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Analyzing the impact of prenatal care on infant health: do we have useful input and output measures?

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Author Info
Sankar Mukhopadhyay () (University of Nevada, Reno)
Jeanne Wendel () (University of Nevada, Reno)
Wai Lee () (University of Nevada, Reno)
Wei Yang () (University of Nevada, Reno)

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Abstract

Recent work raises questions about the input and output measures typically used to estimate the impact of prenatal care on infant health: self-reported prenatal care may generate biased estimates of the impact of prenatal care on infant health, and birthweight may be a narrow measure of infant health that leads to underestimation of the impact of prenatal care on delivery outcomes. We link data from a prenatal care clinic, the associated hospital and the relevant birth certificate records to analyze these measurement issues. We conclude that low birthweight is not meaningful measure of infant health for the purpose of estimating the relation between prenatal care and delivery outcomes. In addition, the discrepancy between provider-reported and self-reported care is substantial, the correlation between these two measures is low, and the estimated relationship between prenatal care and infant health is not robust with respect to reliance on self-reported vs. provider-reported care.

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File URL: http://economicsbulletin.vanderbilt.edu/2008/volume9/EB-08I10005A.pdf
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Publisher Info
Article provided by Economics Bulletin in its journal Economics Bulletin.

Volume (Year): 9 (2008)
Issue (Month): 22 ()
Pages: 1-14
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Handle: RePEc:ebl:ecbull:v:9:y:2008:i:22:p:1-14

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Related research
Keywords: Prenatal care; self report; provider report;

Find related papers by JEL classification:
I1 - Health, Education, and Welfare - - Health

References listed on IDEAS
Please report citation or reference errors to , or , if you are the registered author of the cited work, log in to your RePEc Author Service profile, click on "citations" and make appropriate adjustments.:

  1. Joyce, Theodore, 1999. "Impact of augmented prenatal care on birth outcomes of Medicaid recipients in New York City," Journal of Health Economics, Elsevier, vol. 18(1), pages 31-67, January. [Downloadable!] (restricted)
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  2. Evans, William N. & Lien, Diana S., 2005. "The benefits of prenatal care: evidence from the PAT bus strike," Journal of Econometrics, Elsevier, vol. 125(1-2), pages 207-239. [Downloadable!] (restricted)
  3. Manning, Willard G. & Mullahy, John, 2001. "Estimating log models: to transform or not to transform?," Journal of Health Economics, Elsevier, vol. 20(4), pages 461-494, July. [Downloadable!] (restricted)
    Other versions:
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Cited by:
(explanations, Please report citation or reference errors to , or , if you are the registered author of the cited work, log in to your RePEc Author Service profile, click on "citations" and make appropriate adjustments.)

  1. Sankar Mukhopadhyay & Jeanne Wendel, 2008. "Are prenatal care resources distributed efficiently across high-risk and low-risk mothers?," International Journal of Health Care Finance and Economics, Springer, vol. 8(3), pages 163-179, September. [Downloadable!] (restricted)
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