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Employment, health insurance, and health care for vulnerable populations: Early retirees, low-income adults, and racial/ethnic minorities.

机译:脆弱人群的就业,健康保险和保健:早期退休人员,低收入成年人和种族/族裔少数民族。

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摘要

In the first paper, I examine the potential consequences of the recent decline in employer-sponsored retiree health insurance (RHI) offer for the near-elderly population. I find that an RHI offer increases the probability of early retirement by 35 percent. While the results suggest that an RHI offer has little, if any, effect on health in the short term, there is strong evidence that it provides significant protection from high out-of-pocket medical costs. Estimates of the value of retiree health insurance suggest that increasing opportunities for the near-elderly to purchase coverage through the individual market or public programs could significantly reduce the projected increase in uninsurance.; In the second paper, I examine the impact of the introduction of the Medicaid program on labor force participation among single women. Using variation in the timing of Medicaid implementation across states and in eligibility across demographic groups, I find no evidence that women who were eligible for Medicaid decreased their labor supply relative to women who were not. These results add to an emerging consensus in the literature suggesting that public health insurance programs for low-income parents and children may be able to achieve health benefits and improve access to care without substantial indirect costs from labor supply distortions.; Racial/ethnic concordance between patients and physicians may affect health care disparities by reducing discrimination. In the third paper, I investigate the role of concordance on rates of preventive screening and the length of outpatient, primary care visits. I find little evidence that concordance plays an important role in these outcomes. Physician race tends to be a much more important predictor of these outcomes than patient race or concordance, but the direction of the effect varies. The results highlight the importance of measuring the role of concordance separately from patient and physician race. They also suggest that policies aimed at increasing the number of minority physicians need to be combined with other methods to improve the quality of primary care.
机译:在第一篇论文中,我研究了雇主资助的退休人员健康保险(RHI)的近期下降对近乎老年人的潜在后果。我发现,RHI优惠使提前退休的可能性提高了35%。虽然结果表明,RHI提供的服务短期内对健康几乎没有影响,但有充分的证据表明,RHI提供了显着的保护,可避免高额的自付费用医疗费用。对退休人员健康保险价值的估计表明,增加近老年人通过个人市场或公共计划购买保险的机会可以大大减少预计的无保险增加。在第二篇论文中,我研究了医疗补助计划的引入对单身女性劳动力参与的影响。使用各州实施医疗补助的时间以及不同人群的资格的变化,我发现没有证据表明符合医疗补助资格的妇女相对于没有医疗补助的妇女减少了劳动力供应。这些结果使文献中出现了新的共识,表明针对低收入父母和儿童的公共健康保险计划可能能够获得健康利益并改善就医机会,而不会因劳动力供给扭曲而产生大量间接成本。患者和医生之间的种族/种族和谐可能会通过减少歧视来影响医疗保健差距。在第三篇论文中,我研究了一致性对预防性筛查率和门诊,初级保健就诊时间的影响。我发现几乎没有证据表明协调在这些结果中起重要作用。与患者的种族或一致性相比,医师的种族往往是这些结果的重要指标,但效果的方向却有所不同。结果强调了与患者和医师种族分开衡量一致性作用的重要性。他们还建议,旨在增加少数族裔医生人数的政策需要与其他方法结合起来,以提高初级保健的质量。

著录项

  • 作者

    Strumpf, Erin Catherine.;

  • 作者单位

    Harvard University.;

  • 授予单位 Harvard University.;
  • 学科 Economics General.
  • 学位 Ph.D.
  • 年度 2007
  • 页码 163 p.
  • 总页数 163
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 经济学;
  • 关键词

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