Unconditional cash transfers for preterm neonates: evidence, policy implications, and next steps for research.

Zoe Bouchelle, Timothy D Nelin, Elizabeth Salazar, Andrea F Duncan, Margaret G Parker
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Abstract

To address socioeconomic disparities in the health outcomes of preterm infants, we must move beyond describing these disparities and focus on the development and implementation of interventions that disrupt the factors contributing to them. Unconditional cash transfers (UCTs), which provide unrestricted payments to individuals or households, can help mitigate income disparities and improve health outcomes. While UCTs have been utilized for other vulnerable populations, their full potential has yet to be realized for low-income families with preterm infants, who face significant financial strain. In this perspective, we review evidence supporting UCTs as an intervention for children in the U.S. (including those born term and preterm), discuss the potential benefits of recurring UCTs to low-income families of preterm infants, and propose a conceptual model through which UCTs may improve outcomes for preterm infants. We conclude with potential policy levers for implementing UCTs and key unanswered questions for researchers.

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针对早产新生儿的无条件现金转移:证据、政策影响和下一步研究。
要解决早产儿健康结果中的社会经济差异问题,我们必须超越对这些差异的描述,而将重点放在制定和实施干预措施上,以消除导致这些差异的因素。无条件现金转移支付(UCTs)向个人或家庭提供不受限制的付款,有助于缓解收入差距并改善健康结果。虽然无条件现金转移支付已被用于其他弱势群体,但对于面临巨大经济压力的早产儿低收入家庭来说,其潜力尚未得到充分发挥。在本视角中,我们回顾了支持将早产儿早期干预作为美国儿童(包括足月儿和早产儿)干预措施的证据,讨论了早产儿早期干预对低收入早产儿家庭的潜在益处,并提出了早产儿早期干预可改善早产儿预后的概念模型。最后,我们提出了实施 "早产儿综合治疗 "的潜在政策杠杆以及研究人员面临的主要未决问题。
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