Bertoli P., Grembi V., Hesse C. L., Castelló J. V. (2020).

The effect of budget cuts on C-section rates and birth outcomes: Evidence from Spain. Social Science & Medicine, 265, November 2020, 113419.

 

Abstract:

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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Paola Bertoli

Paola Bertoli is Assistant Professor of Economics at the University of Verona. She obtained her PhD in 2014 at the University of Bologna and at the Erasmus University Rotterdam. Before joining the Department of Economics in Verona, she worked as Assistant Professor at the University of Economics, Prague and at the Institute for Economics Studies, Charles University. Her main fields of research are public economics, health economics and law and economics.