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Is high-tech care in a middle-income country worth it?

Nigmatulina, Dzhamilya and Becker, Charles (2016) Is high-tech care in a middle-income country worth it? Economics of Transition, 24 (4). pp. 585-620. ISSN 0967-0750

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Identification Number: 10.1111/ecot.12098


How much does a dramatic increase in technology improve healthcare quality in an upper middle-income country? Using rich vital statistics on infant health outcomes, this study evaluates the effect of introducing technologically advanced perinatal hospitals in 24 regions of Russia on infant mortality during the period 2009–2013. A 7-year aggregate panel dataset reveals that opening a perinatal centre corresponds to infant mortality reduction by 3.8 percent from the baseline rate, neonatal (0–28 day) mortality by 7 percent and early neonatal (0–6 day) mortality by 7.3 percent. We find that the perinatal centres help to save 263 additional infant lives annually, ranging from 3 to 25 lives in regions with different birth rates. However, we further find that an average cost per life saved is 52 million rb (or 2.6 million 2014 PPP USD), which is much higher than the cost of similar interventions in the United States.

Item Type: Article
Official URL:
Additional Information: © 2016 The Authors
Divisions: Centre for Economic Performance
Subjects: R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
R Medicine > RJ Pediatrics > RJ101 Child Health. Child health services
Date Deposited: 22 Nov 2016 10:48
Last Modified: 20 Oct 2021 02:25

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