纽约州的带薪家庭假计划和儿童医疗保健使用
Taryn W Morrissey1, Neko Michelle Castleberry2, Daniel P Miller3
1Department of Public Administration and Policy, School of Public Affairs, American University, Washington, DC.
Academic pediatrics
|April 3, 2025
概括
纽约州 纽约州
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 卫生经济学 卫生经济学
背景情况:
- 带薪家庭假计划与改善母亲和婴儿健康结果有关.
- 有限的研究存在于带薪家庭假对儿童医疗保健利用的影响.
- 了解这些影响对于公共卫生政策和家庭福祉至关重要.
研究的目的:
- 评估纽约州带薪家庭假计划 (NYSPFL) 对儿童医疗保健使用的影响.
- 检查这些影响是否根据社会经济地位或儿童患有慢性健康状况而有所不同.
- 提供关于带薪假期在支持儿童健康方面的作用的证据.
主要方法:
- 使用差异差异 (DD) 和合成控制方法 (SCM) 分析.
- 雇佣数据来自国家儿童健康调查 (2016-2019),包括大约24,000名儿童.
- 纽约州的医疗保健使用与2019年后实施带薪假期的州相比较.
主要成果:
- 合成控制方法分析显示,0至17岁儿童的急诊室访问减少了3.3个百分点.
- 差异模型表明,慢性疾病儿童的延迟必要医疗保健显著减少.
- 在DD模型中的完整样本中,没有发现对整体医疗保健使用或紧急诊所的重大影响.
结论:
- 国家带薪家庭假计划可以改善儿童获得必要的医疗保健,特别是那些患有慢性健康状况的儿童.
- NYSPFL的实施与儿童急诊室访问的减少有关.
- 这些发现强调了带薪家庭假政策在支持儿童健康和获得医疗保健方面的重要性.
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