Policy to cover perinatal care costs: a quasi-experimental study on adverse newborn health outcomes

Background Low birth weight (LBW) and preterm birth are associated with an increased risk of neonatal death and chronic conditions across the life course. Reducing LBW is a global public health priority and requires strategies to improve healthcare during pregnancy. We aimed to assess the effect of...

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Bibliographic Details
Published in:European journal of public health 2022-10, Vol.32 (Supplement_3)
Main Authors: Epure, AM, Courtin, E, Wanner, P, Chiolero, A, Cullati, S
Format: Article
Language:English
Subjects:
Birth weight
Children
Chronic conditions
Confidence intervals
Death
Death & dying
Gestation
Gestational age
Health care
Health care policy
Health policy
Health risks
Health services
Infant mortality
Low birth weight
Mortality
Neonates
Newborn babies
Population studies
Pregnancy
Premature birth
Public health
Quasi-experimental methods
Regression analysis
Regression models
Risk
Risk reduction
Statistical analysis
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Summary:Background Low birth weight (LBW) and preterm birth are associated with an increased risk of neonatal death and chronic conditions across the life course. Reducing LBW is a global public health priority and requires strategies to improve healthcare during pregnancy. We aimed to assess the effect of a health policy providing full coverage of illness-related costs from 13 weeks of gestation through 8 weeks postpartum on birth outcomes and neonatal mortality in Switzerland. Methods We applied a regression discontinuity design to administrative data gathered as part of a Swiss research program (NCCR on the Move). We included all children (N = 166,709) born between March 1, 2013 and February 28, 2015. The outcomes were birth weight (BW), gestational age (GA), LBW (
ISSN:1101-1262
1464-360X
DOI:10.1093/eurpub/ckac129.277