G2TT
来源类型Working Paper
规范类型报告
DOI10.3386/w25884
来源IDWorking Paper 25884
Controlling Tuberculosis? Evidence from the First Community-Wide Health Experiment
Karen Clay; Peter Juul Egedesø; Casper Worm Hansen; Peter Sandholt Jensen; Avery Calkins
发表日期2019-05-27
出版年2019
语种英语
摘要This paper studies the immediate and long-run mortality effects of the first community-based health intervention in the world – the Framingham Health and Tuberculosis Demonstration, 1917-1923. The official evaluation committee and the historical narrative suggest that the demonstration was highly successful in controlling tuberculosis and reducing mortality. Using newly digitized annual cause-of-death data for municipalities in Massachusetts, 1901-1934, and different empirical strategies, we find little evidence to support this positive assessment. In fact, we find that the demonstration did not reduce tuberculosis mortality, all-age mortality, nor infant mortality. These findings contribute to the ongoing debate on whether public-health interventions mattered for the decline in (tuberculosis) mortality prior to modern medicine. At a more fundamental level, our study questions this particular type of community-based setup with non-random treatment assignment as a method of evaluating policy interventions.
主题Health, Education, and Welfare ; Health ; History ; Labor and Health History
URLhttps://www.nber.org/papers/w25884
来源智库National Bureau of Economic Research (United States)
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资源类型智库出版物
条目标识符http://119.78.100.153/handle/2XGU8XDN/583557
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Karen Clay,Peter Juul Egedesø,Casper Worm Hansen,et al. Controlling Tuberculosis? Evidence from the First Community-Wide Health Experiment. 2019.
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