The affordable care act and ambulance response times

Courtemanche Charles; Friedson Andrew; Koller Andrew P.; Rees Daniel I

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The affordable care act and ambulance response times

机译：负担得起的护理行为和救护车响应时间

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This study contributes to the literature on the capacity challenges faced by health care providers after insurance expansions by examining the Affordable Care Act (ACA) and ambulance response times. Exploiting temporal and geographic variation in the implementation of the ACA as well as pre-treatment differences in uninsured rates, we estimate that the expansions of private and Medicaid coverage under the ACA combined to slow ambulance response times by an average of 24%. We conclude that, through extending coverage to individuals who, in its absence, would not have availed themselves of emergency medical services, the ACA added strain to emergency response systems. (C) 2019 Elsevier B.V. All rights reserved.

机译：这项研究通过检查《平价医疗法案》（ACA）和救护车的响应时间，为有关医疗保健提供者在保险扩张后面临的能力挑战提供了文献资料。利用ACA实施过程中的时间和地理差异以及未保险费率的治疗前差异，我们估计ACA下私人和Medicaid保险覆盖面的扩大共同使救护车的响应时间平均降低了24％。我们得出的结论是，ACA通过将覆盖范围扩大到那些在没有医疗服务的情况下将无法获得紧急医疗服务的个人，从而给紧急响应系统增加了压力。（C）2019 Elsevier B.V.保留所有权利。

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来源
《Journal of health economics》 |2019年第9期|102213.1-102213.13|共13页
作者
Courtemanche Charles; Friedson Andrew; Koller Andrew P.; Rees Daniel I;
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作者单位

Univ Kentucky Lexington KY 40506 USA|NBER Cambridge MA 02138 USA|IZA Durham NC 27713 USA;

Univ Colorado Denver Denver CO USA;

NBER Cambridge MA 02138 USA|IZA Durham NC 27713 USA|Univ Colorado Denver Denver CO USA;

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原文格式 PDF
正文语种 eng
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关键词
Affordable care act; Ambulance; Health insurance; Health care capacity; Health care workforce;

机译：负担得起的护理行为;救护车;健康保险;卫生保健能力;卫生保健人员;

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专利

1. Searching for the evidence in pre-hospital care: a review of randomised controlled trials. On behalf of the Ambulance Response Time Sub-Group of the National Ambulance Advisory Committee. [J] . Brazier H, Murphy AW, Lynch C, Journal of accident and emergency medicine . 1999,第1期

机译：在院前护理中寻找证据：随机对照试验的综述。代表国家救护车咨询委员会的救护车响应时间小组。
2. Reducing Ambulance Response Times Using Geospatial–Time Analysis of Ambulance Deployment [J] . Marcus Eng Hock Ong MBBS (S’pore) MPH Tut Fu Chiam MBBS (S’pore) MMed Faith Suan Peng Ng MApp Stat Papia Sultana PhD Swee Han Lim MBBS (S’pore) FRCS Ed (AE) Benjamin Sieu-Hon Leong MBBS (S’pore) MRCS Ed (AE) Victor Yeok Kein Ong MBBS (S’pore) FRCS Ed (AE) Elaine Ching Ching Tan MBBS (S’pore) MRCS Ed (AE) Lai Peng Tham MBBS (S’pore) MMed Susan Yap RN V. Anantharaman MBBS (S’pore) FRCS Ed (AE) on behalf of the Cardiac Arrest Resuscitation Epidemiology (CARE) Study Group Academic Emergency Medicine . 2010,第9期

机译：使用地理空间分析救护车部署时间来减少救护车响应时间
3. Dynamic ambulance reallocation for the reduction of ambulance response times using system status management [J] . Lam Sean Shao Wei, Zhang Ji, Zhang Zhong Cheng, The American journal of emergency medicine . 2015,第2期

机译：动态救护车重新分配，使用系统状态管理来减少救护车响应时间
4. Dynamic Ambulance Deployment to Reduce Ambulance Response Times using Geographic Information Systems: A Case Study of Odunpazari District of Eskisehir Province, Turkey [C] . Masoud Swalehe, Semra Gunay Aktas International conference on geographies of health and living in cities . 2017

机译：动态救护车部署，以减少使用地理信息系统的救护车响应时间：土耳其Eskisehir省Odunpazari区的案例研究
5. Resistance to mandated healthcare change: Using psychological reactance to predict responses to the patient protection and Affordable Care Act insurance coverage requirement. [D] . Hamel, Michael G. 2015

机译：对强制性医疗保健变更的抵制：使用心理反应来预测对患者保护和《平价医疗法案》保险范围要求的反应。
6. Searching for the evidence in pre-hospital care: a review of randomised controlled trials. On behalf of the Ambulance Response Time Sub-Group of the National Ambulance Advisory Committee. [O] . H Brazier, A W Murphy, C Lynch, 1999

机译：在院前护理中寻找证据：随机对照试验的综述。代表国家救护车咨询委员会的救护车响应时间小组。
7. The Affordable Care Act and Ambulance Response Times [O] . Courtemanche, Charles, Friedson, Andrew I., Koller, Andrew P., 2017

机译：平价医疗法案和救护车响应时间

The affordable care act and ambulance response times

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