现在城里的医生更多了?扩大医疗补助计划的证据

IF 2.3 3区 管理学 Q2 ECONOMICS Journal of Policy Analysis and Management Pub Date : 2024-05-03 DOI:10.1002/pam.22611
Jason Huh, Jianjing Lin
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引用次数: 0

摘要

我们研究了医生的执业地点如何受到医疗补助扩展的影响。我们的研究重点是 20 世纪 80 年代初到 90 年代初发生的针对孕妇的医疗补助资格的大幅扩张。根据最近开发的估算策略,我们在事件研究框架下确定了妇产科医生供应因扩招而发生的变化。我们发现,妇产科医生的人均数量在扩张后有所增长,而且这种增长持续了多年。我们的研究结果主要受早期职业妇产科医生的推动,并且集中在人口稠密或贫困的县。我们的结果表明,医疗补助的覆盖规则可能是医生地点选择的重要决定因素。
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More doctors in town now? Evidence from Medicaid expansions
We examine how physicians’ practice locations are affected by Medicaid expansions. We focus on the dramatic Medicaid eligibility expansions for pregnant women that took place between the early 1980s and the early 1990s. Following a recently-developed estimation strategy, we identify the change in OB/GYN supply due to the expansions in an event-study framework. We find that OB/GYN counts per capita grew post-expansion and the increase persisted for years. Our results are mainly driven by early-career OB/GYNs and concentrated in densely populated or poor counties. Our results show that Medicaid coverage rules could be an important determinant of physician location choice.
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来源期刊
CiteScore
5.80
自引率
2.60%
发文量
82
期刊介绍: This journal encompasses issues and practices in policy analysis and public management. Listed among the contributors are economists, public managers, and operations researchers. Featured regularly are book reviews and a department devoted to discussing ideas and issues of importance to practitioners, researchers, and academics.
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