Using data from Spain, we show the impact of significant health-sector budget cuts introduced in 2012 on the rates of cesarean sections and on infant health outcomes at birth, which we use as a proxy for the quality of birth centers. Exploiting a difference-in-differences fixed-effects approach at the hospital level, we estimate a 3% increase in C-sections as a result of the budget restrictions, with no significant consequences on health outcomes at birth. Given the additional evidence in the literature on the negative short- and long-term effects of non-medically indicated C-sections, our paper provides important policy implications for population health.

The Effect of Budget Cuts on C-Section Rates and Birth Outcomes: Evidence from Spain / P. Bertoli, V. Grembi, C. Llaneza, J. Vall-Castello. - In: SOCIAL SCIENCE & MEDICINE. - ISSN 0277-9536. - 265(2020 Nov). [10.1016/j.socscimed.2020.113419]

The Effect of Budget Cuts on C-Section Rates and Birth Outcomes: Evidence from Spain

V. Grembi
Secondo
;
2020

Abstract

Using data from Spain, we show the impact of significant health-sector budget cuts introduced in 2012 on the rates of cesarean sections and on infant health outcomes at birth, which we use as a proxy for the quality of birth centers. Exploiting a difference-in-differences fixed-effects approach at the hospital level, we estimate a 3% increase in C-sections as a result of the budget restrictions, with no significant consequences on health outcomes at birth. Given the additional evidence in the literature on the negative short- and long-term effects of non-medically indicated C-sections, our paper provides important policy implications for population health.
Inappropriate healthcare; Health spending cuts; Cesarean sections;
Settore SECS-P/01 - Economia Politica
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2434/807603
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