The choice of detecting Down syndrome: does money matter?
Résumé
The 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.
Domaines
Economies et financesFormat du dépôt | Notice |
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Type de dépôt | Article dans une revue |
Titre |
en
The choice of detecting Down syndrome: does money matter?
|
Résumé |
en
The 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.
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Auteur(s) |
Clémentine Garrouste
1, 2
, Jérôme Le
3
, Eric Maurin
1, 2
1
PSE -
Paris-Jourdan Sciences Economiques
( 139754 )
- 48 boulevard Jourdan 75014 Paris
- France
2
PSE -
Paris School of Economics
( 301309 )
- 48 boulevard Jourdan 75014 Paris
- France
3
CREST -
Centre de Recherche en Économie et Statistique
( 2579 )
- 5, Avenue Henry Le Chatelier
91120 Palaiseau
- France
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Comité de lecture |
Oui
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Vulgarisation |
Non
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Langue du document |
Anglais
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Nom de la revue |
|
Audience |
Non spécifiée
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Date de publication |
2011-09
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Volume |
20
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Numéro |
9
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Page/Identifiant |
1073-1089
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Public visé |
Scientifique
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Sous-type de document pour les Articles |
Research article
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Version du document |
version éditeur
|
Domaine(s) |
|
Voir aussi |
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Financement |
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Indexation contrôlée |
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Mots-clés |
it
Amniocentesis choice, Regression discontinuity design
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DOI | 10.1002/hec.1762 |
ProdINRA | 316641 |
Pubmed Id | 21671303 |
UT key WOS | 000294180500006 |
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