Vaccination Policy, Delayed Care and Health Expenditures

Datos Bibliográficos

ID9712898
AutoresErkmen G Aslim (University of Vermont), Erkmen Giray Aslım (0000-0001-9455-0510, Grand Valley State University), Wei Fu (0000-0002-1346-7297, University of Louisville), Chia-Lun Liu (Analysis Group ,), Chia‐Lun Liu (0000-0003-4604-6031, Analysis Group (United States)), Erdal Tekin (0000-0002-6158-0286, American University, Institute of Labor Economics (IZA) & National Bureau of Economic Research (NBER), autor de correspondencia)
Año2024
Volumen134
Número664
Páginas3096-3136
Fecha de publicación2024-11-06
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaThe Economic Journal (JOURNAL)
Identificadores de la revistaISSN: 0013-0133 • E-ISSN: 1468-0297
EditorialOxford University Press (PUBLISHER • GB)
DOI10.1093/ej/ueae051
OpenAlexW4400163094
IdiomaEN
Citas recibidas2
Referencias citadas54

This paper evaluates the effect of COVID-19 vaccination on the individual propensity to delay or skip medical care. Our research design exploits the arguably exogenous variation in age-specific vaccine eligibility rollout across states and over time as an instrument for individual vaccination status. We find that receiving a COVID-19 vaccine reduces the likelihood of delaying care for any medical condition by 37%. Furthermore, our analysis reveals that children are significantly less likely to delay or skip healthcare as a result of their parents becoming vaccine eligible, indicating the presence of a positive health spillover within households that extends beyond protection against infection. Our analysis also shows that vaccination reduces concerns about contracting or spreading COVID-19, leading to increased mobility and potentially reducing delays or avoidance in seeking healthcare. Additionally, we find that vaccination notably increased access to elective care and surgeries, but had no significant impact on emergency department admissions, mental health cases or other medical conditions. Our results highlight the important role that vaccines play in, not only protecting against coronavirus, but also safeguarding against the worsening of health due to delayed or foregone medical care. The decline in delayed or foregone care caused by vaccination is particularly strong among minorities and those with a low socioeconomic background, revealing an important role that vaccination efforts can play in narrowing inequities in health and healthcare. In supplementary analysis, we use novel data on debit and credit card spending to demonstrate that increased vaccine uptake has a positive, albeit statistically insignificant, effect on consumer healthcare spending in the short run. Taken together, our findings imply that advancements in vaccine development coupled with a regulatory process that accelerates the availability of vaccines to the public in a safe manner can have the additional benefit of tackling unmet healthcare needs during a public health crisis

Economic growth · Economics · Health care · Public economics · Vaccination · Vaccination policy · Global Health Care Issues · Healthcare Policy and Management · Medicine · Vaccine Coverage and Hesitancy · Virology