| 来源类型 | Working Paper |
| 规范类型 | 报告 |
| DOI | 10.3386/w27621 |
| 来源ID | Working Paper 27621 |
| Effects of State COVID-19 Closure Policy on NON-COVID-19 Health Care Utilization | |
| Engy Ziedan; Kosali I. Simon; Coady Wing | |
| 发表日期 | 2020-08-03 |
| 出版年 | 2020 |
| 语种 | 英语 |
| 摘要 | The U.S. health care system has experienced great pressure since early March 2020 as it pivoted to providing necessary care for COVID-19 patients. But there are signs that non-COVID-19 care use declined during this time period. We examine near real time data from a nationwide electronic healthcare records system that covers over 35 million patients to provide new evidence of how non-COVID-19 acute care and preventive/primary care have been affected during the epidemic. Using event study and difference-in-difference models we find that state closure policies (stay-at-home or non-essential business closures) are associated with large declines in ambulatory visits, with effects differing by type of care. State closure policies reduced overall outpatient visits by about 15-16 percent within two weeks. Outpatient visits for health check-ups and well care experience very large declines during the epidemic, with substantial effects from state closure policies. In contrast, mental health outpatient visits declined less than other care, and appear less affected by state closure policies. We find substitution to telehealth modalities may have played an important role in mitigating the decline in mental health care utilization. Aggregate trends in outpatient visits show a 40% decline after the first week of March 2020, only a portion of which is attributed to state policy. A rebound starts around mid April that does not appear to be explained by state reopening policy. Despite this rebound, care visits still remain below the pre-epidemic levels in most cases. |
| 主题 | Public Economics ; COVID-19 |
| URL | https://www.nber.org/papers/w27621 |
| 来源智库 | National Bureau of Economic Research (United States) |
| 引用统计 | |
| 资源类型 | 智库出版物 |
| 条目标识符 | http://119.78.100.153/handle/2XGU8XDN/585293 |
| 推荐引用方式 GB/T 7714 | Engy Ziedan,Kosali I. Simon,Coady Wing. Effects of State COVID-19 Closure Policy on NON-COVID-19 Health Care Utilization. 2020. |
| 条目包含的文件 | ||||||
| 文件名称/大小 | 资源类型 | 版本类型 | 开放类型 | 使用许可 | ||
| w27621.pdf（1220KB） | 智库出版物 | 限制开放 | CC BY-NC-SA | 浏览 | ||
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