Heterogeneous effects of medical interventions on the health of low-risk newborns

Publikation: Working paperForskning

Resumé

We investigate heterogeneity in the impact of early-life medical interventions on low-risk newborns' health. A policy rule in The Netherlands creates large discontinuities in medical treatments at gestational week 37. Using a regression discontinuity design, we find no health benefits from additional treatments for average newborns. However, there is substantial heterogeneity in returns to treatments, with significant health benefits for newborns in the lowest income quartile and no benefits in higher income quartiles. We provide suggestive evidence that potential difficulties in risk screening among low-income women cause this heterogeneity. "Back-of-the-envelope" calculations suggest that providing additional treatments to all low-risk births as per the current policy rule is barely efficient, but a targeted policy focusing on low-income areas would be highly cost-effective.
OriginalsprogEngelsk
StatusUdgivet - 2018

Fingeraftryk

Health
Low income
Health benefits
Policy rules
Screening
Discontinuity
Health risk
The Netherlands
Income
Regression discontinuity design

Citer dette

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abstract = "We investigate heterogeneity in the impact of early-life medical interventions on low-risk newborns' health. A policy rule in The Netherlands creates large discontinuities in medical treatments at gestational week 37. Using a regression discontinuity design, we find no health benefits from additional treatments for average newborns. However, there is substantial heterogeneity in returns to treatments, with significant health benefits for newborns in the lowest income quartile and no benefits in higher income quartiles. We provide suggestive evidence that potential difficulties in risk screening among low-income women cause this heterogeneity. {"}Back-of-the-envelope{"} calculations suggest that providing additional treatments to all low-risk births as per the current policy rule is barely efficient, but a targeted policy focusing on low-income areas would be highly cost-effective.",
author = "Daysal, {N. Meltem} and Mircea Trandafir and {van Ewijk}, Reyn",
year = "2018",
language = "English",
type = "WorkingPaper",

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TY - UNPB

T1 - Heterogeneous effects of medical interventions on the health of low-risk newborns

AU - Daysal, N. Meltem

AU - Trandafir, Mircea

AU - van Ewijk, Reyn

PY - 2018

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N2 - We investigate heterogeneity in the impact of early-life medical interventions on low-risk newborns' health. A policy rule in The Netherlands creates large discontinuities in medical treatments at gestational week 37. Using a regression discontinuity design, we find no health benefits from additional treatments for average newborns. However, there is substantial heterogeneity in returns to treatments, with significant health benefits for newborns in the lowest income quartile and no benefits in higher income quartiles. We provide suggestive evidence that potential difficulties in risk screening among low-income women cause this heterogeneity. "Back-of-the-envelope" calculations suggest that providing additional treatments to all low-risk births as per the current policy rule is barely efficient, but a targeted policy focusing on low-income areas would be highly cost-effective.

AB - We investigate heterogeneity in the impact of early-life medical interventions on low-risk newborns' health. A policy rule in The Netherlands creates large discontinuities in medical treatments at gestational week 37. Using a regression discontinuity design, we find no health benefits from additional treatments for average newborns. However, there is substantial heterogeneity in returns to treatments, with significant health benefits for newborns in the lowest income quartile and no benefits in higher income quartiles. We provide suggestive evidence that potential difficulties in risk screening among low-income women cause this heterogeneity. "Back-of-the-envelope" calculations suggest that providing additional treatments to all low-risk births as per the current policy rule is barely efficient, but a targeted policy focusing on low-income areas would be highly cost-effective.

M3 - Working paper

BT - Heterogeneous effects of medical interventions on the health of low-risk newborns

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