Amaral‐Garcia S., Bertoli P., Grembi V. (2015).
Does experience rating improve obstetric practices? Evidence from Italy. Health Economics, 24(9), pp.1050-1064.

 

Abstract:

Using inpatient discharge records from the Italian region of Piedmont, we estimate the impact of an increase in malpractice pressure brought about by experience-rated liability insurance on obstetric practices. Our identification strategy exploits the exogenous location of public hospitals in court districts with and without schedules for noneconomic damages. We perform difference-in-differences analysis on the entire sample and on a subsample which only considers the nearest hospitals in the neighborhood of court district boundaries. We find that the increase in medical malpractice pressure is associated with a decrease in the probability of performing a C-section from 2.3 to 3.7 percentage points (7-11.6%) with no consequences for medical complications or neonatal outcomes. The impact can be explained by a reduction in the discretion of obstetric decision-making rather than by patient cream skimming.

Tags: 

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.