The Health Impacts of Hospital Delivery Practices

David Card, Alessandra Fenizia and David Silver

No 25986, NBER Working Papers from National Bureau of Economic Research, Inc

Abstract: 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.

JEL-codes: D22 I11 I18 J13 (search for similar items in EconPapers)
Date: 2019-06
New Economics Papers: this item is included in nep-hea
Note: CH LS
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Citations: View citations in EconPapers (18)

Published as David Card & Alessandra Fenizia & David Silver, 2023. "The Health Impacts of Hospital Delivery Practices," American Economic Journal: Economic Policy, vol 15(2), pages 42-81.

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Related works:
Journal Article: The Health Impacts of Hospital Delivery Practices (2023)
Working Paper: The Health Impacts of Hospital Delivery Practices (2020)
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