在医疗补助扩大后,医疗保健工作者的经济成果发生了变化
Sasmira Matta1,2, Paula Chatterjee2,3, Atheendar S Venkataramani2,4
1Department of Health Care Management, Wharton School, University of Pennsylvania, Philadelphia.
医疗补助的扩张增加了医疗保健工作者的收入,但仅限于最高收入者,可能会加剧经济不平等. 低工资工人没有收入增长,但医疗补助增加了.
科学领域:
- 健康经济学
- 公共卫生政策
- 社会经济差异
背景情况:
- 医疗部门变化对医疗保健工作者,特别是低收入人群的财务影响仍未得到充分研究.
- 可负担医疗法案的医疗补助扩张大大改变了医疗机构的财务状况.
研究的目的:
- 检查医疗补助的扩大与医疗保健工作者的年收入和福利之间的关联.
- 为了确定这些关联是否在低薪和高薪医疗保健职业之间存在差异.
主要方法:
- 采用2010-2019年美国社区调查的数据进行差异分析.
- 这项研究涉及超过130万年龄在18-65岁之间的美国医疗保健工作者,这些工作者在各州都扩大了医疗补助计划.
主要成果:
- 医疗补助的扩大与医疗保健工作者的年收入总体增加了2.16%,主要受益于收入最高的员工 (注册护士,医生,高管).
- 收入较低的五分之一 (医疗助理,护士) 没有经历显著的收入变化,但医疗补助入学率增加 (3.15个百分点).
- 雇主资助的医疗保险减少,而补充营养援助计划 (SNAP) 的福利在扩大后增加.
结论:
- 虽然医疗补助扩大了高收入医疗保健专业人员的薪酬,但并没有改善低收入工人的收入.
- 这些发现表明,医疗保健部门的财政改善可能会加剧其劳动力之间的经济不平等.
- 这项研究强调了由于经济差距不断扩大而对医疗保健工作者的健康和福祉造成的潜在影响.
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