Provider Supply, Utilization, and Infant Health: Evidence from a Physician Distribution Policy
Provider Supply, Utilization, and Infant Health: Evidence from a Physician Distribution Policy
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DOI：
10.1257/pol.20170619
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发表时间：
2019-08-01
影响因子：
5.3
通讯作者：
Feres, Jose
中科院分区：
文献类型：
--
作者：
Carrillo, Bladimir;Feres, Jose
我们分析了一项政策，大大扩大了初级保健医生在巴西的供应。该方案增加了所有年龄组的医生就诊次数，并导致更多地利用医生进行产前护理。然而，这些医生取代了护士的产前护理，但没有增加妇女接受的总就诊次数。我们没有发现广泛使用的婴儿健康指标（包括出生体重、妊娠和婴儿死亡率）有所改善的证据。总之，这些研究结果提供了暗示性的证据，医生和护士可能是很好的替代品，在生产功能的婴儿健康。
We analyze a policy that substantially expanded the supply of primary care physicians in Brazil. The program increased doctor visits across all age groups and led to greater utilization of doctors for prenatal care. However, these physicians replaced nurse visits for prenatal care without increasing the overall number of visits women receive. We find no evidence of gains in widely used metrics of infant health, including birth weight, gestation, and infant mortality. Together, these findings provide suggestive evidence that physicians and nurses may be good substitutes in the production function of infant health.