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A Cost-Effectiveness Analysis of Strategies to Reduce Infant Mortality

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  • Hope Corman
  • Theodore Joyce
  • Michael Grossman

Abstract

This study compares the cost-effectiveness of various health inputs and government programs in reducing race-specific neonatal mortality or death in the first twenty-seven days of life. Approximately two-thirds of all infant deaths occur within this time period. The programs and inputs at issue are teenage family planning use, the supplemental food program for women, infants and children (WIC), use of community health centers and maternal and infant care projects, abortion, prenatal care, and neonatal intensive care. Using an economic model of the family as the analytical framework, effectiveness is determined by using ordinary least squares and two-stage least squares to estimate infant health production functions across large counties in the U.S. in 1977. We find the early initiation of prenatal care to be the most cost-effective means of reducing neonatal mortality rate for blacks and whites. Moreover, blacks benefit more per dollar of input use than whites. Neonatal intensive care, although the most effective means of reducing neonatal mortality rates, is one of the least cost-effective strategies.

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Bibliographic Info

Paper provided by National Bureau of Economic Research, Inc in its series NBER Working Papers with number 2346.

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Date of creation: Aug 1987
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Publication status: published as From Medical Care, Vol. 26, No. 4, pp. 348-360, (April 1988).
Handle: RePEc:nbr:nberwo:2346

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  1. Corman, Hope & Grossman, Michael, 1985. "Determinants of neonatal mortality rates in the U.S. : A reduced form model," Journal of Health Economics, Elsevier, Elsevier, vol. 4(3), pages 213-236, September.
  2. Hope Corman & Theodore J. Joyce & Michael Grossman, 1985. "Birth Outcome Production Functions in the U.S," NBER Working Papers 1729, National Bureau of Economic Research, Inc.
  3. Theodore J. Joyce & Michael Grossman & Fred Goldman, 1986. "An Assessment of the Benefits of Air Pollution Control: The Case of Infant Health," NBER Working Papers 1928, National Bureau of Economic Research, Inc.
  4. Wu, De-Min, 1973. "Alternative Tests of Independence Between Stochastic Regressors and Disturbances," Econometrica, Econometric Society, Econometric Society, vol. 41(4), pages 733-50, July.
  5. Fred Goldman & Michael Grossman, 1982. "The Production and Cost of Ambulatory Medical Care In Community Health Centers," NBER Working Papers 0907, National Bureau of Economic Research, Inc.
  6. Theodore J. Joyce, 1985. "The Impact of Induced Abortion on Birth Outcomes in the U.S," NBER Working Papers 1757, National Bureau of Economic Research, Inc.
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Cited by:
  1. Katherine Baicker & Douglas Staiger, 2004. "Fiscal Shenanigans, Targeted Federal Health Care Funds, and Patient Mortality," NBER Working Papers 10440, National Bureau of Economic Research, Inc.
  2. Drummond, Michael & Stoddart, Greg, 1995. "Assessment of health producing measures across different sectors," Health Policy, Elsevier, Elsevier, vol. 33(3), pages 219-231, September.
  3. Hope Corman & Michael Grossman & Theodore J. Joyce, 1988. "Demographic Analysis of Birthweight-Specific Neonatal Mortality," NBER Working Papers 2804, National Bureau of Economic Research, Inc.

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