纽约州的带薪家事假计划和儿童医疗保健使用情况。

IF 3 3区医学 Q1 PEDIATRICS

Academic Pediatrics Pub Date : 2025-04-01 DOI:10.1016/j.acap.2025.102822

Taryn W Morrissey, Neko Michelle Castleberry, Daniel P Miller

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引用次数: 0

摘要

目的：先前的研究已将带薪家事假计划与改善母婴健康联系起来。本研究评估了纽约州带薪家事假计划（NYSPFL）实施后儿童医疗保健使用情况的变化，以及这些变化是否因社会经济地位而异：我们使用差分法（DD）和合成控制法（SCM）方法，利用 2016-2019 年全国儿童健康调查（NSCH；n ~24,000）的数据来估算 NYSPFL 对 18 岁以下儿童医疗保健使用的似因果效应。我们将纽约州居民与 2019 年后实施带薪家事假的各州居民进行了比较：SCM 分析表明，NYSPFL 实施后，0-17 岁儿童的急诊就诊率降低了 3.3 个百分点（-16%）；DD 模型的结果与之类似，但并不显著（-2.3pp；95% CI，-0.092，0.061）。DD 模型发现，子女患有慢性病的父母推迟必要医疗保健的情况大幅减少，但在全部样本中没有发现这种情况：研究结果表明，州带薪探亲假计划支持家庭为患有慢性病的子女获得必要的医疗保健，并减少了不同年龄段子女家庭的急诊就诊率。

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New York State's Paid Family Leave Program and Children's Health Care Use.

Objectives: Prior research has linked paid family leave programs with improvements in maternal and infant health. This study assessed changes in children's healthcare use following implementation of New York State's Paid Family Leave Program (NYSPFL) and whether these changes vary by socioeconomic status.

Methods: We used difference-in-differences (DD) and synthetic control method (SCM) approaches with data from the 2016-2019 waves of the National Survey of Children's Health (NSCH; n ~24,000) to estimate the plausibly causal effects of NYSPFL on the healthcare use of children under age 18. We compared NYS residents to residents in states that implemented paid family leave after 2019.

Results: SCM analyses indicate a 3.3 percentage point (-16%) reduction in emergency department visits among children aged 0-17 following NYSPFL implementation; findings were similar in the DD models but not significant (-2.3pp; 95% CI, -0.092, 0.061). DD models found large reductions in delays of necessary healthcare among parents whose children had chronic conditions, but not among the full sample.

Conclusions: Findings suggest that state paid family leave programs support families' obtaining necessary healthcare for children with chronic conditions, and reduce emergency department visits among families with children across the age spectrum.

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来源期刊

Academic Pediatrics PEDIATRICS-

CiteScore

4.60

自引率

12.90%

发文量

300

审稿时长

60 days

期刊介绍： Academic Pediatrics, the official journal of the Academic Pediatric Association, is a peer-reviewed publication whose purpose is to strengthen the research and educational base of academic general pediatrics. The journal provides leadership in pediatric education, research, patient care and advocacy. Content areas include pediatric education, emergency medicine, injury, abuse, behavioral pediatrics, holistic medicine, child health services and health policy,and the environment. The journal provides an active forum for the presentation of pediatric educational research in diverse settings, involving medical students, residents, fellows, and practicing professionals. The journal also emphasizes important research relating to the quality of child health care, health care policy, and the organization of child health services. It also includes systematic reviews of primary care interventions and important methodologic papers to aid research in child health and education.