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Non‐monetary obstacles to medical care

Evidence from postpartum contraceptives

Dados Bibliográficos

ID11683093
AutoresBarton Willage (0000-0003-0032-0648, University of Colorado – Denver Department of Economics Denver Colorado United States, autor correspondente), Marisa Carlos (Analysis Group Denver Colorado United States), Kevin Callison (0000-0003-4181-7407, Department of Health Policy and Management, School of Public Health and Tropical Medicine Tulane University New Orleans Louisiana United States)
Ano2023
Volume42
Fascículo4
Páginas1045-1064
Data de publicação2023-07-12
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoJournal of Policy Analysis and Management (JOURNAL)
Identificadores do periódicoISSN: 0276-8739 • E-ISSN: 1520-6688
EditoraWiley (PUBLISHER • GB)
DOI10.1002/pam.22504
OpenAlexW2953420389
IdiomaEN
Referências citadas54

We use changes to Medicaid immediate postpartum policy to test whether non‐monetary costs are meaningful obstacles to health care. Medicaid in several states currently covers long‐acting reversible contraceptives (LARCs, including IUDs and implants) immediately following delivery of a child, eliminating much of the time‐cost and stress associated with obtaining a LARC. Postpartum LARCs can reduce unintended and short‐interval pregnancies, which are associated with adverse neonatal outcomes. Births that occur in Catholic‐owned hospitals are an ideal control group, because these hospitals are prohibited from offering family‐planning services, including LARCs. Using difference‐in‐differences and individual‐level administrative data from Louisiana and New York, we find eliminating non‐monetary obstacles increases take‐up of a high‐value and highly effective form of contraception. Additionally, we find no evidence of crowd‐out of outpatient LARCs

Business · Economic growth · Economics · Environmental health · Family medicine · Family planning · Health care · Long-acting reversible contraception · Medicaid · Population · Research methodology · Unintended pregnancy · Global Maternal and Child Health · Healthcare Policy and Management · Medicine · Reproductive Health and Contraception

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Velocidade de citaçãohistorical
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