实践中的公共和私人选择:军队卫生系统

IF 5.6 1区经济学 Q1 ECONOMICS American Economic Journal-Economic Policy Pub Date : 2023-11-01 DOI:10.1257/pol.20210625

Michael D. Frakes, Jonathan Gruber, Timothy Justicz

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引用次数: 0

摘要

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)

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Public and Private Options in Practice: The Military Health System

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)

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来源期刊

American Economic Journal-Economic Policy ECONOMICS-

CiteScore

8.20

自引率

1.90%

发文量

期刊介绍： The American Economic Review (AER) is a general-interest economics journal. The journal publishes 12 issues containing articles on a broad range of topics. Established in 1911, the AER is among the nation's oldest and most respected scholarly journals in economics. American Economic Journal: Economic Policy publishes papers covering a range of topics, the common theme being the role of economic policy in economic outcomes. Subject areas include public economics; urban and regional economics; public policy aspects of health, education, welfare and political institutions; law and economics; economic regulation; and environmental and natural resource economics.