Potentially Inappropriate Medication and Health Care Outcomes: An Instrumental Variable Approach
نویسندگان
چکیده
منابع مشابه
The productivity of mental health care: an instrumental variable approach.
BACKGROUND: Like many other medical technologies and treatments, there is a lack of reliable evidence on treatment effectiveness of mental health care. Increasingly, data from non-experimental settings are being used to study the effect of treatment. However, as in a number of studies using non-experimental data, a simple regression of outcome on treatment shows a puzzling negative and signific...
متن کاملIncome and Health in Tanzania. An Instrumental Variable Approach
There is a substantial debate over the direction of the causal relation between income and health. This is important for our understanding of the health production process and for the policy debate over improving healthcare. We instrument income with rainfall measurements by matching satellite information on timing and positioning of 21 rainfall stations to longitudinal data (1991-94) of over 4...
متن کاملComplier-average causal effects for multivariate outcomes: an instrumental variable approach with application to health economics
In randomised controlled trials that have non-compliance with the treatment assigned, policy makers require unbiased estimates of the causal effect of the treatment received. Instrumental variable (IV) approaches provide complier average causal effects (CACE) estimates. Common IV methods such as two-stage least squares (2SLS) have not been extended to settings with multivariate outcomes. We pro...
متن کاملActing on potentially inappropriate care.
This model involves four steps. First, a credible, independent body would review clinical evidence to identify potentially inappropriate treatments. Second, the same body would monitor use of those treatments. Hospitals providing the treatments more frequently than the national average rate would be advised of that fact. Third, if a hospital’s abnormal practice persisted, they would face an ext...
متن کاملAn Ecological Approach to Reducing Potentially Inappropriate Medication Use: Canadian Deprescribing Network.
Polypharmacy is growing in Canada, along with adverse drug events and drug-related costs. Part of the solution may be deprescribing, the planned and supervised process of dose reduction or stopping of medications that may be causing harm or are no longer providing benefit. Deprescribing can be a complex process, involving the intersection of patients, health care providers, and organizational a...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
ژورنال
عنوان ژورنال: Health Services Research
سال: 2015
ISSN: 0017-9124
DOI: 10.1111/1475-6773.12417