Arbeitspapier

Mergers and Birth Outcomes: Evidence from Maternity Ward Closures

zu Verbundenen Objekten

Evidence suggests that hospital mergers can reduce costs but less is known about their effects on patient outcomes. We study how a wave of mergers that led to the shutdown of one third of all Swedish maternity wards affected the health of mothers who gave birth and their newborns. Applying a difference-in-differences approach to register data on all births in Sweden over two decades, we show that the closures negatively affected the health of mothers, while effects on infant health were small and insignificant. The adverse effects on mothers are mainly driven by crowding effects at remaining wards rather than by increased distance to the wards. Moreover, the closures reduced the use of C-sections for high-risk births.

Sprache
Englisch

Erschienen in
Series: IZA Discussion Papers ; No. 11772

Klassifikation
Wirtschaft
Production; Cost; Capital; Capital, Total Factor, and Multifactor Productivity; Capacity
Analysis of Health Care Markets
Health: Government Policy; Regulation; Public Health
Fertility; Family Planning; Child Care; Children; Youth
Transportation: Demand, Supply, and Congestion; Travel Time; Safety and Accidents; Transportation Noise
Thema
quality of care
hospital closure
birth outcomes

Ereignis
Geistige Schöpfung
(wer)
Avdic, Daniel
Lundborg, Petter
Vikström, Johan
Ereignis
Veröffentlichung
(wer)
Institute of Labor Economics (IZA)
(wo)
Bonn
(wann)
2018

Handle
Letzte Aktualisierung
10.03.2025, 11:44 MEZ

Datenpartner

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Objekttyp

  • Arbeitspapier

Beteiligte

  • Avdic, Daniel
  • Lundborg, Petter
  • Vikström, Johan
  • Institute of Labor Economics (IZA)

Entstanden

  • 2018

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