Territorial differences in access to prenatal care and health at birth. Issue 8 (August 2021)

• Record Type: Journal Article
• Authors: Bertoli, Paola; Grembi, Veronica
• Is Part Of: Health policy. Volume 125:Issue 8(2021)
• Page Start: 1092
• Page End: 1099
• Publication Date: 2021-08
• Subjects: Prenatal care -- Health at birthsep instrumental variable; I12 -- I14 -- J15; Medical education -- Periodicals; Medical policy -- Periodicals; Delivery of Health Care -- Periodicals; Education, Medical -- Periodicals; Health Education -- Periodicals; Health Planning -- Periodicals; Public Policy -- Periodicals; Enseignement médical -- Périodiques; Politique sanitaire -- Périodiques; Medical education; Medical policy; Periodicals; Electronic journals; Electronic journals; 362.1
• DOI: 10.1016/j.healthpol.2021.05.006
• Languages: English
• ISSNs: 0168-8510

Abstract

Highlights: We assess the impact of prenatal care on health at birth. The IV results do not capture any significant effect of prenatal care. Unobservable mothers' characteristics are important with respect to health behaviors during pregnancy. Abstract: We assess the impact of prenatal care on health at birth using birth certificates from the Czech Republic. We use a predictive machine learning algorithm to identify the observables affecting birth health outcomes. We control for those observables in our empirical analysis, which indicates that a more intense use of prenatal care is positively correlated with better health outcomes at birth. Exploiting the Czech adhesion to the EU in 2004, we construct an instrument to capture the geographical heterogeneous access to prenatal care across districts. Differently from the OLS results, the IV results do not capture any significant effect of prenatal care, leaving room for the hidden role of unobservable mothers' characteristics when it comes to health behaviors during pregnancy.