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dc.contributor.authorGarrouste, Clémentine
dc.contributor.authorLe, Jérôme
dc.contributor.authorMaurin, Eric
dc.date.accessioned2013-11-21T15:03:48Z
dc.date.available2013-11-21T15:03:48Z
dc.date.issued2011-09
dc.identifier.urihttps://basepub.dauphine.fr/handle/123456789/12124
dc.language.isoenen
dc.subjectAmniocentesis choiceen
dc.subjectregression discontinuity designen
dc.subjectFranceen
dc.subjectHealthen
dc.subjectHealth Insuranceen
dc.subject.ddc334en
dc.subject.classificationjelC01en
dc.subject.classificationjelI12en
dc.subject.classificationjelI11en
dc.titleThe Choice of Detecting Down Syndrome: Does Money Matter?en
dc.typeArticle accepté pour publication ou publié
dc.contributor.editoruniversityotherParis School of Economics;France
dc.contributor.editoruniversityotherCREST, Malakoff;France
dc.description.abstractenThe prenatal diagnosis of Down syndrome (amniocentesis) presents parents with a complex dilemma which requires comparing the risk of giving birth to an affected child and the risk of losing an unaffected child through amniocentesis-related miscarriage. Building on the specific features of the French Health insurance system, this paper shows that variation in the monetary costs of the diagnosis procedure may have a very significant impact on how parents solve this ethical dilemma. The French institutions make it possible to compare otherwise similar women facing very different reimbursement schemes and we find that eligibility to full reimbursement has a largely positive effect on the probability of taking an amniocentesis test. By contrast, the sole fact of being labelled 'high-risk' by the Health system seems to have, as such, only a modest effect on subsequent choices. Finally, building on available information on post-amniocentesis outcomes, we report new evidence suggesting that amniocentesis increases the risk of premature birth and low weight at birth.en
dc.relation.isversionofjnlnameHealth Economics
dc.relation.isversionofjnlvol20en
dc.relation.isversionofjnlissue9en
dc.relation.isversionofjnldate2011-09
dc.relation.isversionofjnlpages1073-1089en
dc.relation.isversionofdoihttp://dx.doi.org/10.1002/hec.1762en
dc.relation.isversionofjnlpublisherWileyen
dc.subject.ddclabelEconomie socialeen
dc.relation.forthcomingnonen
dc.relation.forthcomingprintnonen


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