Unbiased Analysis of Today's Healthcare Issues
Randomized clinical trials (RCTs) are the “gold standard” for medical studies. Nevertheless, even RCTs have their problems. An NBER working paper by Ludwig, Marcotte and Norberg points highlights some of these issues. The authors examine whether or not anti-depressants reduce suicide rates (they find that anti-depressants do reduce suicide rates). Unfortunately, using data from RCTs…
Traditional instrumental variables (IV) econometric methodologies often fail to take into account response heterogeneity. Response heterogeneity based on characteristics not observed by the researcher can create a heterogeneity in the self-selection process. For instance, one group of people who elect to receive surgery may have knowledge of a family history where surgery is typically successful,…
Here are some tips from Dr. Marissa Weiss on building a good doctor-patient relationship from the patient side. Thanks to Dr. Rich’s Covert Rationing blog for the link. Greet the doctor–or introduce yourself if this is a new physician–with a professional handshake. Let your doctor know what is on your mind and how the doctor…
Which Medicare plan should you choose? Health journalist Charles Ornstein of the L.A. Times was making just this choice for his mother in “Puzzling out plan option for Medicare.” Even for a veteran health journalist, the choice is not as easy as it seems. Below, I will give some background information which will help people…
When I pay for health insurance, is most of my monthly premium going for medical care? Or does most of the money go towards administrative expenses and insurance company profit? John Aloysius Cogan Jr. of the Regulating Health Insurance blog finds that most of the money spent on insurance premiums in fact goes towards providing…
The Anti-Halloween edition of the Health Wonk Review is up at Insure Blog.
Can we estimate risk aversion and prudence using a survey question for the general public? This is what a paper by Eisenhauer and Ventura attempts to do. Methods In the 1995 Survey of Italian Households’ Income and Wealth, one question asked: You are offered the opportunity of acquiring a security permitting you, with the same…
Many people believe that better information technology (IT) can help improve the quality of medical care in the U.S. and around the world. For instance, if a doctor prescribes a drug which interacts harmfully with a drug the patient is already taking, a computer program could notify the doctor of this problem. If a patient…
According to the Telegraph (‘Record numbers go abroad for health‘), “More than 70,000 Britons will have treatment abroad this year – a figure that is forecast to rise to almost 200,000 by the end of the decade.” Many of these individuals are seeking treatment in countries such as India, Hungary, Turkey, Germany, Malaysia, Poland and…
Many studies have revealed patient non-compliance with medical prescriptions (e.g.: not taking prescribed drugs, not visiting the doctor) at around 50%. Most medical researchers believe that non-adherence is either due to 1) irrationality or 2) misinformation. Yet a Health Economics article by Lamiraud and Geoffard (2007) tests the hypothesis of whether or not this behavior…