Is prenatal care really ineffective? Or, is the 'devil' in the distribution?

Abstract:

:Prenatal care should improve infant health, yet research frequently finds only weak effects. If there are two kinds of pregnancies, 'complicated' and 'normal' ones, then combining these pregnancies may lead prenatal care to appear ineffective. Data from the National Maternal and Infant Health Survey (NMIHS) offers compelling evidence. The standard 2SLS approach yields obviously bimodal residuals and frequently insignificant prenatal care coefficients. In contrast, estimating birth weights with a finite mixture model yields estimates revealing that prenatal care has a substantial effect on 'normal' pregnancies. Our Monte Carlo experiment confirms that ignoring even a small proportion of 'complicated' pregnancies can lead prenatal care to appear unimportant.

journal_name

J Health Econ

authors

Conway KS,Deb P

doi

10.1016/j.jhealeco.2004.09.012

subject

Has Abstract

pub_date

2005-05-01 00:00:00

pages

489-513

issue

3

eissn

0167-6296

issn

1879-1646

pii

S0167-6296(05)00006-8

journal_volume

24

pub_type

杂志文章
  • Standard errors for the retransformation problem with heteroscedasticity.

    abstract::Economists often estimate models with a log-transformed dependent variable. The results from the log-transformed model are often retransformed back to the unlogged scale. Other studies have shown how to obtain consistent estimates on the original scale but have not provided variance equations for those estimates. In t...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/s0167-6296(00)00046-1

    authors: Ai C,Norton EC

    更新日期:2000-09-01 00:00:00

  • A note on eliciting distributive preferences for health.

    abstract::While in theory the strength of preferences for equity in health can be expressed in an 'inequality aversion parameter', in practice, analysts would have to obtain them from people's choices. We are faced with a number of methodological problems when turning to this type of empirical research. This note investigates w...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/s0167-6296(00)00035-7

    authors: Olsen JA

    更新日期:2000-07-01 00:00:00

  • Effectiveness of vaccination recommendations versus mandates: Evidence from the hepatitis A vaccine.

    abstract::I provide novel evidence on the effectiveness of two vaccination policies - simple non-binding recommendations to vaccinate versus mandates requiring vaccination prior to childcare or kindergarten attendance - in the context of the only disease whose institutional features permit a credible examination of both: hepati...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/j.jhealeco.2017.01.002

    authors: Lawler EC

    更新日期:2017-03-01 00:00:00

  • First do no harm - The impact of financial incentives on dental X-rays.

    abstract::This article assesses the impact of dentist remuneration on the incidence of potentially harmful dental X-rays. We use unique panel data which provide details of 1.3 million treatment claims by Scottish NHS dentists made between 1998 and 2007. Controlling for unobserved heterogeneity of both patients and dentists we e...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/j.jhealeco.2017.12.005

    authors: Chalkley M,Listl S

    更新日期:2018-03-01 00:00:00

  • Case mix adjustment in hospital cost analysis: information theory revisited.

    abstract::Acute care hospitals have long been viewed as multi-product 'firms', a characteristic which has necessitated special adjustments for cost analyses of this sector. Output mix adjustment has generally had an ad hoc flavour, with service/facility proxies and patient mix variables often being used interchangeably. Where s...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/0167-6296(82)90021-2

    authors: Barer ML

    更新日期:1982-05-01 00:00:00

  • Smoking, health knowledge, and anti-smoking campaigns: an empirical study in Taiwan.

    abstract::This paper uses a measure of health knowledge of smoking hazards to investigate the determinants of health knowledge and its effect on smoking behavior. In our analysis, two equations are estimated: smoking participation and health knowledge. The simultaneity problem in estimating smoking behavior and health knowledge...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/0167-6296(95)00033-x

    authors: Hsieh CR,Yen LL,Liu JT,Lin CJ

    更新日期:1996-02-01 00:00:00

  • Adverse selection and the purchase of Medigap insurance by the elderly.

    abstract::This study uses data on 8561 elderly respondents from the 1991 Medicare Current Beneficiary Survey to examine adverse selection in the supplemental private insurance market. Logit models of supplemental insurance choices provided modest but mixed evidence of self-selection on the basis of observable health status. Wea...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/s0167-6296(97)00011-8

    authors: Ettner SL

    更新日期:1997-10-01 00:00:00

  • The poverty-reducing effect of Medicaid.

    abstract::Medicaid provides health insurance for 54 million Americans. Using the Census Bureau's Supplemental Poverty Measure (which subtracts out-of-pocket medical expenses from family resources), we estimated the impact of eliminating Medicaid. In our counterfactual, Medicaid beneficiaries would become uninsured or gain other...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/j.jhealeco.2013.06.005

    authors: Sommers BD,Oellerich D

    更新日期:2013-09-01 00:00:00

  • Canadian medical malpractice liability: an empirical analysis of recent trends.

    abstract::The determinants of the frequency of Canadian malpractice claims, the proportion of claims that result in payment, and the severity of these claims are examined. Inter-specialty variation in the frequency of malpractice claims is almost entirely related to the differential performance of major surgery. Various legal d...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/0167-6296(91)90002-5

    authors: Coyte PC,Dewees DN,Trebilcock MJ

    更新日期:1991-07-01 00:00:00

  • The demand for episodes of mental health services.

    abstract::Observational studies of demand for mental health services showed much greater use by those with more generous insurance, but this difference may have been due to adverse selection, rather than in response to price. This paper avoids the adverse selection problem by using data from a randomized trial, the RAND Health ...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/0167-6296(88)90021-5

    authors: Keeler EB,Manning WG,Wells KB

    更新日期:1988-12-01 00:00:00

  • Decomposition of moral hazard.

    abstract::This study seeks to simulate the portion of moral hazard that is due to the income transfer contained in the coinsurance price reduction. Healthcare spending of uninsured individuals from the MEPS with a priority health condition is compared with the predicted counterfactual spending of those same individuals if they ...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/j.jhealeco.2017.12.003

    authors: Nyman JA,Koc C,Dowd BE,McCreedy E,Trenz HM

    更新日期:2018-01-01 00:00:00

  • Do patients choose hospitals with high quality ratings? Empirical evidence from the market for angioplasty in the Netherlands.

    abstract::A necessary condition for competition to promote quality in hospital markets is that patients are sensitive to differences in hospital quality. In this paper we examine the relationship between hospital quality, as measured by publicly available quality ratings, and patient hospital choice for angioplasty using indivi...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/j.jhealeco.2012.02.001

    authors: Varkevisser M,van der Geest SA,Schut FT

    更新日期:2012-03-01 00:00:00

  • Examining structural breaks and growth rates in international health expenditures.

    abstract::Over the last decade, there has been a growing interest in examining health expenditures. In this paper, we study the behaviour of health expenditures in the G3 countries (USA, the UK, and Japan) and three European countries (the UK, Switzerland and Spain) over the period 1960-2000 from a different perspective, in tha...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/j.jhealeco.2005.12.001

    authors: Narayan PK

    更新日期:2006-09-01 00:00:00

  • Unintended consequences of supply-side cost control? Evidence from China's new cooperative medical scheme.

    abstract::We examine the effects of a "per-episode fee limit" that was recently implemented as a cost-control policy in China's health care system. Using hospital administrative data on a rural public health insurance program in China, we find that hospital departments dynamically adjust episode fees in response to the level of...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/j.jhealeco.2018.06.008

    authors: Chan MK,Zeng G

    更新日期:2018-09-01 00:00:00

  • Early initiation of highly active antiretroviral therapies for AIDS: dynamic choice with endogenous and exogenous learning.

    abstract::Criteria for initiation of highly active antiretroviral treatments (HAART) in HIV-infected patients remain a matter of debate world-wide because short-term benefits have to be balanced with costs of these therapies, and restrictions placed on future treatment options if resistant viral strains develop. On the other ha...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/j.jhealeco.2005.09.006

    authors: Lasserre P,Moatti JP,Soubeyran A

    更新日期:2006-05-01 00:00:00

  • Heightened mortality after the death of a spouse: marriage protection or marriage selection?

    abstract::We test whether the heightened mortality after the death of a spouse represents correlation or causation by examining the heterogeneity in the bereavement effect based on the spouse's cause of death. Some causes of death are correlated with socioeconomic characteristics while others are not. Equality in the bereavemen...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/j.jhealeco.2008.04.001

    authors: Espinosa J,Evans WN

    更新日期:2008-09-01 00:00:00

  • The role of regret minimisation in lifestyle choices affecting the risk of coronary heart disease.

    abstract::This paper introduces the discrete choice model-paradigm of Random Regret Minimisation (RRM) to the field of health economics. The RRM is a regret-based model that explores a driver of choice different from the traditional utility-based Random Utility Maximisation (RUM). The RRM approach is based on the idea that, whe...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/j.jhealeco.2012.10.007

    authors: Boeri M,Longo A,Grisolía JM,Hutchinson WG,Kee F

    更新日期:2013-01-01 00:00:00

  • Is there empirical evidence for "Defensive Medicine"? A reassessment.

    abstract::Proponents of tort reform applied to medical malpractice argue for change partly on the premise that the threat of lawsuits has made medical care more costly. Using U.S. longitudinal data from the National Long-Term Care Survey merged with Medicare claims and other data for 1985-2000, this study assesses whether tort ...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/j.jhealeco.2008.12.006

    authors: Sloan FA,Shadle JH

    更新日期:2009-03-01 00:00:00

  • Medicare prospective payment and the volume and intensity of skilled nursing facility services.

    abstract::In 1998, Medicare adopted a per diem Prospective Payment System (PPS) for skilled nursing facility care, which was intended to deter the use of high-cost rehabilitative services. The average per diem decreased under the PPS, but because per diems increased for greater therapy minutes, the ability of the PPS to deter t...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/j.jhealeco.2011.05.014

    authors: Grabowski DC,Afendulis CC,McGuire TG

    更新日期:2011-07-01 00:00:00

  • Aggregation and the estimated effects of economic conditions on health.

    abstract::This paper considers the relationship between economic conditions and health with a focus on different approaches to geographic aggregation. After reviewing the tradeoffs associated with more- and less-disaggregated analyses, I update earlier state-level analyses of mortality and infant health and then consider how th...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/j.jhealeco.2014.11.009

    authors: Lindo JM

    更新日期:2015-03-01 00:00:00

  • Health care reform, adverse selection and health insurance choice.

    abstract::This paper builds and estimates a dynamic choice model to examine the impact on health insurance selection of Chile's GES health care reform. This program provides guarantees in coverage and benefits to several health conditions in the context of a market where public and private health insurers co-exist. Structural d...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/j.jhealeco.2019.07.001

    authors: Pardo C

    更新日期:2019-09-01 00:00:00

  • A limited-sample benchmark approach to assess and improve the performance of risk equalization models.

    abstract::A new method is proposed to assess and improve the performance of risk equalization models in competitive markets for individual health insurance, where compensation is intended for variation in observed expenditures due to so-called S(ubsidy)-type risk factors but not for variation due to other, so-called N(on-subsid...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/j.jhealeco.2010.02.001

    authors: Stam PJ,van Vliet RC,van de Ven WP

    更新日期:2010-05-01 00:00:00

  • The value of health insurance: the access motive.

    abstract::Why do people purchase health insurance? Many economists would answer that it permits purchasers to avoid risk of financial loss. This note suggests that health insurance is also demanded because it represents a mechanism for gaining access to health care that would otherwise be unaffordable. For example, although a U...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/s0167-6296(98)00049-6

    authors: Nyman JA

    更新日期:1999-04-01 00:00:00

  • Health economics and applications in developing countries.

    abstract::The concept of health human capital guides the statistical study of (1) health production functions, (2) derived demands for medical and behavioral health inputs, and (3) determinants of health and productivity outcomes. Health inputs are generally endogenous to health outcomes, and prices of health inputs are the mos...

    journal_title:Journal of health economics

    pub_type: 评论,杂志文章

    doi:10.1016/j.jhealeco.2004.04.002

    authors: Schultz TP

    更新日期:2004-07-01 00:00:00

  • An evaluation of Medicaid selective contracting in California.

    abstract::This study used 1982-1986 data on 262 private community hospitals to evaluate the effects of selective contracting for inpatient services by California's Medicaid program. Selective contracting by Medicaid significantly reduced the rate of inflation in average costs per admission and per patient day, while slightly in...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/0167-6296(90)90025-x

    authors: Robinson JC,Phibbs CS

    更新日期:1989-01-01 00:00:00

  • Unions and hospitals: some unresolved issues.

    abstract::This article investigates the impact of unions on the wages of hospital workers. Our OLS findings agree with previous OLS studies--unions increase registered nurses' (RNs) wages by five percent and by about eight to ten percent for other hospital workers. By contrast, we find (after correcting for selectivity bias in ...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/0167-6296(82)90022-4

    authors: Adamache KW,Sloan FA

    更新日期:1982-05-01 00:00:00

  • A nonparametric elicitation of the equity-efficiency trade-off in cost-utility analysis.

    abstract::We performed an empirical elicitation of the equity-efficiency trade-off in cost-utility analysis using the rank-dependent quality-adjusted life-year (QALY) model, a model that includes as special cases many of the social welfare functions that have been proposed in the literature. Our elicitation method corrects for ...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/j.jhealeco.2004.10.001

    authors: Bleichrodt H,Doctor J,Stolk E

    更新日期:2005-07-01 00:00:00

  • The impact of budgets for gatekeeping physicians on patient satisfaction: evidence from fundholding.

    abstract::Between 1991 and 1998 English general practices had the option of holding budgets for prescribing and elective secondary care. Fundholding was reintroduced in 2005. We examine the effect of fundholding on patients' satisfaction with their practice, using a cross section of 4441 patients from 60 practices in the last y...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/j.jhealeco.2006.12.003

    authors: Dusheiko M,Gravelle H,Yu N,Campbell S

    更新日期:2007-07-01 00:00:00

  • Price regulation and relative delays in generic drug adoption.

    abstract::Increasing the adoption of generic drugs has the potential to improve static efficiency in a health system without harming pharmaceutical innovation. However, very little is known about the timing of generic adoption and diffusion. No prior study has empirically examined the differential launch times of generics acros...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/j.jhealeco.2014.04.004

    authors: Costa-Font J,McGuire A,Varol N

    更新日期:2014-12-01 00:00:00

  • Firm-sponsored general education and mobility frictions: evidence from hospital sponsorship of nursing schools and faculty.

    abstract::This study asks why hospitals provide direct financial support to nursing schools and faculty. This support is striking because nursing education is clearly general, clearly paid by the firm, and information asymmetries appear minimal. Using AHA and survey data, I find hospitals employing a greater share of their MSA'...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/j.jhealeco.2012.09.002

    authors: Benson A

    更新日期:2013-01-01 00:00:00