摘要翻译：
有效的药物使用障碍治疗战略已经存在，但是在确保药物使用障碍治疗工作人员的充足性以及提高药物使用障碍治疗的可负担性、可获得性和耻辱性方面仍然存在严重障碍。尽管有证据表明，根据《患者保护与平价医疗法案》扩大医疗补助的可用性，最近增加了SUD药物的获得，但尚不清楚这些政策是否也导致了SUDT相关劳动力招聘性质的变化，部分原因是数据可用性差。我们的研究使用新的数据来揭示快速发展和与政策相关的劳动力市场的最近趋势，并有助于理解当前与SUDT相关的劳动力以及医疗补助扩大对该部门招聘尝试的影响。我们研究了2010-2018年在SUDT和相关行为健康部门招聘的尝试，作为通过“差异中的差异”计量经济学模型估计2014年及以后州医疗补助扩张对这些结果的因果影响的背景。我们使用燃烧玻璃技术(BGT)的数据，涵盖了几乎所有美国雇主的招聘信息。从全国范围来看，我们发现2010-2018年该行业的招聘尝试与经济其他部门或整个医疗保健部门相比几乎没有增长。然而，这掩盖了分部门的不同趋势，即以医院为基础的招聘尝试减少，向门诊设施的招聘增加，职业招聘需求从医务人员转向辅导员和社会工作者。虽然医疗补助的扩大并没有导致任何统计上显著或有意义的变化，在整体招聘尝试中，招聘格局发生了变化。
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英文标题：
《Hiring in the substance use disorder treatment related sector during the
  first five years of Medicaid expansion》
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作者：
Olga Scrivner, Thuy Nguyen, Kosali Simon, Esm\'e Middaugh, Bledi
  Taska, Katy B\"orner
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最新提交年份：
2019
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分类信息：

一级分类：Economics        经济学
二级分类：General Economics        一般经济学
分类描述：General methodological, applied, and empirical contributions to economics.
对经济学的一般方法、应用和经验贡献。
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一级分类：Quantitative Finance        数量金融学
二级分类：Economics        经济学
分类描述：q-fin.EC is an alias for econ.GN. Economics, including micro and macro economics, international economics, theory of the firm, labor economics, and other economic topics outside finance
q-fin.ec是econ.gn的别名。经济学，包括微观和宏观经济学、国际经济学、企业理论、劳动经济学和其他金融以外的经济专题
--

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英文摘要：
  Effective treatment strategies exist for substance use disorder (SUD), however severe hurdles remain in ensuring adequacy of the SUD treatment (SUDT) workforce as well as improving SUDT affordability, access and stigma. Although evidence shows recent increases in SUD medication access from expanding Medicaid availability under the Affordable Care Act, it is yet unknown whether these policies also led to a growth in the changes in the nature of hiring in SUDT related workforce, partly due to poor data availability. Our study uses novel data to shed light on recent trends in a fast-evolving and policy-relevant labor market, and contributes to understanding the current SUDT related workforce and the effect of Medicaid expansion on hiring attempts in this sector. We examine attempts over 2010-2018 at hiring in the SUDT and related behavioral health sector as background for estimating the causal effect of the 2014-and-beyond state Medicaid expansion on these outcomes through "difference-in-difference" econometric models. We use Burning Glass Technologies (BGT) data covering virtually all U.S. job postings by employers. Nationally, we find little growth in the sector's hiring attempts in 2010-2018 relative to the rest of the economy or to health care as a whole. However, this masks diverging trends in subsectors, which saw reduction in hospital based hiring attempts, increases towards outpatient facilities, and changes in occupational hiring demand shifting from medical personnel towards counselors and social workers. Although Medicaid expansion did not lead to any statistically significant or meaningful change in overall hiring attempts, there was a shift in the hiring landscape.
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PDF链接：
https://arxiv.org/pdf/1908.00216