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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?来自州级围产期质量协作的证据

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

Economic Inquiry · 2024
被引 0
人大 BABS 3

中文导读

利用1989-2019年美国各州数据,采用堆叠双重差分法评估围产期质量协作对孕产妇健康的影响,发现其降低了子痫发生率,尤其对黑人母亲效果显著,并减少了母亲入住重症监护室的比例。

Abstract

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.

孕产妇健康围产期质量协作医院干预健康经济学