The Affordable Care Act Reduces Emergency Department Use By Young Adults: Evidence From Three States
作者： Tina Hernandez-Boussard , Carson S Burns , N Ewen Wang , Laurence C Baker , Benjamin A Goldstein
DOI: 10.1377/HLTHAFF.2014.0103
关键词:
摘要: The Affordable Care Act (ACA) extended eligibility for health insurance young adults ages 19–25. This extension may have affected how use emergency department (ED) care and other services. To test the impact of ACA on used ED services, we 2009–11 state administrative records from California, Florida, New York to compare changes in ages 19–25 before after provision was implemented with same period people ages 26–31 (the control group). Following implementation provision, younger group had a decrease 5.9 visits per 1,000 compared older group—a relative change −1.5 percent. largest decreases were found women (−2.3 percent) blacks (−3.5 percent). implies total reduction more than 38,000 across three states 2011. When probability ever using b...
sci-hub.se 参考文章(24)
Manya F Newton, Carla C Keirns, Rebecca Cunningham, Rodney A Hayward, Rachel Stanley, Uninsured adults presenting to US emergency departments: assumptions vs data. JAMA. ,vol. 300, pp. 1914- 1924 ,(2008) , 10.1001/JAMA.300.16.1914
Joel C. Cantor, Alan C. Monheit, Derek DeLia, Kristen Lloyd, Early Impact of the Affordable Care Act on Health Insurance Coverage of Young Adults Health Services Research. ,vol. 47, pp. 1773- 1790 ,(2012) , 10.1111/J.1475-6773.2012.01458.X
Ning Tang, John Stein, Renee Y. Hsia, Judith H. Maselli, Ralph Gonzales, Trends and Characteristics of US Emergency Department Visits, 1997-2007 JAMA. ,vol. 304, pp. 664- 670 ,(2010) , 10.1001/JAMA.2010.1112
Arthur L. Kellermann, Coverage matters: Insurance and health care Annals of Emergency Medicine. ,vol. 40, pp. 644- 647 ,(2002) , 10.1067/MEM.2002.129724
Renee Y. Hsia, Julia Brownell, Suzanne Wilson, Nicole Gordon, Laurence C. Baker, Trends in adult emergency department visits in California by insurance status, 2005-2010. JAMA. ,vol. 310, pp. 1181- 1183 ,(2013) , 10.1001/JAMA.2013.228331
Brett O'Hara, Matthew W. Brault, The disparate impact of the ACA-dependent expansion across population subgroups. Health Services Research. ,vol. 48, pp. 1581- 1592 ,(2013) , 10.1111/1475-6773.12067
Lisa I. Backus, Andrew B. Bindman, Low-income Californians' experiences with health insurance and managed care. Journal of Health Care for the Poor and Underserved. ,vol. 12, pp. 446- 460 ,(2001) , 10.1353/HPU.2010.0801
S. Todd Callahan, William O. Cooper, Access to Health Care for Young Adults With Disabling Chronic Conditions Archives of Pediatrics & Adolescent Medicine. ,vol. 160, pp. 178- 182 ,(2006) , 10.1001/ARCHPEDI.160.2.178
K Grumbach, D Keane, A Bindman, Primary care and public emergency department overcrowding. American Journal of Public Health. ,vol. 83, pp. 372- 378 ,(1993) , 10.2105/AJPH.83.3.372
Karin V. Rhodes, Craig A. Walls, Jae J. Kennedy, The emergency department as usual source of medical care: estimates from the 1998 National Health Interview Survey. Academic Emergency Medicine. ,vol. 9, pp. 1140- 1145 ,(2002) , 10.1111/J.1553-2712.2002.TB01568.X