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The effect of budget cuts on C-section rates and birth outcomes: Evidence from Spain

P. Bertoli, V. Grembi, C. Llaneza Hesse, J. Vall Castelló

. 2020 ; 265 (-) : 113419. [pub] 20201010

Language English Country Great Britain

Document type Journal Article, Research Support, Non-U.S. Gov't

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.

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$a Grembi, Veronica $u Department of Economics, University of Milan, Italy
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