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 shortand 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

Paola Bertoli;
2020-01-01

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 shortand long-term effects of non medically indicated C-sections, our paper provides important policy implications for population health.
Cesarean sections
Health spending cuts
Inappropriate healthcare
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11562/1038979
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