Econometrics in outcomes research: The use of instrumental variables

被引:445
作者
Newhouse, JP
McClellan, M
机构
[1] Harvard Univ, Div Hlth Policy Res & Educ, Boston, MA 02115 USA
[2] Stanford Univ, Dept Econ, Stanford, CA 94305 USA
关键词
outcomes research; econometrics; instrumental variables; acute myocardial infarction;
D O I
10.1146/annurev.publhealth.19.1.17
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
We describe an econometric technique, instrumental variables, that can be useful in estimating the effectiveness of clinical treatments in situations when a controlled trial has not or cannot be done. This technique relies upon the existence of one or more variables that induce substantial variation in the treatment variable but have no direct effect on the outcome variable of interest. We illustrate the use of the technique with an application to aggressive treatment of acute myocardial infarction in the elderly.
引用
收藏
页码:17 / 34
页数:18
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