Reducing Frictions in Health Care Access: The ActionHealthNYC Experiment for Undocumented Immigrants

IF 8.1 1区 经济学 Q1 ECONOMICS American Economic Review-Insights Pub Date : 2023-09-01 DOI:10.1257/aeri.20220126
Adrienne H Sabety, J. Gruber, J. Y. Bae, Rishi K. Sood
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Abstract

In 2016, New York City designed and implemented an intervention to reduce frictions in accessing safety net care: randomly making initial primary care appointments for 2,428 undocumented immigrants. We leverage a novel survey-administrative data linkage to show that the program increased self-reported access to primary care, leading to 23 percent fewer emergency department (ED) visits. High-risk individuals’ ED visits fell by 32 percent on average, driving the aggregate effect. Preventive care also increased among individuals visiting sponsored clinics. (JEL H75, I11, I12, I13, I14, I18, J15)
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减少获得医疗保健的摩擦:针对无证移民的纽约健康行动实验
2016年,纽约市设计并实施了一项干预措施,以减少在获得安全网护理方面的摩擦:随机为2428名无证移民进行初步初级保健预约。我们利用一种新颖的调查-管理数据链接来表明,该计划增加了自我报告的初级保健访问,导致急诊科(ED)访问量减少23%。高风险个体的急诊次数平均下降了32%,推动了总体效应。前往赞助诊所的个人的预防保健也有所增加。(jel h75, i11, i12, i13, i14, i18, j15)
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期刊介绍: The journal American Economic Review: Insights (AER: Insights) is a publication that caters to a wide audience interested in economics. It shares the same standards of quality and significance as the American Economic Review (AER) but focuses specifically on papers that offer important insights communicated concisely. AER: Insights releases four issues annually, covering a diverse range of topics in economics.
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