2026-04-17T06:04:16Zhttps://recercat.cat/oai/request

oai:recercat.cat:2445/1756382025-12-05T04:26:18Zcom_2072_1057col_2072_478809col_2072_478917

urn:hdl:2445/175638 How budget cuts increase inappropriate health care and infant health outcomes Grembi, Veronica Bertoli, Paola Llaneza, Catalina Vall Castelló, Judit Crisis econòmiques Política d'austeritat Salut pública Infants Dèficit públic Depressions Austerity policy Public health Children Budget deficits 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. 2021-03-23T16:32:24Z 2023-11-30T06:10:24Z 2020-11 2021-03-23T16:32:25Z info:eu-repo/semantics/article info:eu-repo/semantics/acceptedVersion Versió postprint del document publicat a: https://doi.org/10.1016/j.socscimed.2020.113419 Social Science & Medicine, 2020, vol. 265, num. 113419 https://doi.org/10.1016/j.socscimed.2020.113419 cc-by-nc-nd (c) Elsevier Ltd, 2020 http://creativecommons.org/licenses/by-nc-nd/3.0/es info:eu-repo/semantics/openAccess Elsevier Ltd Articles publicats en revistes (Economia)