平价医疗法案医疗补助扩展对牙科护理使用的早期影响

Early Impact of the Affordable Care Act's Medicaid Expansion on Dental Care Use

Health Services Research · 2016
被引 30
ABS 3

中文导读

研究了2014年平价医疗法案医疗补助扩展对21-64岁贫困成年人牙科护理使用的影响,发现扩展州牙科使用率略有上升但统计上不显著。

Abstract

OBJECTIVE: To examine the impact of the Affordable Care Act on dental care use among poor adults ages 21-64 in 2014. DATA: 2010-2014 Gallup-Healthways Wellbeing Index Survey. STUDY DESIGN: Among poor adults with income at or below 138% of the Federal Poverty Level, a differences-in-differences analysis was used to compare the changes in dental care use in states with different Medicaid expansion and adult dental policies. PRINCIPAL FINDINGS: Relative to the pre-reform period and other states, in Medicaid expansion states with adult dental benefits, dental care use increased between 2 and 6 percent points in the second half of 2014, but most of these changes were not statistically significant. CONCLUSIONS: Early evidence suggests that the Affordable Care Act may either not be having a substantial impact on dental care use or it is too early to assess the impact.

医疗补助平价医疗法案牙科护理贫困人口卫生政策