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Style of practice and assortative mating: a recursive probit analysis of cesarean section scheduling in Italy

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  • D. Fabbri
  • C. Monfardini

Abstract

We study practice variation in scheduling of caesarean section (CS) delivery across public and private hospitals in Italy. Adopting a novel perspective, we look at the role played by patients' preferences for the treatment. The recursive probit model is revisited as a useful tool to assess the presence of assortative mating of patients and provider driven by style of practice. According to our evidence, the propensity to schedule a CS is codetermined with patient self-sorting into hospital types. We measure a significantly higher inclination to practice CS scheduling in private hospitals and conclude that assortative mating is of minor relevance in our case, even if we cannot exclude it to be present.

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Paper provided by Dipartimento Scienze Economiche, Universita' di Bologna in its series Working Papers with number 557.

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Date of creation: 2006
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Handle: RePEc:bol:bodewp:557

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  4. Mandy Ryan & Jenny Hughes, 1997. "Using Conjoint Analysis to Assess Women's Preferences for Miscarriage Management," Health Economics, John Wiley & Sons, Ltd., vol. 6(3), pages 261-273.
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  6. John Geweke & Gautam Gowrisankaran & Robert J. Town, 2001. "Bayesian Inference for Hospital Quality in a Selection Model," NBER Working Papers 8497, National Bureau of Economic Research, Inc.
  7. McGuire, Thomas G. & Pauly, Mark V., 1991. "Physician response to fee changes with multiple payers," Journal of Health Economics, Elsevier, Elsevier, vol. 10(4), pages 385-410.
  8. Dubay, Lisa & Kaestner, Robert & Waidmann, Timothy, 1999. "The impact of malpractice fears on cesarean section rates," Journal of Health Economics, Elsevier, Elsevier, vol. 18(4), pages 491-522, August.
  9. Lo, Joan C., 2003. "Patients' attitudes vs. physicians' determination: implications for cesarean sections," Social Science & Medicine, Elsevier, Elsevier, vol. 57(1), pages 91-96, July.
  10. Jonathan Gruber & Maria Owings, 1994. "Physician Financial Incentives and Cesarean Section Delivery," NBER Working Papers 4933, National Bureau of Economic Research, Inc.
  11. Andrew Epstein & Sean Nicholson, 2005. "The Formation And Evolution Of Physician Treatment Styles: An Application To Cesarean Sections," Working Papers id:176, eSocialSciences.
  12. Fernando San Miguel & Mandy Ryan & Emma McIntosh, 2000. "Applying conjoint analysis in economic evaluations: an application to menorrhagia," Applied Economics, Taylor & Francis Journals, Taylor & Francis Journals, vol. 32(7), pages 823-833.
  13. Wilde, Joachim, 2000. "Identification of multiple equation probit models with endogenous dummy regressors," Economics Letters, Elsevier, Elsevier, vol. 69(3), pages 309-312, December.
  14. Chiara Monfardini & Rosalba Radice, 2008. "Testing Exogeneity in the Bivariate Probit Model: A Monte Carlo Study," Oxford Bulletin of Economics and Statistics, Department of Economics, University of Oxford, Department of Economics, University of Oxford, vol. 70(2), pages 271-282, 04.
  15. Cromwell, Jerry & Mitchell, Janet B., 1986. "Physician-induced demand for surgery," Journal of Health Economics, Elsevier, Elsevier, vol. 5(4), pages 293-313, December.
  16. Gruber, Jon & Kim, John & Mayzlin, Dina, 1999. "Physician fees and procedure intensity: the case of cesarean delivery," Journal of Health Economics, Elsevier, Elsevier, vol. 18(4), pages 473-490, August.
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Cited by:
  1. Sergi Jiménez-Martín & José M. Labeaga & Cristina Vilaplana Prieto, 2006. "Award errors and permanent disability benefits in Spain," Economics Working Papers, Department of Economics and Business, Universitat Pompeu Fabra 966, Department of Economics and Business, Universitat Pompeu Fabra.
  2. Maura Francese & Massimiliano Piacenza & Marzia Romanelli & Gilberto Turati, 2011. "Understanding Inappropriateness in Health Care: The Role of Supply Structure, Pricing Policies and Political Institutions in Caesarean Deliveries," ERSA conference papers ersa11p1439, European Regional Science Association.
  3. Shonchoy, Abu S., 2011. "Seasonal migration and micro-credit in the lean period : evidence from northwest Bangladesh," IDE Discussion Papers, Institute of Developing Economies, Japan External Trade Organization(JETRO) 294, Institute of Developing Economies, Japan External Trade Organization(JETRO).
  4. Rainer Winkelmann, 2009. "Copula-based bivariate binary response models," SOI - Working Papers, Socioeconomic Institute - University of Zurich 0913, Socioeconomic Institute - University of Zurich.
  5. Michael Fritsch & Alina Sorgner, 2013. "Stepping Forward: Personality Traits, Choice of Profession, and the Decision to Become Self-Employed," SOEPpapers on Multidisciplinary Panel Data Research 539, DIW Berlin, The German Socio-Economic Panel (SOEP).
  6. Simon Clark, 2007. "Matching and Sorting when Like Attracts Like," ESE Discussion Papers, Edinburgh School of Economics, University of Edinburgh 171, Edinburgh School of Economics, University of Edinburgh.
  7. Alejandro Arrieta & Ariadna García-Prado, 2012. "Non-elective cesarean sections in public hospitals: hospital capacity constraints and doctor´s incentives," Documentos de Trabajo - Lan Gaiak Departamento de Economía - Universidad Pública de Navarra, Departamento de Economía - Universidad Pública de Navarra 1212, Departamento de Economía - Universidad Pública de Navarra.

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