The impact of the COVID-19 pandemic on treatment for domestic violence injuries: evidence from medical claims

IF 4.1 3区 经济学 Q1 ECONOMICS
Lauren Gilbert, Susan Parker, Lauren Schechter
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Abstract

Previous studies have observed heterogeneous changes in domestic violence-related 911 calls, police incident reports, and arrests at the onset of the COVID-19 pandemic. In this study, we use a large-scale medical claims database with coverage of over 100 million patients to examine the impact on domestic violence victims’ use of emergency department care for their injuries in the early weeks of the pandemic compared to the corresponding weeks in previous years. We find a 23–35% decrease in utilization of emergency medical services by domestic violence victims between March and June of 2020. Based on this finding, it is essential to use caution when using medical claims to measure domestic violence in future research covering this time period. Decreases in care utilization also have important implications for the detection, screening, and treatment of domestic violence injuries during future public health crises.

Abstract Image

COVID-19 大流行对家庭暴力伤害治疗的影响:来自医疗索赔的证据
之前的研究观察到,在 COVID-19 大流行开始时,与家庭暴力相关的报警电话、警方事件报告和逮捕情况发生了不同程度的变化。在本研究中,我们使用了一个覆盖范围超过 1 亿患者的大型医疗索赔数据库,研究了与往年同期相比,大流行初期的几周内家庭暴力受害者因受伤而使用急诊科治疗所受到的影响。我们发现,在 2020 年 3 月至 6 月期间,家庭暴力受害者使用急诊服务的情况减少了 23%-35%。基于这一发现,在未来涉及该时间段的研究中,使用医疗索赔来衡量家庭暴力时必须谨慎。医疗利用率的下降也对未来公共卫生危机期间家庭暴力伤害的检测、筛查和治疗具有重要意义。
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来源期刊
CiteScore
9.30
自引率
3.90%
发文量
39
期刊介绍: The Review of Economics of the Household publishes high-quality empirical and theoretical research on the economic behavior and decision-making processes of single and multi-person households. The Review is not wedded to any particular models or methods. It welcomes both macro-economic and micro-level applications. Household decisions analyzed in this journal include ·         household production of human capital, health, nutrition/food, childcare, and eldercare, ·         well-being of persons living in households, issues of gender and power, ·         fertility and risky behaviors, ·         consumption, savings and wealth accumulation, ·         labor force participation and time use,·         household formation (including marriage, cohabitation and fertility) and dissolution,·         migration, intergenerational transfers,·         experiments involving households,·         religiosity and civility.The journal is particularly interested in policy-relevant economic analyses and equally interested in applications to countries at various levels of economic development. The Perspectives section covers articles on the history of economic thought and review articles. Officially cited as: Rev Econ Household
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