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Do Mothers Decide? The Impact of Preferences in Healthcare

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  • Jostein Grytten
  • Irene Skau
  • Rune Sørensen

Abstract

In this study we analyze whether immigrant mothers in Norway can influence their mode of delivery. Patient preferences were measured as the rate of Caesarean section from their home country, and by a survey question measuring the extent to which people believe they have freedom of choice and control over their lives in their home country. Preferences have a causal effect on the likelihood of Caesarean section. Medical risk factors are still the most important reasons for having a Caesarean section, but our regression estimates show that a substantial share of Caesarean sections is due to preferences as well.

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  • Jostein Grytten & Irene Skau & Rune Sørensen, 2013. "Do Mothers Decide? The Impact of Preferences in Healthcare," Journal of Human Resources, University of Wisconsin Press, vol. 48(1), pages 142-168.
    • Handle: RePEc:uwp:jhriss:v:48:y:2013:i:1:p:142-168
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    References listed on IDEAS

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    1. Angrist, Joshua D, 2001. "Estimations of Limited Dependent Variable Models with Dummy Endogenous Regressors: Simple Strategies for Empirical Practice," Journal of Business & Economic Statistics, American Statistical Association, vol. 19(1), pages 2-16, January.
    2. Stafford, R.S., 1990. "Cesarean section use and source of payment: An analysis of California hospital discharge abstracts," American Journal of Public Health, American Public Health Association, vol. 80(3), pages 313-315.
    3. Grytten, Jostein & Skau, Irene & Sørensen, Rune, 2011. "Do expert patients get better treatment than others? Agency discrimination and statistical discrimination in obstetrics," Journal of Health Economics, Elsevier, vol. 30(1), pages 163-180, January.
    4. Angrist, Joshua D, 2001. "Estimations of Limited Dependent Variable Models with Dummy Endogenous Regressors: Simple Strategies for Empirical Practice: Reply," Journal of Business & Economic Statistics, American Statistical Association, vol. 19(1), pages 27-28, January.
    5. Gruber, Jon & Kim, John & Mayzlin, Dina, 1999. "Physician fees and procedure intensity: the case of cesarean delivery," Journal of Health Economics, Elsevier, vol. 18(4), pages 473-490, August.
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    Cited by:

    1. Facchini, Gabriel, 2022. "Low staffing in the maternity ward: Keep calm and call the surgeon," Journal of Economic Behavior & Organization, Elsevier, vol. 197(C), pages 370-394.
    2. Grytten, Jostein & Skau, Irene, 2020. "Educational inequalities in access to fixed prosthodontic treatment in Norway. Causal effects using the introduction of a school reform as an instrumental variable," Social Science & Medicine, Elsevier, vol. 260(C).
    3. Stoddard Christiana & Stock Wendy A. & Hogenson Elise, 2016. "The Impact of Maternity Leave Laws on Cesarean Delivery," The B.E. Journal of Economic Analysis & Policy, De Gruyter, vol. 16(1), pages 321-364, January.
    4. Grytten, Jostein & Skau, Irene, 2017. "The impact of education on the probability of receiving periodontal treatment. Causal effects measured by using the introduction of a school reform in Norway," Social Science & Medicine, Elsevier, vol. 188(C), pages 128-136.
    5. Jonas Kinge & Tom Kornstad, 2014. "Assimilation effects on infant mortality among immigrants in Norway: Does maternal source country matter?," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 31(26), pages 779-812.
    6. Grytten, Jostein & Skau, Irene & Sørensen, Rune J., 2014. "Educated mothers, healthy infants. The impact of a school reform on the birth weight of Norwegian infants 1967–2005," Social Science & Medicine, Elsevier, vol. 105(C), pages 84-92.
    7. Jimena Soledad Ferraro & Alan Acosta & Khare Shagun, 2021. "Physician convenience and cesarean section delivery," Asociación Argentina de Economía Política: Working Papers 4469, Asociación Argentina de Economía Política.
    8. Aleksandr Proshin & Alexandre Cazenave-Lacroutz & Zeynep Or & Lise Rochaix, 2018. "Impact of Diagnosis Related Group Refinement on the Choice Between Scheduled Caesarean Section and Normal Delivery: Recent Evidence from France," Working Papers halshs-01812107, HAL.
    9. Grytten, Jostein & Skau, Irene & Sørensen, Rune, 2017. "The impact of the mass media on obstetricians’ behavior in Norway," Health Policy, Elsevier, vol. 121(9), pages 986-993.
    10. Simon Bensnes, 2021. "Time to spare and too much care. Congestion and overtreatment at the maternity ward," Discussion Papers 963, Statistics Norway, Research Department.

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