How much can hospital-level interventions improve maternal health? Evidence from state Perinatal Quality Collaboratives

IF 1.7 4区经济学 Q2 ECONOMICS

Economic Inquiry Pub Date : 2024-05-09 DOI:10.1111/ecin.13226

Jessica Kiser

引用次数: 0

Abstract

Over the last 20 years, nearly all states have adopted Perinatal Quality Collaboratives (PQCs), which set guidelines for hospitals to provide higher standards of prenatal care. In this paper, I use individual-level natality data from 1989 to 2019 and a stacked difference in differences design comparing maternal and infant health outcomes in US states that have recently established a PQC to those that have not yet established one. Estimates indicate that PQCs decrease eclampsia, with the effect driven by Black mothers. Evidence also shows that PQCs reduce intensive care unit admissions for mothers.

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医院层面的干预措施能在多大程度上改善孕产妇健康？来自州围产期质量合作组织的证据

在过去的 20 年中，几乎所有的州都采用了围产期质量合作组织（Perinatal Quality Collaboratives，PQCs），该组织为医院提供更高标准的产前护理制定了指导方针。在本文中，我使用了 1989 年至 2019 年的个人水平出生数据，并采用了堆叠差异设计，比较了美国最近建立了 PQC 的州与尚未建立 PQC 的州的母婴健康结果。估计结果表明，PQC 降低了子痫的发病率，黑人母亲的发病率较高。证据还显示，PQC 减少了母亲入住重症监护室的人数。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Economic Inquiry ECONOMICS-

CiteScore

3.80

自引率

5.60%

发文量

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