美国医疗支出、GDP和医疗政策改革:来自样本末结构断裂检验的证据。

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY Accounts of Chemical Research Pub Date : 2022-01-01 Epub Date: 2022-06-12 DOI:10.1057/s41302-022-00218-x

Ben Brewer, Karen Smith Conway, Deniz Ozabaci, Robert S Woodward

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摘要

本研究调查了美国医疗保健总支出(HCE)-GDP关系的长期稳定性，重点关注医疗改革时期。最重要的改革——医疗补助/医疗保险和平价医疗法案(ACA)——研究起来很有挑战性，因为它们发生在可用数据的末尾。使用年度国家和州级数据和一系列结构断裂测试，我们发现HCE-GDP关系绝对稳定。对2006年马萨诸塞州医疗改革的一项辅助分析也同样没有发现任何变化，该改革避免了大衰退和ACA的交错推出带来的混淆效应。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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US Health Care Expenditures, GDP and Health Policy Reforms: Evidence from End-of-Sample Structural Break Tests.

This research investigates the over-time stability of the aggregate US healthcare expenditure (HCE)-GDP relationship, focusing on periods of healthcare reforms. The most consequential reforms-Medicaid/Medicare and the Affordable Care Act (ACA)-are challenging to study because they occur near the ends of the available data. Using annual national- and state-level data and a battery of structural break tests, we find the HCE-GDP relationship to be overwhelmingly stable. An ancillary analysis around the 2006 Massachusetts healthcare reform, which avoids the confounding effects of the Great Recession and the staggered rollout of the ACA, likewise finds no change.

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.