谁增加了急诊科的使用?来自俄勒冈州健康保险实验的新见解
Who Increases Emergency Department Use? New Insights from the Oregon Health Insurance Experiment
AI总结:
本研究利用因果机器学习方法分析Oregon健康保险实验,发现Medicaid增加急诊科使用的总体效应由约14%参与者驱动,并基于个体特征识别出ED使用显著增加的优先群体。
摘要:
我们为Oregon实验中Medicaid增加急诊科(ED)使用的头条结果提供了新见解。使用因果机器学习方法,我们发现Medicaid对ED使用存在有意义的异质性影响。个体化处理效应分布包含广泛的负值和正值,表明平均效应掩盖了实质的异质性。分布右尾的一小部分群体——约14%的参与者——驱动了总体效应。我们基于人口特征和既往使用情况,识别出ED使用具有经济意义上显著增加的优先群体。集约边际效应是ED使用增加的重要驱动因素。
英文摘要:
We provide new insights regarding the headline result that Medicaid increased emergency department (ED) use from the Oregon experiment. We find meaningful heterogeneous impacts of Medicaid on ED use using causal machine learning methods. The individualized treatment effect distribution includes a wide range of negative and positive values, suggesting the average effect masks substantial heterogeneity. A small group-about 14% of participants-in the right tail of the distribution drives the overall effect. We identify priority groups with economically significant increases in ED usage based on demographics and previous utilization. Intensive margin effects are an important driver of increases in ED utilization.
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