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负向供给冲击与延迟医疗

Negative Supply Shocks and Delayed Health Care
Journal of Human Resources · 2026 · [{"name": "Andrea M. K. Hall", "affiliation": ["Grinnell College"]}]

中文摘要

摘要:2011年,宾夕法尼亚州通过法规,要求提供堕胎服务的机构达到门诊手术机构标准,这最终导致该州近一半的堕胎机构关闭。所有关闭的机构在地理上都邻近仍保持开放的机构,这意味着到最近诊所的距离没有变化,而本地诊所的容量下降了。我采用双重差分设计,并辅以合成控制方法,发现诊所容量的减少导致妊娠前8周内的堕胎减少了30%—40%,而较晚孕周的堕胎有所增加。证据表明黑人女性的出生率有所上升,尽管这些结果对模型设定和对照组的选择较为敏感。

Abstract

<h3>Abstract</h3> In 2011, Pennsylvania passed regulations requiring abortion-providing facilities to meet ambulatory surgical facility standards, which ultimately caused the closure of almost half of the state’s abortion facilities. All closing facilities were geographically near facilities that remained open, meaning distance to the nearest clinic was unchanged while local clinic capacity fell. I use a difference-in-differences design supplemented with a synthetic control method and find that reduced clinic capacity caused 30-40 percent fewer abortions in the first 8 weeks of gestation and more abortions at later gestational ages. Evidence suggests an increase in birth rates for Black women, though these results are sensitive to specification and control group choices.
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