider, EC ;

Ginsburg, JA ;

Zaslavsky, AM .

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2000, 284 (16) :2061-2069

[5]

The cost of an emergency department visit and its relationship to emergency department volume [J].

Bamezai, A ;

Melnick, G ;

Nawathe, A .

ANNALS OF EMERGENCY MEDICINE, 2005, 45 (05) :483-490

[6]

Braveman Paula, 1994, NEW ENGL J MED, V331, P444

[7]

Brook R.H., 1984, EFFECT COINSURANCE H

[8]

REFORMS AS EXPERIMENTS [J].

CAMPBELL, DT .

AMERICAN PSYCHOLOGIST, 1969, 24 (04) :409-&

[9]

DOES MEDICARE SAVE LIVES? [J].

Card, David ;

Dobkin, Carlos ;

Maestas, Nicole .

QUARTERLY JOURNAL OF ECONOMICS, 2009, 124 (02) :597-636

[10]

The Impact of Nearly Universal Insurance Coverage on Health Care Utilization: Evidence from Medicare [J].

Card, David ;

Dobkin, Carlos ;

Maestas, Nicole .

AMERICAN ECONOMIC REVIEW, 2008, 98 (05) :2242-2258

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