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Testing efficacy with detection controlled estimation: an application to telemedicine

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  • W. David Bradford
  • Andrew N. Kleit
  • M. A. Krousel‐Wood
  • Richard N. Re

Abstract

Detection controlled estimation (DCE) is a powerful new econometric estimator in the family of missing data estimators. By collecting measures from a variety of inspectors or inspection technologies, DCE is able to make inferences about the entire population, even when that population is not directly observed. Using this innovative method, we were able to assess whether telemedicine technology could be substituted for in‐person visits when providing maintenance care for patients with hypertension. Our findings indicate that there is no support for the proposition that telemedicine is less effective than in‐person visits for determining whether patients have high blood pressure. Indeed, our results imply that telemedicine misses 7% fewer cases of high blood pressure than in‐person visits do. The results of this study indicate that DCE may be an effective tool for use in cost‐effectiveness or cost‐benefit analysis in health care. Copyright © 2001 John Wiley & Sons, Ltd.

Suggested Citation

  • W. David Bradford & Andrew N. Kleit & M. A. Krousel‐Wood & Richard N. Re, 2001. "Testing efficacy with detection controlled estimation: an application to telemedicine," Health Economics, John Wiley & Sons, Ltd., vol. 10(6), pages 553-564, September.
    • Handle: RePEc:wly:hlthec:v:10:y:2001:i:6:p:553-564
    DOI: 10.1002/hec.606
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    References listed on IDEAS

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    1. Feinstein, Jonathan S, 1990. "Detection Controlled Estimation," Journal of Law and Economics, University of Chicago Press, vol. 33(1), pages 233-276, April.
    2. Murphy Jr., R.L. & Bird, K.T., 1974. "Telediagnosis: a new community health resource. Observations on the feasibility of telediagnosis based on 1000 patient transactions," American Journal of Public Health, American Public Health Association, vol. 64(2), pages 113-119.
    3. Poirier, Dale J., 1980. "Partial observability in bivariate probit models," Journal of Econometrics, Elsevier, vol. 12(2), pages 209-217, February.
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    Cited by:

    1. Anca M. Cotet & Daniel K. Benjamin, 2013. "Medical Regulation And Health Outcomes: The Effect Of The Physician Examination Requirement," Health Economics, John Wiley & Sons, Ltd., vol. 22(4), pages 393-409, April.

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