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补贴心理健康服务对从业者队伍的影响:关于供给、地理分布与收入的证据

Workforce impacts of subsidised mental healthcare: Evidence on supply, geographic distribution, and earnings
Journal of Health Economics · 2026 · Nicole Black、Anthony Harris、David W. Johnston、Trong‐Anh Trinh

中文摘要

为提高民众获得可负担心理健康服务的机会,澳大利亚于2006年推出一项全国性公共资助计划,对以往由私人付费的心理服务给予补贴。理论表明,补贴通过增加需求,应会激励服务提供者扩大供给,或进入该劳动队伍,或增加工作时长。然而,供给扩张取决于供给约束,在劳动力严重短缺的非都市地区尤为如此。本研究考察该计划对心理学家数量、工作时长、人口构成、执业地点及收入的影响。利用事件研究设计,结合行政税收记录与人口普查数据,我们发现该计划:(1)增加了心理学家的供给,而对每位心理学家平均工作时长的影响微乎其微;(2)提高了心理学家在非都市地区执业的可能性,有助于扩大心理健康服务的可及性;(3)提高了心理学家的年度个人收入。

Abstract

To improve access to affordable mental healthcare, Australia introduced a national, publicly-funded program in 2006 to subsidise psychological services, which were previously privately funded. Theory suggests that by increasing demand, subsidies should incentivise providers to expand supply, either by entering the workforce or by increasing hours. However, expansion depends on supply constraints, particularly in non-metropolitan areas with pronounced workforce shortages. This study examines the program's effects on the size, work hours, demographic composition, location, and earnings of psychologists. Using an event-study design with administrative tax records and census data, we find that the program: (1) increased the supply of psychologists, with minimal effect on average hours worked per psychologist; (2) increased the likelihood of psychologists working in non-metropolitan areas, supporting broader access to mental healthcare; and (3) raised psychologists' annual personal incomes.
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