基本收入准备的外部增加增加了预防性的健康寻求行为:一个准实验性研究
1Department of Health Law, Policy & Management, Boston University School of Public Health, Boston, Massachusetts.
American journal of preventive medicine
|August 23, 2024
概括
全民基本收入 (UBI) 在阿拉斯加增加了初级保健访问. 这种保障收入政策显示出改善预防护理准入和公共卫生结果的潜力.
科学领域:
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
- 社会政策 社会政策 社会政策
背景情况:
- 全民基本收入 (UBI) 提供直接的现金支付,有可能改善公共卫生.
- 通过解决财务和时间限制,UBI可以提高获得初级和预防性护理的机会.
研究的目的:
- 评估增加普遍基本收入 (UBI) 支付对初级保健寻求行为的影响.
- 评估阿拉斯加州UBI政策变化对医疗保健获取的准实验性影响.
主要方法:
- 准实验性设计比较阿拉斯加 (2021年与2022年) 的初级保健寻求行为与美国其他州.
- 利用混合线性概率模型控制个人和州级效应.
- 分析数据是在2021-2022年收集的,分析是在2024年进行的.
主要成果:
- 阿拉斯加州的初级保健使用率在UBI改革后增加了6个百分点,远高于非UBI州的2个百分点.
- 有关证据表明,阿拉斯加人的初级保健费用难度有所降低.
- 发现了较少一致的证据,表明流感疫苗接种率增加.
结论:
- 增加普遍基本收入 (UBI) 支付应被视为卫生政策的一个组成部分.
- 全民收入有潜力推进公共卫生目标,特别是在预防性护理方面.
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