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  1. Estimating inter-generational returns to medical care
    new evidence from at-risk newborns
    Autor*in: Clarke, Damian; Lillo Bustos, Nicolás; Tapia Schythe, Kathya
    Erschienen: September 2022
    Verlag:  IZA - Institute of Labor Economics, Bonn, Germany

    Targeted treatments of newborns with delicate health stocks have been shown to have considerable returns in terms of survival and later life outcomes. We seek to determine to what degree such treatments are transmitted across generations. We follow... mehr

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    Standort:
    ZBW - Leibniz-Informationszentrum Wirtschaft, Standort Kiel
    Signatur:
    DS 4
    Fernleihe:
    keine Fernleihe

     

    Targeted treatments of newborns with delicate health stocks have been shown to have considerable returns in terms of survival and later life outcomes. We seek to determine to what degree such treatments are transmitted across generations. We follow three generations of linked micro-data from Chile, and use a regression discontinuity design to study the impacts of targeted neonatal health policies based on birth weight assignment rules. While we observe well-known first generation impacts of intensive treatment targeted to very low birth weight newborns, we document the surprising fact that these policies have negative impacts on measures of well-being at birth for second-generation individuals born to mothers who were treated at birth. We show that the mechanism which explains this is a strong impact of early life medical treatment on the likelihood that marginal treated individuals go on to give birth later in life, with receipt in the first generation considerably reverting negative gradients in early life health and eventual fertility. These new stylised facts and results suggest the longterm implications of health policies within family lineages may be quite different to their short term implications, placing more weight on necessary reinforcing interventions.

     
    Export in Literaturverwaltung   RIS-Format
      BibTeX-Format
    Quelle: Verbundkataloge
    Sprache: Englisch
    Medientyp: Buch (Monographie)
    Format: Online
    Weitere Identifier:
    hdl: 10419/265814
    Schriftenreihe: Discussion paper series / IZA ; no. 15593
    Schlagworte: early life interventions; intergenerational mobility; parental investments; fertility; health care provision
    Umfang: 1 Online-Ressource (circa 86 Seiten), Illustrationen
  2. Does increasing public spending in health improve health?
    lessons from a constitutional reform in Brazil
    Autor*in: Szklo, Michel; Clarke, Damian; Rocha, Rudi
    Erschienen: February 2024
    Verlag:  IZA - Institute of Labor Economics, Bonn, Germany

    We examine the link between public spending in health and health outcomes by leveraging differential exposure to a health spending reform prompted by Brazil's 29th Constitutional Amendment, which mandated municipalities to spend at least 15% of their... mehr

    Zugang:
    Verlag (kostenfrei)
    Verlag (kostenfrei)

    Standort:
    ZBW - Leibniz-Informationszentrum Wirtschaft, Standort Kiel
    Signatur:
    DS 4
    Fernleihe:
    keine Fernleihe

     

    We examine the link between public spending in health and health outcomes by leveraging differential exposure to a health spending reform prompted by Brazil's 29th Constitutional Amendment, which mandated municipalities to spend at least 15% of their budget on health. We map dynamic effects on health care spending, inputs, access, outputs and outcomes. For municipalities initially spending below the 15% threshold, we find (a) large increases in health spending specifically, driven by administrative spending, infrastructure investment, and human resources; (b) a resulting greater supply of personnel, primary care coverage, and municipal hospitals; and (c) reductions in infant mortality rates, in particular for deaths during the neonatal period. While we find substantial cost increases and lower mortality elasticities compared with previous correlational parameters, benefits still exceed costs provided any VSL greater than US$764 thousand. Our results contribute to the literature by providing one of the first well-identified causal parameters of the relationship between public spending in health and health outcomes, by documenting the links in the chain connecting government health expenditure to health outcomes, and by considering spillovers across space and sectors.

     
    Export in Literaturverwaltung   RIS-Format
      BibTeX-Format
    Quelle: Verbundkataloge
    Sprache: Englisch
    Medientyp: Buch (Monographie)
    Format: Online
    Schriftenreihe: Discussion paper series / IZA ; no. 16829
    Schlagworte: health spending; public spending; health care provision; health outcomes
    Umfang: 1 Online-Ressource (circa 101 Seiten), Illustrationen