首页 > 最新文献

American Economic Journal-Economic Policy最新文献

英文 中文
Age Discrimination across the Business Cycle 经济周期中的年龄歧视
1区 经济学 Q1 ECONOMICS Pub Date : 2023-11-01 DOI: 10.1257/pol.20210169
Gordon B. Dahl, Matthew Knepper
We test whether age discrimination rises during recessions using two complementary analyses. Confidential EEOC microdata reveal that age-related firing and hiring charges rise by 3.3 percent and 1.6 percent, respectively, for each percentage point increase in a state-industry’s monthly unemployment. Though the opportunity cost of filing falls, the fraction of meritorious claims increases—a sufficient condition for rising discrimination under plausible assumptions. Second, we repurpose data from hiring correspondence studies conducted across different cities and time periods during the recovery from the Great Recession. Each percentage point increase in local unemployment reduces the callback rate for older versus younger women by 15 percent. (JEL E32, J14, J16, J23, J71, M51)
我们使用两个互补分析来检验年龄歧视是否会在经济衰退期间上升。平等就业机会委员会的机密微观数据显示,与年龄相关的解雇和雇佣费用,在国有企业的月失业率每上升一个百分点,分别上升3.3%和1.6%。尽管申请的机会成本下降了,但有价值的索赔比例却增加了——这是在合理假设下歧视加剧的充分条件。其次,我们重新利用了大衰退复苏期间不同城市和不同时期的招聘函授研究数据。当地失业率每上升一个百分点,年长女性的回调率就会比年轻女性低15%。(j32, j14, j16, j23, j71, m51)
{"title":"Age Discrimination across the Business Cycle","authors":"Gordon B. Dahl, Matthew Knepper","doi":"10.1257/pol.20210169","DOIUrl":"https://doi.org/10.1257/pol.20210169","url":null,"abstract":"We test whether age discrimination rises during recessions using two complementary analyses. Confidential EEOC microdata reveal that age-related firing and hiring charges rise by 3.3 percent and 1.6 percent, respectively, for each percentage point increase in a state-industry’s monthly unemployment. Though the opportunity cost of filing falls, the fraction of meritorious claims increases—a sufficient condition for rising discrimination under plausible assumptions. Second, we repurpose data from hiring correspondence studies conducted across different cities and time periods during the recovery from the Great Recession. Each percentage point increase in local unemployment reduces the callback rate for older versus younger women by 15 percent. (JEL E32, J14, J16, J23, J71, M51)","PeriodicalId":48093,"journal":{"name":"American Economic Journal-Economic Policy","volume":"62 2","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135217739","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"经济学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Public Pension Reforms and Retirement Decisions: Narrative Evidence and Aggregate Implications 公共养老金改革和退休决策:叙述证据和总体影响
1区 经济学 Q1 ECONOMICS Pub Date : 2023-11-01 DOI: 10.1257/pol.20200881
Huixin Bi, Sarah Zubairy
We construct a database of public pension policy changes with motivation and implementation information for ten OECD countries. Structural pension reforms, motivated by long-run sustainability concerns, often come with prolonged phase-in periods. In response to pension retrenchments implemented immediately, people close to retirement stay in the workforce longer. News about future pension retrenchments with implementation lags, however, is likely to lead this group to exit the labor market. This decline in the labor force participation rate is particularly strong for reforms with long lags, ones that introduce fundamental policy changes, and ones where citizens have lower trust in the government. (JEL E62, H55, J14, J22, J26)
我们构建了一个包含10个经合组织国家公共养老金政策变化动机和实施信息的数据库。出于对长期可持续性的担忧,结构性养老金改革往往需要较长的逐步实施期。作为对立即实施的养老金缩减的回应,接近退休的人在工作岗位上停留的时间更长。然而,有关未来养老金缩减且实施滞后的消息可能导致这一群体退出劳动力市场。对于那些滞后时间较长的改革,那些引入根本性政策变化的改革,以及那些公民对政府信任度较低的改革,劳动力参与率的下降尤为明显。(j62, h55, j14, j22, j26)
{"title":"Public Pension Reforms and Retirement Decisions: Narrative Evidence and Aggregate Implications","authors":"Huixin Bi, Sarah Zubairy","doi":"10.1257/pol.20200881","DOIUrl":"https://doi.org/10.1257/pol.20200881","url":null,"abstract":"We construct a database of public pension policy changes with motivation and implementation information for ten OECD countries. Structural pension reforms, motivated by long-run sustainability concerns, often come with prolonged phase-in periods. In response to pension retrenchments implemented immediately, people close to retirement stay in the workforce longer. News about future pension retrenchments with implementation lags, however, is likely to lead this group to exit the labor market. This decline in the labor force participation rate is particularly strong for reforms with long lags, ones that introduce fundamental policy changes, and ones where citizens have lower trust in the government. (JEL E62, H55, J14, J22, J26)","PeriodicalId":48093,"journal":{"name":"American Economic Journal-Economic Policy","volume":"3 2","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135161309","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"经济学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
My Professor Cares: Experimental Evidence on the Role of Faculty Engagement 我的教授关心:关于教师参与作用的实验证据
1区 经济学 Q1 ECONOMICS Pub Date : 2023-11-01 DOI: 10.1257/pol.20210699
Scott E. Carrell, Michal Kurlaender
We provide experimental evidence on the impact of specific faculty behaviors aimed at increasing student success for college students from historically underrepresented groups. The intervention was developed after conducting in-person focus groups and a pilot experiment. We find significant positive treatment effects across a multitude of short- and longer-run outcomes. Specifically, underrep-resented students in the treatment report more positive perceptions of the professor and earned higher course grades. These positive effects persisted over the next several years, with students in the treatment more likely to persist in college, resulting in increased credit accumulation and degree completion. (JEL I22, I23, I28, J15, J44)
我们为来自历史上代表性不足的群体的大学生提供了旨在提高学生成功的特定教师行为影响的实验证据。干预措施是在进行了面对面的焦点小组和试点实验之后制定的。我们发现在许多短期和长期的结果中显著的积极治疗效果。具体来说,在治疗中,代表性不足的学生对教授有更积极的看法,并且获得了更高的课程成绩。这些积极影响在接下来的几年里持续存在,接受治疗的学生更有可能坚持上大学,从而增加了学分积累和学位完成。(j22, j23, j28, j15, j44)
{"title":"My Professor Cares: Experimental Evidence on the Role of Faculty Engagement","authors":"Scott E. Carrell, Michal Kurlaender","doi":"10.1257/pol.20210699","DOIUrl":"https://doi.org/10.1257/pol.20210699","url":null,"abstract":"We provide experimental evidence on the impact of specific faculty behaviors aimed at increasing student success for college students from historically underrepresented groups. The intervention was developed after conducting in-person focus groups and a pilot experiment. We find significant positive treatment effects across a multitude of short- and longer-run outcomes. Specifically, underrep-resented students in the treatment report more positive perceptions of the professor and earned higher course grades. These positive effects persisted over the next several years, with students in the treatment more likely to persist in college, resulting in increased credit accumulation and degree completion. (JEL I22, I23, I28, J15, J44)","PeriodicalId":48093,"journal":{"name":"American Economic Journal-Economic Policy","volume":"340 2","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135216144","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"经济学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Dynamic Impacts of School-Based Internet Access on Student Learning: Evidence from Peruvian Public Primary Schools 基于学校的互联网接入对学生学习的动态影响:来自秘鲁公立小学的证据
1区 经济学 Q1 ECONOMICS Pub Date : 2023-11-01 DOI: 10.1257/pol.20200719
Leah K. Lakdawala, Eduardo Nakasone, Kevin Kho
We investigate the impacts of school-based internet access on second graders’ test scores, using over 2 million student observations from a panel of Peruvian public primary schools. We identify effects up to 6+ years after installation on different cohorts of second-grade students, exploiting variation in the timing of internet access induced by the rollout of a national program. We find positive but modest short-run impacts, but importantly, these effects grow for subsequent cohorts. Indeed, short-run estimates alone would have led to different conclusions. These dynamics underscore the value of extended evaluation windows to allow benefits of educational technology to materialize. (JEL I21, I26, I28, O15)
我们调查了基于学校的互联网接入对二年级学生考试成绩的影响,使用了来自秘鲁公立小学小组的200多万名学生的观察结果。我们在不同的二年级学生群体中确定了安装后长达6年以上的效果,利用了国家计划推出引起的互联网接入时间的变化。我们发现了积极但适度的短期影响,但重要的是,这些影响在随后的队列中会增长。事实上,单凭短期估计就会得出不同的结论。这些动态强调了扩展评估窗口的价值,使教育技术的好处得以实现。(jel i21, i26, i28, o15)
{"title":"Dynamic Impacts of School-Based Internet Access on Student Learning: Evidence from Peruvian Public Primary Schools","authors":"Leah K. Lakdawala, Eduardo Nakasone, Kevin Kho","doi":"10.1257/pol.20200719","DOIUrl":"https://doi.org/10.1257/pol.20200719","url":null,"abstract":"We investigate the impacts of school-based internet access on second graders’ test scores, using over 2 million student observations from a panel of Peruvian public primary schools. We identify effects up to 6+ years after installation on different cohorts of second-grade students, exploiting variation in the timing of internet access induced by the rollout of a national program. We find positive but modest short-run impacts, but importantly, these effects grow for subsequent cohorts. Indeed, short-run estimates alone would have led to different conclusions. These dynamics underscore the value of extended evaluation windows to allow benefits of educational technology to materialize. (JEL I21, I26, I28, O15)","PeriodicalId":48093,"journal":{"name":"American Economic Journal-Economic Policy","volume":"42 4","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135217537","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"经济学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Juvenile Crime and Anticipated Punishment 青少年犯罪与预期处罚
1区 经济学 Q1 ECONOMICS Pub Date : 2023-11-01 DOI: 10.1257/pol.20210530
Ashna Arora
Can sanctions deter juvenile crime? Research indicates that they may not, as offending barely decreases when individuals cross the age of criminal majority and begin to face harsher sanctions. Several models of criminal behavior predict, however, that these small reactions close to the threshold may mask larger behavioral responses among individuals below the age threshold. Policy variation between 2007–2015 in the United States is used to show evidence consistent with these predictions—juvenile crime increases when the age of majority is increased. This increase is driven by younger age groups and is considerably larger than discontinuity estimates at the threshold. (JEL D91, J13, K42)
制裁能阻止青少年犯罪吗?研究表明,他们可能不会,因为当个人超过犯罪年龄并开始面临更严厉的制裁时,犯罪行为几乎没有减少。然而,一些犯罪行为模型预测,这些接近阈值的小反应可能掩盖了低于年龄阈值的个体的大行为反应。美国2007-2015年间的政策变化被用来显示与这些预测相一致的证据——青少年犯罪随着成年年龄的增加而增加。这一增长是由较年轻的年龄组推动的,并且远远大于阈值时的不连续估计。(jl d91, j13, k42)
{"title":"Juvenile Crime and Anticipated Punishment","authors":"Ashna Arora","doi":"10.1257/pol.20210530","DOIUrl":"https://doi.org/10.1257/pol.20210530","url":null,"abstract":"Can sanctions deter juvenile crime? Research indicates that they may not, as offending barely decreases when individuals cross the age of criminal majority and begin to face harsher sanctions. Several models of criminal behavior predict, however, that these small reactions close to the threshold may mask larger behavioral responses among individuals below the age threshold. Policy variation between 2007–2015 in the United States is used to show evidence consistent with these predictions—juvenile crime increases when the age of majority is increased. This increase is driven by younger age groups and is considerably larger than discontinuity estimates at the threshold. (JEL D91, J13, K42)","PeriodicalId":48093,"journal":{"name":"American Economic Journal-Economic Policy","volume":"43 3","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136103388","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"经济学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Effects of Import Competition on Unionization 进口竞争对工会化的影响
1区 经济学 Q1 ECONOMICS Pub Date : 2023-11-01 DOI: 10.1257/pol.20200709
John S. Ahlquist, Mitch Downey
We study direct and indirect effects of Chinese import competition on union membership in the United States, 1990–2014. Import competition in manufacturing induced a modest decline in unionization within manufacturing industries. The magnitude is small because unionized manufacturers competed in higher-quality product segments. Manufacturers in right-to-work states experienced more direct competition with low-quality Chinese imports. Outside of manufacturing, however, import competition causes an important increase in union membership, as less educated women shift away from retail and toward jobs in health care and education where unions are stronger. We calculate that Chinese imports prevented 26 percent of the union density decline that would have otherwise occurred. (JEL F14, F16, J16, J51, L60, P33)
我们研究了1990-2014年中国进口竞争对美国工会成员的直接和间接影响。制造业的进口竞争导致制造业内部工会组织的适度下降。规模很小,因为有工会的制造商在高质量的产品领域竞争。在实行工作权的州,制造商与低质量的中国进口产品面临着更直接的竞争。然而,在制造业之外,进口竞争导致工会成员数量大幅增加,因为受教育程度较低的妇女从零售业转向工会实力较强的医疗保健和教育行业。我们计算出,中国进口阻止了26%的工会密度下降,否则就会发生这种情况。(j14, f16, j16, j51, l60, p33)
{"title":"The Effects of Import Competition on Unionization","authors":"John S. Ahlquist, Mitch Downey","doi":"10.1257/pol.20200709","DOIUrl":"https://doi.org/10.1257/pol.20200709","url":null,"abstract":"We study direct and indirect effects of Chinese import competition on union membership in the United States, 1990–2014. Import competition in manufacturing induced a modest decline in unionization within manufacturing industries. The magnitude is small because unionized manufacturers competed in higher-quality product segments. Manufacturers in right-to-work states experienced more direct competition with low-quality Chinese imports. Outside of manufacturing, however, import competition causes an important increase in union membership, as less educated women shift away from retail and toward jobs in health care and education where unions are stronger. We calculate that Chinese imports prevented 26 percent of the union density decline that would have otherwise occurred. (JEL F14, F16, J16, J51, L60, P33)","PeriodicalId":48093,"journal":{"name":"American Economic Journal-Economic Policy","volume":"275 1-2","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135217803","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"经济学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Digitization and the Market for Physical Works: Evidence from the Google Books Project 数字化与实体作品市场:来自谷歌图书项目的证据
1区 经济学 Q1 ECONOMICS Pub Date : 2023-11-01 DOI: 10.1257/pol.20210702
Abhishek Nagaraj, Imke Reimers
The free digital distribution of creative works could cannibalize demand for physical versions, but it could also boost physical sales by enabling consumers to discover the original work. We study the impact of the Google Books digitization project on the market for physical books. We find that digitization significantly boosts the demand for physical versions and provide evidence for the discovery channel. Moreover, digitization allows independent publishers to introduce new editions for existing books, further increasing sales. Our results highlight the potential of free digital distribution to strengthen the demand for and supply of physical products. (JEL D12, L82, L86)
创意作品的免费数字发行可能会蚕食对实体版本的需求,但它也可以通过让消费者发现原创作品来促进实体销售。我们研究了谷歌图书数字化项目对实体图书市场的影响。我们发现数字化极大地促进了对实体版本的需求,并为发现渠道提供了证据。此外,数字化允许独立出版商为现有书籍推出新版本,从而进一步提高销量。我们的研究结果强调了免费数字发行在加强实体产品需求和供应方面的潜力。(2012年,1982年,1986年)
{"title":"Digitization and the Market for Physical Works: Evidence from the Google Books Project","authors":"Abhishek Nagaraj, Imke Reimers","doi":"10.1257/pol.20210702","DOIUrl":"https://doi.org/10.1257/pol.20210702","url":null,"abstract":"The free digital distribution of creative works could cannibalize demand for physical versions, but it could also boost physical sales by enabling consumers to discover the original work. We study the impact of the Google Books digitization project on the market for physical books. We find that digitization significantly boosts the demand for physical versions and provide evidence for the discovery channel. Moreover, digitization allows independent publishers to introduce new editions for existing books, further increasing sales. Our results highlight the potential of free digital distribution to strengthen the demand for and supply of physical products. (JEL D12, L82, L86)","PeriodicalId":48093,"journal":{"name":"American Economic Journal-Economic Policy","volume":"90 7","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135166957","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"经济学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Front Matter 前页
1区 经济学 Q1 ECONOMICS Pub Date : 2023-11-01 DOI: 10.1257/pol.15.4.i
{"title":"Front Matter","authors":"","doi":"10.1257/pol.15.4.i","DOIUrl":"https://doi.org/10.1257/pol.15.4.i","url":null,"abstract":"","PeriodicalId":48093,"journal":{"name":"American Economic Journal-Economic Policy","volume":"54 2","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135216212","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"经济学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Electoral Cycles in Macroprudential Regulation 宏观审慎监管中的选举周期
1区 经济学 Q1 ECONOMICS Pub Date : 2023-11-01 DOI: 10.1257/pol.20200626
Karsten Müller
Do politics matter for macroprudential policies? I show that changes in macroprudential regulation exhibit a predictable electoral cycle in the run-up to 221 elections across 58 countries from 2000 through 2014. Policies restricting mortgages and consumer credit are systematically looser before elections, particularly during economic expansions. Consistent with theories of opportunistic political cycles, this pattern is stronger when election outcomes are uncertain, regulators are closely tied to politicians, and institutions are poor. These results suggest that political pressures may limit the ability of regulators to “lean against the wind.” (JEL D72, E32, G01, G21, G28)
政治对宏观审慎政策有影响吗?我指出,从2000年到2014年,在58个国家的221次选举之前,宏观审慎监管的变化显示出一个可预测的选举周期。选举前,限制抵押贷款和消费信贷的政策会系统性地放松,尤其是在经济扩张期间。与机会主义政治周期理论相一致的是,当选举结果不确定、监管机构与政客关系密切、机构薄弱时,这种模式会更加明显。这些结果表明,政治压力可能会限制监管机构“逆风而行”的能力。(jel d72, e32, g01, g21, g28)
{"title":"Electoral Cycles in Macroprudential Regulation","authors":"Karsten Müller","doi":"10.1257/pol.20200626","DOIUrl":"https://doi.org/10.1257/pol.20200626","url":null,"abstract":"Do politics matter for macroprudential policies? I show that changes in macroprudential regulation exhibit a predictable electoral cycle in the run-up to 221 elections across 58 countries from 2000 through 2014. Policies restricting mortgages and consumer credit are systematically looser before elections, particularly during economic expansions. Consistent with theories of opportunistic political cycles, this pattern is stronger when election outcomes are uncertain, regulators are closely tied to politicians, and institutions are poor. These results suggest that political pressures may limit the ability of regulators to “lean against the wind.” (JEL D72, E32, G01, G21, G28)","PeriodicalId":48093,"journal":{"name":"American Economic Journal-Economic Policy","volume":"44 2","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135216640","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"经济学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Public and Private Options in Practice: The Military Health System 实践中的公共和私人选择:军队卫生系统
1区 经济学 Q1 ECONOMICS Pub Date : 2023-11-01 DOI: 10.1257/pol.20210625
Michael D. Frakes, Jonathan Gruber, Timothy Justicz
Recent debates over health care reform, including in the context of the Military Health System (MHS) and Veterans Administration, highlight the dispute between public and private provision of health care services. Using novel data on childbirth claims from the MHS and drawing on the combination of plausibly exogenous patient moves and heterogeneity across bases in the availability of base hospitals, we identify the impact of receiving obstetrical care on versus off military bases. We find evidence that off-base care is associated with slightly greater resource intensity, but also notably better outcomes, suggesting marginal efficiency gains from care privatization. (JEL H51, H56, I11, I18, J13, L33)
最近关于医疗保健改革的辩论,包括在军事卫生系统(MHS)和退伍军人管理局的背景下,突出了公共和私人提供医疗保健服务之间的争议。利用MHS关于分娩索赔的新数据,并结合合理的外生患者移动和基地医院可获得性跨基地的异质性,我们确定了在军事基地与非军事基地接受产科护理的影响。我们发现有证据表明,基地外护理与更大的资源强度相关,但也明显更好的结果,表明护理私有化的边际效率收益。(jel h51, h56, i11, i18, j13, l33)
{"title":"Public and Private Options in Practice: The Military Health System","authors":"Michael D. Frakes, Jonathan Gruber, Timothy Justicz","doi":"10.1257/pol.20210625","DOIUrl":"https://doi.org/10.1257/pol.20210625","url":null,"abstract":"Recent debates over health care reform, including in the context of the Military Health System (MHS) and Veterans Administration, highlight the dispute between public and private provision of health care services. Using novel data on childbirth claims from the MHS and drawing on the combination of plausibly exogenous patient moves and heterogeneity across bases in the availability of base hospitals, we identify the impact of receiving obstetrical care on versus off military bases. We find evidence that off-base care is associated with slightly greater resource intensity, but also notably better outcomes, suggesting marginal efficiency gains from care privatization. (JEL H51, H56, I11, I18, J13, L33)","PeriodicalId":48093,"journal":{"name":"American Economic Journal-Economic Policy","volume":"42 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136103392","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"经济学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
American Economic Journal-Economic Policy
全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1