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Health Care Centralization: The Health Impacts of Obstetric Unit Closures in the US / Stefanie J. Fischer, Heather Royer, Corey D. White.
- Format:
- Book
- Author/Creator:
- Fischer, Stefanie J.
- Series:
- Working Paper Series (National Bureau of Economic Research) no. w30141.
- NBER working paper series no. w30141
- Language:
- English
- Physical Description:
- 1 online resource: illustrations (black and white);
- Place of Publication:
- Cambridge, Mass. National Bureau of Economic Research 2022.
- Summary:
- Over the last few decades, health care services in the United States have become more geographically centralized. We study how the loss of hospital-based obstetric units in over 400 counties affect maternal and infant health via a difference-in-differences design. We find that closures lead mothers to experience a significant change in birth procedures such as inductions and C-sections. In contrast to concerns voiced in the public discourse, the effects on a range of maternal and infant health outcomes are negligible or slightly beneficial. While women travel farther to receive care, closures induce women to receive higher quality care.
- Notes:
- Print version record
- June 2022.
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