The Health Impacts of Hospital Delivery Practices / David Card, Alessandra Fenizia, David Silver.

Format:

Book

Author/Creator:

Card, David.

Contributor:

National Bureau of Economic Research.

Fenizia, Alessandra.

Silver, David.

Series:

Working Paper Series (National Bureau of Economic Research) no. w25986.

NBER working paper series no. w25986

Language:

English

Physical Description:

1 online resource: illustrations (black and white);

Place of Publication:

Cambridge, Mass. National Bureau of Economic Research 2019.

Summary:

Treatment practices vary widely across hospitals, often with little connection to the medical needs of patients. We assess impacts of these differences in childbirth, where there is broad interest in reducing cesarean deliveries. Using a distance-based design and data from half a million births, we find that infants delivered at hospitals with higher c-section rates are born in better shape, are less likely to be readmitted to the hospital, are exhibit suggestive evidence of improved survival. These benefits are driven by the avoidance of prolonged labors that pose serious risks to infant health. In contrast, we document that these infants are substantially more likely to return to the emergency department for respiratory-related problems in the year after birth, providing some of the first design-based evidence consistent with a large observational literature linking cesarean delivery to chronic reductions in respiratory health.

Notes:

Print version record

June 2019.