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Cost savings of developmental screenings: Evidence from a nationwide program

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  • Halla, Martin
  • Pruckner, Gerald J.
  • Schober, Thomas

Abstract

Early intervention is considered the optimal response to developmental disorders in children. We evaluate a nationwide developmental screening program for preschoolers in Austria and the resulting interventions. Identification of treatment effects is determined by a birthday cutoff-based discontinuity in the eligibility for a financial incentive to participate in the screening. Assigned preschoolers are 14.5 percentage points more likely to participate in the program. For participants with high socio-economic status (SES), we find little evidence for interventions and consistently no effect on healthcare costs in the long run. For low SES preschoolers, we find evidence for substantial interventions, but only weak evidence for cost savings in the long run.

Suggested Citation

  • Halla, Martin & Pruckner, Gerald J. & Schober, Thomas, 2016. "Cost savings of developmental screenings: Evidence from a nationwide program," Journal of Health Economics, Elsevier, vol. 49(C), pages 120-135.
    • Handle: RePEc:eee:jhecon:v:49:y:2016:i:c:p:120-135
    DOI: 10.1016/j.jhealeco.2016.06.011
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    1. Almond, Douglas & Currie, Janet, 2011. "Human Capital Development before Age Five," Handbook of Labor Economics, in: O. Ashenfelter & D. Card (ed.), Handbook of Labor Economics, edition 1, volume 4, chapter 15, pages 1315-1486, Elsevier.
    2. James Heckman & Flavio Cunha, 2007. "The Technology of Skill Formation," American Economic Review, American Economic Association, vol. 97(2), pages 31-47, May.
    3. Kasey S. Buckles & Daniel M. Hungerman, 2013. "Season of Birth and Later Outcomes: Old Questions, New Answers," The Review of Economics and Statistics, MIT Press, vol. 95(3), pages 711-724, July.
    4. Pedro Carneiro & Rita Ginja, 2014. "Long-Term Impacts of Compensatory Preschool on Health and Behavior: Evidence from Head Start," American Economic Journal: Economic Policy, American Economic Association, vol. 6(4), pages 135-173, November.
    5. repec:mpr:mprres:7934 is not listed on IDEAS
    6. Flavio Cunha & James J. Heckman & Susanne M. Schennach, 2010. "Estimating the Technology of Cognitive and Noncognitive Skill Formation," Econometrica, Econometric Society, vol. 78(3), pages 883-931, May.
    7. Douglas Staiger & James H. Stock, 1997. "Instrumental Variables Regression with Weak Instruments," Econometrica, Econometric Society, vol. 65(3), pages 557-586, May.
    8. Sarah A. Avellar & Lauren H. Supplee, 2013. "Effectiveness of Home Visiting in Improving Child Health and Reducing Child Maltreatment," Mathematica Policy Research Reports 2d00cdb4b2eb4fee8087572fc, Mathematica Policy Research.
    9. McCrary, Justin, 2008. "Manipulation of the running variable in the regression discontinuity design: A density test," Journal of Econometrics, Elsevier, vol. 142(2), pages 698-714, February.
    10. Cadman, D. & Chambers, L.W. & Walter, S.D. & Ferguson, R. & Johnston, N. & McNamee, J., 1987. "Evaluation of public health preschool child development screening. The process and outcomes of a community program," American Journal of Public Health, American Public Health Association, vol. 77(1), pages 45-51.
    11. Janet Currie & Maya Rossin‐Slater, 2015. "Early‐Life Origins of Life‐Cycle Well‐Being: Research and Policy Implications," Journal of Policy Analysis and Management, John Wiley & Sons, Ltd., vol. 34(1), pages 208-242, January.
    12. Greg J. Duncan & Katherine Magnuson, 2013. "Investing in Preschool Programs," Journal of Economic Perspectives, American Economic Association, vol. 27(2), pages 109-132, Spring.
    13. Rauf Gönenç & Maria M. Hofmarcher & Andreas Wörgötter, 2011. "Reforming Austria's Highly Regarded but Costly Health System," OECD Economics Department Working Papers 895, OECD Publishing.
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    Cited by:

    1. Ahammer, Alexander & Halla, Martin & Schneeweis, Nicole, 2020. "The effect of prenatal maternity leave on short and long-term child outcomes," Journal of Health Economics, Elsevier, vol. 70(C).
    2. Di Giacomo, Marina & Piacenza, Massimiliano & Siciliani, Luigi & Turati, Gilberto, 2022. "The effect of co-payments on the take-up of prenatal tests," Journal of Health Economics, Elsevier, vol. 81(C).
    3. Martin Halla & Gerald J. Pruckner & Thomas Schober, 2022. "Paying Adolescents for Health Screenings Works," American Journal of Health Economics, University of Chicago Press, vol. 8(4), pages 534-548.

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    More about this item

    Keywords

    Early intervention; Child development; Developmental disorder; Developmental screening; Healthcare cost;
    All these keywords.

    JEL classification:

    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • J13 - Labor and Demographic Economics - - Demographic Economics - - - Fertility; Family Planning; Child Care; Children; Youth
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • H51 - Public Economics - - National Government Expenditures and Related Policies - - - Government Expenditures and Health
    • H75 - Public Economics - - State and Local Government; Intergovernmental Relations - - - State and Local Government: Health, Education, and Welfare

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