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More Hospital Choices, More C-sections: Evidence from Chile

Author

Listed:
  • Ramiro de Elejalde

    (Departamento de Economía, Universidad Alberto Hurtado)

  • Eugenio Giolito

    (Departamento de Economía, Universidad Alberto Hurtado, Chile and IZA)

Abstract

In this paper, we study the effect on cesarean rates of a policy change in Chile that decreased the cost of delivery at private hospitals for womenwith public health insurance. Using a difference-in-differences (DID) approach based on the eligibility conditions for this benefit, we find that in the first three years after the policy took effect, deliveries in private hospitals increased by 8.7 percentage points, while the probability of a C-section being performed increased by 4.6 percentage points, with negative impacts on average newborn weight and size at birth. We show that the probability of an early term birth in hospitals participating in the program is an increasing function of expected hospital demand at the time of the full-term due date. This suggests that in the absence of price incentives, hospitals use C-sections to smooth out demand over time to optimize the use of their resources.

Suggested Citation

  • Ramiro de Elejalde & Eugenio Giolito, 2019. "More Hospital Choices, More C-sections: Evidence from Chile," ILADES-UAH Working Papers inv329, Universidad Alberto Hurtado/School of Economics and Business.
    • Handle: RePEc:ila:ilades:inv329
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    References listed on IDEAS

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    Citations

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    Cited by:

    1. Catalina Herrera-Almanza & Fernanda Marquez-Padilla & Silvia Prina, 2024. "C-Sections, Obesity, and Healthcare Specialization: Evidence from Mexico," The World Bank Economic Review, World Bank, vol. 38(1), pages 139-160.
    2. Gabriel A. Facchini Palma, 2020. "Low Staffing in the Maternity Ward: Keep Calm and Call the Surgeon," Working Papers wpdea2009, Department of Applied Economics at Universitat Autonoma of Barcelona.
    3. Julio Cáceres-Delpiano & Eugenio Giolito, 2023. "Minimum age requirements and the role of the school choice set," SERIEs: Journal of the Spanish Economic Association, Springer;Spanish Economic Association, vol. 14(1), pages 63-103, March.
    4. Victor Hugo de Oliveira & Ines Lee & Climent Quintana‐Domeque, 2022. "The effect of increasing Women's autonomy on primary and repeated caesarean sections in Brazil," Health Economics, John Wiley & Sons, Ltd., vol. 31(8), pages 1800-1804, August.
    5. Facchini, Gabriel, 2022. "Low staffing in the maternity ward: Keep calm and call the surgeon," Journal of Economic Behavior & Organization, Elsevier, vol. 197(C), pages 370-394.

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    More about this item

    Keywords

    health care; provider incentives; labor and delivery;
    All these keywords.

    JEL classification:

    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
    • I13 - Health, Education, and Welfare - - Health - - - Health Insurance, Public and Private
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health

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