残疾保险重新评估对医疗使用的影响

The impact of Disability Insurance reassessment on healthcare use

Health Economics · 2023
被引 4
人大 A-

中文导读

利用澳大利亚全国行政数据,研究发现对35岁以下残疾保险领取者实施更严格重新评估政策后,神经系统药物(包括抗抑郁药)处方增加,表明重新评估本身可能损害心理健康。

Abstract

Several Organisation for Economic Co-operation and Development countries have constrained Disability Income Insurance (DI) eligibility and reassessed those on DI to encourage workforce participation. But these policies can also have unintended consequences. While receiving less income can directly worsen physical and mental health, the stress related to reassessment and the possibility of losing DI may also adversely affect mental health. This paper uses Australian population-wide administrative data to explore how a 2014 policy - where DI recipients under 35 were reassessed under stricter criteria - affected healthcare use. We exploit this age targeting using a difference-in-difference regression design and find that the policy increased nervous system drug prescriptions (which includes antidepressants). Our findings suggest that the reassessment of DI recipients, even without income loss, may have had a significant negative impact on their mental health. DI reassessment policies may have the unintended consequence of worsening mental health and this needs be considered when deciding if reassessment is worthwhile.

残疾保险重新评估医疗保健使用精神健康处方药使用