Reducing Frictions in Health Care Access: The ActionHealthNYC Experiment for Undocumented Immigrants
中文摘要
2016年，纽约市设计并实施了一项旨在减少获取安全网医疗摩擦的干预措施：随机为2,428名无证移民预约初次初级保健就诊。我们利用一种新颖的调查数据与行政数据关联方法，发现该项目提高了自报的初级保健可及性，使急诊科（ED）就诊次数减少了23%。高风险个体的急诊科就诊次数平均下降32%，推动了总体效应。在赴资助诊所就诊的个体中，预防性保健也有所增加。（JEL H75、I11、I12、I13、I14、I18、J15）
Abstract
In 2016, New York City designed and implemented an intervention to reduce frictions in accessing safety net care: randomly making initial primary care appointments for 2,428 undocumented immigrants. We leverage a novel survey-administrative data linkage to show that the program increased self-reported access to primary care, leading to 23 percent fewer emergency department (ED) visits. High-risk individuals’ ED visits fell by 32 percent on average, driving the aggregate effect. Preventive care also increased among individuals visiting sponsored clinics. (JEL H75, I11, I12, I13, I14, I18, J15)