Table 7:
Heterogeneity by Risk-Adjusted C-Section Rate Difference for Area MTFs and Hospitals
| 1st Quartile (Rate Diff. < −0.052) | 4th Quartile (Rate Diff. ≥ −0.009) | |||||
|---|---|---|---|---|---|---|
| (1) Mean |
(2) β |
(3) p-value |
(4) Mean |
(5) β |
(6) p-value |
|
| Bed Days | 2.117 | 0.151 (0.120) |
0.270 | 2.227 | 0.149* (0.085) |
0.485 |
| Bassinet Days | 2.390 | 0.137 (0.253) |
0.048 | 2.422 | 0.010 (0.184) |
0.461 |
| RWP | 0.502 | 0.021*** (0.004) |
0.761 | 0.505 | 0.002 (0.005) |
0.684 |
| Procedures | 1.954 | 0.334*** (0.144) |
0.227 | 2.212 | 0.090 (0.175) |
0.861 |
| Diagnostics | 0.104 | 0.055 (0.038) |
0.055 | 0.097 | 0.055** (0.027) |
0.699 |
| C-Section | 0.285 | 0.050*** (0.008) |
0.303 | 0.285 | −0.001 (0.011) |
0.939 |
| Severe Complication | 0.034 | −0.019*** (0.008) |
0.978 | 0.032 | −0.021*** (0.007) |
0.073 |
| Preventable Complication | 0.175 | −0.072*** (0.026) |
0.550 | 0.173 | −0.090*** (0.023) |
0.090 |
| Severe Acute Maternal Morbidity | 0.011 | −0.002 (0.005) |
0.790 | 0.012 | 0.002 (0.003) |
0.021 |
| 28-Day Infant Mort. (per 1,000) | 0.569 | −1.060 (1.122) |
0.563 | 1.022 | −0.046 (1.594) |
0.402 |
| 1-Year Infant Mort. (per 1,000) | 1.184 | −1.660** (0.787) |
0.820 | 1.877 | 0.152 (2.174) |
0.991 |
| Unplanned Readmits (per 1,000) | 12.347 | −3.274 (3.081) |
0.437 | 10.499 | −1.875 (5.436) |
0.781 |
| Unplanned Child Readmission (per 1,000) | 37.786 | −20.630*** (7.156) |
0.453 | 35.506 | 12.080 (9.455) |
0.467 |
| 30-Day Child Hospitalization (per 1,000) | 57.259 | −32.835*** (4.906) |
0.162 | 52.460 | −3.813 (11.621) |
0.836 |
| 1-Year Unplanned Child Hospitalization (per 1,000) | 90.485 | −33.878*** (10.768) |
0.111 | 82.192 | 17.182 (11.136) |
0.361 |
| Any 1-Year Child Hospitalization (per 1,000) | 110.600 | −49.421*** (10.398) |
0.057 | 98.535 | 3.583 (12.559) |
0.665 |
| N | 22,873 | 24,974 | ||||
Notes: All estimates considered in this table are the first difference between the current and prior birth admission. Mean outcomes are for the current birth. The sample is split by whether the difference between the risk adjusted C-section rate at the nearest MTF and surrounding private hospitals is above or below the median rate difference in the sample, which is −0.025. All regressions use the preferred instrumented specification and include controls for calendar year, age group, sponsor’s pay grade and occupation, and sponsor’s race. Standard errors are clustered at the base level.