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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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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中文摘要：
物质使用障碍（SUD）存在有效的治疗策略，但在确保SUD治疗（SUDT）劳动力的充足性以及提高SUDT的可承受性、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《平价医疗法案》扩大医疗补助的可获得性，导致SUD药物的可获得性最近有所增加，但尚不清楚这些政策是否也导致了SUDT相关劳动力雇佣性质的变化，部分原因是数据可用性差。我们的研究使用了新的数据来阐明快速发展和与政策相关的劳动力市场的最新趋势，并有助于了解当前与SUDT相关的劳动力以及医疗补助扩展对该行业招聘尝试的影响。我们通过“差异中的差异”经济计量模型，研究了2010-2018年期间，在SUDT和相关行为健康部门的招聘尝试，作为评估2014年及以后国家医疗补助扩展对这些结果的因果影响的背景。我们使用的是Burning Glass Technologies（BGT）数据，几乎涵盖了美国所有雇主发布的招聘信息。在全国范围内，我们发现2010-2018年该行业的招聘尝试相对于其他经济部门或整个医疗保健行业几乎没有增长。然而，这掩盖了子部门的不同趋势，即医院招聘尝试减少，门诊设施增加，职业招聘需求从医务人员转向咨询师和社会工作者。虽然医疗补助计划的扩大并没有导致总体招聘尝试发生任何统计上显著或有意义的变化，但招聘格局发生了变化。
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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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