密歇根州全州倡议的影响评估
Janet Currie1, Anna Malinovskaya2
1Department of Economics, Yale University, 30 Hillhouse Ave., New Haven, CT, 06511, USA. jcurrie@princeton.edu.
Health economics review
|August 25, 2025
概括
2018年政策变化增加了产后抑郁症 (PPD) 的查, 虽然查的普及程度有限,但它显示出改善孕产妇PPD治疗和减少婴儿住院的潜力,特别是通过更好的治疗机会.
科学领域:
- 医疗服务研究
- 母婴健康
- 卫生政策分析
背景情况:
- 2018年的一项政策变化允许儿科提供者使用孩子的身份证向医疗补助公司收费,以便在孩子健康期间对母亲进行产后抑郁症 (PPD) 查.
- 了解这一政策对PPD查,治疗和婴儿健康结果的影响对于改善母亲和儿童的福祉至关重要.
研究的目的:
- 评估2018年关于健康儿童访问期间PPD查的政策变化.
- 评估这项政策,PPD治疗率和婴儿住院率之间的关系.
主要方法:
- 使用个人级别的医疗补助申请来计算邮政编码级别的查率.
- 使用线性概率和仪器变量 (IV) 模型分析政策对查,PPD治疗和婴儿住院的影响.
主要成果:
- 这项政策增加了PPD查率,但整体吸收率仍然很低 (8.8%).
- 较高的查率与增加的孕产妇PPD治疗相关 (10.1%更高的概率在顶部查邮政码).
- 在贫困线以上的儿童中, 增加的查减少了婴儿在前六个月的住院概率7.7%.
结论:
- 这项政策在提高PPD查率方面取得了有限的成功.
- 扩大对PPD治疗的准入以及增加查可以改善母亲的治疗并减少婴儿住院.
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