Publications by authors named "Cong Gian"

Article Synopsis
  • Conventional wisdom suggests that the healthcare sector is more resilient than others during economic downturns, but there has been limited research on how local economies actually affect healthcare jobs.
  • This study analyzes the impact of economic conditions on healthcare employment and the flow of new graduates in the field from 2005 to 2017, revealing that healthcare jobs tend to increase during severe local downturns.
  • The findings are crucial for policymakers as they seek to maintain a stable healthcare workforce amid current economic challenges and uncertainty about the healthcare sector's performance during ongoing recessions.
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Objective: To estimate the impact of Medicaid expansion on emergency department (ED) wait times.

Data Sources: We used 2012-2017 hospital-level secondary data from the CMS Hospital Compare data warehouse.

Study Design: We used a state-level difference-in-differences approach to identify the impact of Medicaid expansion on four measures of ED wait times: time before being seen by a provider; time before being sent home after being seen by a provider; boarding time spent in the ED waiting to be discharged to an inpatient room; and the percentage of patients who left without being seen.

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Context: Twenty states are pursuing community engagement requirements ("work requirements") in Medicaid, though legal challenges are ongoing. While most nondisabled low-income individuals work, it is less clear how many engage in the required number of hours of qualifying community engagement activities and what heterogeneity may exist by race/ethnicity, age, and gender. The authors' objective was to estimate current levels of employment and other community engagement activities among potential Medicaid beneficiaries.

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