G2TT
来源类型Working Paper
规范类型报告
DOI10.3386/w14522
来源IDWorking Paper 14522
Estimating Marginal Returns to Medical Care: Evidence from At-Risk Newborns
Douglas Almond; Joseph J. Doyle, Jr.; Amanda E. Kowalski; Heidi Williams
发表日期2008-12-05
出版年2008
语种英语
摘要We estimate marginal returns to medical care for at-risk newborns by comparing health outcomes and medical treatment provision on either side of common risk classifications, most notably the "very low birth weight" threshold at 1500 grams. First, using data on the census of US births in available years from 1983-2002, we find evidence that newborns with birth weights just below 1500 grams have lower one-year mortality rates than do newborns with birth weights just above this cutoff, even though mortality risk tends to decrease with birth weight. One-year mortality falls by approximately one percentage point as birth weight crosses 1500 grams from above, which is large relative to mean one-year mortality of 5.5% just above 1500 grams. Second, using hospital discharge records for births in five states in available years from 1991-2006, we find evidence that newborns with birth weights just below 1500 grams have discontinuously higher costs and frequencies of specific medical inputs. We estimate a $4,000 increase in hospital costs as birth weight approaches 1500 grams from above, relative to mean hospital costs of $40,000 just above 1500 grams. Taken together, these estimates suggest that the cost of saving a statistical life of a newborn with birth weight near 1500 grams is on the order of $550,000 in 2006 dollars.
主题Health, Education, and Welfare ; Health
URLhttps://www.nber.org/papers/w14522
来源智库National Bureau of Economic Research (United States)
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条目标识符http://119.78.100.153/handle/2XGU8XDN/572197
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Douglas Almond,Joseph J. Doyle, Jr.,Amanda E. Kowalski,et al. Estimating Marginal Returns to Medical Care: Evidence from At-Risk Newborns. 2008.
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