Does Health-Care Consolidation Harm Patients? Evidence from Maternity Ward Closures

Author:

Avdic Daniel1,Lundborg Petter2,Vikström Johan3

Affiliation:

1. Department of Economics, Deakin University (email: )

2. Department of Economics, Lund University, IZA (email: )

3. IFAU and UCLS, Department of Economics, Uppsala University (email: )

Abstract

We study how closures of maternity wards affect maternal and neonatal health. Using data on all hospital births in Sweden between 1990 and 2004, we compare changes in birth-related outcomes across hospital catchment areas that were differently exposed to ward closures. Our findings show that the closures increased maternal obstetric trauma but also decreased fetal stress and infant trauma among newborns. Adverse maternal outcomes are mainly driven by ward overcrowding, whereas increases in travel distance have no distinguishable effects. Positive effects on infant health reflect a shift of births from smaller to larger wards of higher quality. (JEL D24, G34, I11, I12, I18, J13, J16)

Publisher

American Economic Association

Subject

General Economics, Econometrics and Finance

Reference64 articles.

1. Childhood Circumstances and Adult Outcomes: Act II

2. Improving efficiency or impairing access? Health care consolidation and quality of care: Evidence from emergency hospital closures in Sweden

3. Estimating returns to hospital volume: Evidence from advanced cancer surgery

4. Avdic, Daniel, Petter Lundborg, and Johan Vikström. 2024. "Replication Data for: Does Health Care Consolidation Harm Patients? Evidence from Maternity Ward Closures?" American Economic Association [publisher], Inter-university Consortium for Political and Social Research [distributor]. https://doi.org/10.3886/E179741V1.

5. The life-saving effect of hospital proximity

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