Associations Between a New York City Paid Sick Leave Mandate and Health Care Utilization Among Medicaid Beneficiaries in New York City and New York State.
Journal
JAMA health forum
ISSN: 2689-0186
Titre abrégé: JAMA Health Forum
Pays: United States
ID NLM: 101769500
Informations de publication
Date de publication:
05 2021
05 2021
Historique:
received:
11
02
2021
accepted:
04
03
2021
entrez:
17
8
2022
pubmed:
6
5
2021
medline:
6
5
2021
Statut:
epublish
Résumé
More evidence on associations between mandated paid sick leave and health service utilization among low-income adults is needed to guide health policy and legislation nationwide. To evaluate the association between New York City's 2014 paid sick leave mandate and health care utilization among Medicaid-enrolled adults. This retrospective cohort study used New York State Medicaid administrative data for adults 18 to 64 years old continuously enrolled in Medicaid from August 1, 2011, through July 31, 2017. A difference-in-differences approach with entropy balancing weights was used to compare New York City with the rest of New York State to assess the association of the paid sick leave mandate with health care utilization, and for those 40 to 64 years old, with preventive care utilization. The data analysis was performed from June through August 2020. Temporal and spatial variation in exposure to the mandate. Annual health care utilization (emergency care, specialist visits, and primary care clinician visits) per Medicaid-enrolled adult. Secondary outcomes include categories of emergency utilization and utilization of 5 preventive services. Of 552 857 individuals (mean [SD] age, 43 [12] years; 351 130 [64%] women) who met inclusion criteria, 99 181 (18%) were White, 162 492 (29%) Black, and 138 061 (25%) Hispanic. Paid sick leave was significantly associated with a reduction in the probability of emergency care (-0.6 percentage points [pp]; 95% CI, -0.7 to -0.5 pp; This retrospective cohort study of nonelderly adults enrolled in Medicaid New York State showed that mandated paid sick leave in New York City was significantly associated with differences in several dimensions of health care services use.
Identifiants
pubmed: 35977312
doi: 10.1001/jamahealthforum.2021.0342
pii: aoi210005
pmc: PMC8796973
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Pagination
e210342Commentaires et corrections
Type : CommentIn
Informations de copyright
Copyright 2021 Ko H et al. JAMA Health Forum.
Déclaration de conflit d'intérêts
Conflict of Interest Disclosures: Drs Ko and Glied reported a grant from the Robert Wood Johnson Foundation’s Policies for Action program during the conduct of the study.
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