Abstract

We performed a secondary analysis of the Moving to Opportunity (MTO) social experiment to investigate the impact of different types of housing assistance and neighborhood environments on long-term patterns of healthcare use for specific conditions and across different types of healthcare services. MTO participants, who were randomized at baseline, were linked to up to 21 years’ worth of all-payer hospital discharge and Medicaid data. Among the 9,170 children at the time of randomization, those who received a voucher had subsequent hospital admissions rates that were 36% lower for asthma and 30% lower for mental health disorders compared with the control group; rates of psychiatric services, outpatient hospital services, clinic services, and durable medical equipment were also lower among the voucher groups. Findings for adults were not statistically significant. The results suggest that housing policies that reduce neighborhood poverty exposure as a child are associated with lower subsequent healthcare use for specific clinical conditions and types of services.

 抽象的

我们对“转向机会”(MTO) 社会实验进行了二次分析，以调查不同类型的住房援助和社区环境对特定条件下和不同类型的医疗服务的长期医疗保健使用模式的影响。 MTO 参与者在基线时被随机分配，并与长达 21 年的全付费出院数据和医疗补助数据相关联。在随机分组时的 9,170 名儿童中，与对照组相比，获得代金券的儿童随后因哮喘入院率降低了 36%，因精神健康障碍入院率降低了 30%；代金券组的精神科服务、门诊服务、诊所服务和耐用医疗设备的比率也较低。成人的研究结果没有统计学意义。结果表明，减少儿童时期社区贫困风险的住房政策与随后针对特定临床状况和服务类型的较低医疗保健使用有关。