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DESCRIPTION:Helen is a PhD candidate in Economics at Stanford University and a Colorado College alum. Her research examines how the organization and delivery of health care shape health outcomes\, with particular attention to maternal health.\nShe will be presenting her job market paper\, "Understanding Variation in Cesarean Section Use: Supply-Side Drivers and Maternal Health Effects."\nAbstract: A Cesarean section (C-section) is the most commonly performed inpatient surgery in the United States\, and its use among observably similar patients varies substantially across hospitals. We study the role of physician practice style in driving variation in C-section rates among low-risk deliveries and the implications for maternal health. We use granular administrative data from Medicaid\, which covers 42% of deliveries in the US. Leveraging variation from physicians who perform deliveries at multiple hospitals\, we find the supply side accounts for over 90% of the differences in C-section rates across hospitals. Hospital environment accounts for approximately 67% of the gap between high- and low-use hospitals\, and physician practice style for 26%. We find no evidence that high C-section intensity physicians sort into higher C-section intensity hospitals\, meaning there remains substantial variation in physician practice style even within the same facility. Within hospitals\, patients quasi-randomly assigned to physicians with a one standard deviation higher C-section intensity are approximately 2.1 percentage points (10%) more likely to receive a C-section. These marginal C-section deliveries are associated with increased rates of infection and emergency room use postpartum\, and are not associated with improved infant outcomes.\n \n\nhttps://today.coloradocollege.edu/events/9156
DTEND:20250926T200000Z
LOCATION:Timothy Fuller Event Space (Tutt 201)
DTSTART:20250926T183000Z
SUMMARY:Helen Kissel - Health Economics Lecture
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