医疗补助扩展与阿片类药物处方:来自医疗支出小组调查的证据。

IF 2 3区 医学 Q2 ECONOMICS
Health economics Pub Date : 2024-08-05 DOI:10.1002/hec.4886
Chandler McClellan, Asako Moriya
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引用次数: 0

摘要

关于获得保险的机会增加,特别是通过 ACA 的医疗补助扩展,是否会通过增加阿片类药物处方而加剧阿片类药物公共卫生危机,证据不一。通过对 2008 年至 2019 年零售处方药使用情况的调查数据,我们没有发现医疗补助计划的扩大与新符合医疗补助计划的人群开具阿片类药物处方之间存在显著关系。这可能是因为在扩大医疗补助计划时,人们对阿片类药物的危害已经有了足够的认识,因此无法获得医疗服务不再是限制阿片类药物处方的约束因素。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Medicaid expansion and opioid prescriptions: Evidence from the Medical Expenditure Panel Survey

Evidence is mixed on whether increased access to insurance, specifically through the ACA's Medicaid expansion, exacerbated the opioid public health crisis through increased opioid prescribing. Using survey data on retail prescription drug fills from 2008 to 2019, we did not find a significant relationship between Medicaid expansion and opioid prescribing in the newly eligible Medicaid population. It may be that the dangers of opioids were known well enough by the time of the Medicaid expansion that lack of access to care was no longer a binding constraint on opioid prescription receipt.

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来源期刊
Health economics
Health economics 医学-卫生保健
CiteScore
3.60
自引率
4.80%
发文量
177
审稿时长
4-8 weeks
期刊介绍: This Journal publishes articles on all aspects of health economics: theoretical contributions, empirical studies and analyses of health policy from the economic perspective. Its scope includes the determinants of health and its definition and valuation, as well as the demand for and supply of health care; planning and market mechanisms; micro-economic evaluation of individual procedures and treatments; and evaluation of the performance of health care systems. Contributions should typically be original and innovative. As a rule, the Journal does not include routine applications of cost-effectiveness analysis, discrete choice experiments and costing analyses. Editorials are regular features, these should be concise and topical. Occasionally commissioned reviews are published and special issues bring together contributions on a single topic. Health Economics Letters facilitate rapid exchange of views on topical issues. Contributions related to problems in both developed and developing countries are welcome.
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