| 来源类型 | Working Paper |
| 规范类型 | 报告 |
| DOI | 10.3386/w27467 |
| 来源ID | Working Paper 27467 |
| Fixing Misallocation with Guidelines: Awareness vs. Adherence | |
| Jason Abaluck; Leila Agha; David C. Chan Jr; Daniel Singer; Diana Zhu | |
| 发表日期 | 2020-07-06 |
| 出版年 | 2020 |
| 语种 | 英语 |
| 摘要 | Expert decisions often deviate from evidence-based guidelines. If experts are unaware of guidelines, dissemination may improve outcomes. If experts are aware of guidelines but continue to deviate, promoting stricter adherence has ambiguous effects on outcomes depending on whether experts have information not in guidelines. We study guidelines for anticoagulant use to prevent strokes among atrial fibrillation patients. By text-mining physician notes, we identify when physicians start using guidelines. After mentioning guidelines, physicians become more guideline-concordant, but adherence remains far from perfect. To evaluate whether nonadherence reflects physicians’ superior information, we combine observational data on treatment choices with machine learning estimates of heterogeneous treatment effects from eight randomized trials. Most departures from guidelines are not justified by measurable treatment effect heterogeneity. Promoting stricter adherence to guidelines could prevent 24% more strokes, producing much larger gains than broader guideline awareness. |
| 主题 | Health, Education, and Welfare ; Health ; Development and Growth ; Innovation and R& ; D |
| URL | https://www.nber.org/papers/w27467 |
| 来源智库 | National Bureau of Economic Research (United States) |
| 引用统计 | |
| 资源类型 | 智库出版物 |
| 条目标识符 | http://119.78.100.153/handle/2XGU8XDN/585140 |
| 推荐引用方式 GB/T 7714 | Jason Abaluck,Leila Agha,David C. Chan Jr,et al. Fixing Misallocation with Guidelines: Awareness vs. Adherence. 2020. |
| 条目包含的文件 | ||||||
| 文件名称/大小 | 资源类型 | 版本类型 | 开放类型 | 使用许可 | ||
| w27467.pdf（717KB） | 智库出版物 | 限制开放 | CC BY-NC-SA | 浏览 | ||
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