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及时获得治疗的益处:物质使用障碍、医疗服务利用与就业

The benefits of timely access to treatment: Substance use disorders, healthcare utilization and employment
Journal of Health Economics · 2026 · Jenny Williams、Anne Line Bretteville‐Jensen、Christiern D. Rose

中文摘要

本研究考察通过缩短等待时间改善物质使用障碍治疗可及性的影响。我们利用个体层面的关联行政数据,估计等待时间对患者治疗服务利用与就业的影响。为处理潜在的混杂因素,我们采用工具变量策略,利用医疗系统局部拥堵所产生的外生等待时间变异。我们发现,较长的等待时间导致本次重点治疗阶段的治疗服务使用增加、后续治疗阶段的再进入上升,并降低就业,这与患者在等待治疗期间健康状况恶化相一致。我们的测算表明,每投入一美元用于缩短等待时间,可获得六至七美元的回报。这些发现表明,缩短治疗等待时间能够显著减轻成瘾所带来的经济和社会负担。

Abstract

This research studies the impact of improving access to treatment for substance use disorders by reducing wait times. Linked individual-level administrative data are used to estimate the impacts of wait times on patients' treatment service utilization and employment. Potential confounding is addressed using an instrumental variables strategy that exploits exogenous variation in wait times generated by local congestion in the healthcare system. We find that longer wait times lead to increased use of treatment services in the focal treatment episode, raised re-entry into subsequent treatment episodes, and lowered employment, consistent with patients' health deteriorating while waiting for treatment. Our calculations suggest that each dollar spent on reducing wait times yields a return of between six and seven dollars. These findings demonstrate that shortening wait times for treatment can significantly reduce the economic and social burdens of addiction.
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