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北欧国家的普惠性生命早期健康政策

Universal Early-Life Health Policies in the Nordic Countries
Journal of Economic Perspectives · 2022 · Miriam Wüst

中文摘要

鉴于关于生命早期冲击对个人一生福祉负面影响的证据不断增加,越来越多的经济学文献研究生命早期政策是否具有对称的正向效应。本文聚焦于来自北欧国家关于这一主题的研究,在这些国家,所有家庭都能获得一套全面的生命早期健康项目,包括产前保健、孕产保健和婴儿保健。我描述了这一普惠性生命早期健康政策的北欧模式,并讨论了来自两类研究的关于其因果效应的现有证据。第一,通过考察普惠性政策的引入,研究已记录了对受政策覆盖队列在健康、教育和劳动力市场轨迹方面的重要短期与长期收益。第二,利用当代政策设计的变化,研究目前记录了普惠性照护对主要是母婴健康以及亲代投资行为的短期和中期影响。最后,我提出了未来研究的方向。

Abstract

Given mounting evidence on the negative impact of early-life shocks for the wellbeing of people over the life course, a growing economics literature studies whether early-life policies have symmetric positive effects. This paper zooms in on research on this topic from the Nordic countries, where all families have access to a comprehensive set of early-life health programs, including prenatal, maternity, and well-infant care. I describe this Nordic model of universal early-life health policies and discuss the existing evidence on its causal effects from two categories of studies. First, studying the introduction of universal policies, research has documented important short- and long-run benefits for the health, education, and labor market trajectories of treated cohorts. Second, exploiting modern-day changes to policy design, research for now documents short- and medium-run impacts of universal care on primarily maternal and child health as well as parental investment behaviors. I conclude with directions for future research.
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