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Benchmarking Clinical Practice on Treatment Gain Inequality–Probability Bounds

In: Recent Developments in Health Econometrics

Author

Listed:
  • Raf Van Gestel
  • Daniel Avdic
  • Owen O'Donnell

Abstract

There is widespread concern about low adherence to clinical practice guidelines (CPGs) and the low adoption of new medical technologies. To assist the regulatory response, we propose benchmarking clinical practice on the lower bound on the probability that a recommended treatment/new technology achieves a better outcome. This inequality–probability bound can be estimated from marginal outcome distributions. We illustrate the approach by comparing Swedish cardiologists' adoption of drug-eluting stents (DESs) with the inequality–probability bound on this technology improving outcomes. A substantial fraction of cardiologists are below the benchmark.

Suggested Citation

  • Raf Van Gestel & Daniel Avdic & Owen O'Donnell, 2024. "Benchmarking Clinical Practice on Treatment Gain Inequality–Probability Bounds," Contributions to Economic Analysis, in: Recent Developments in Health Econometrics, volume 127, pages 229-239, Emerald Group Publishing Limited.
    • Handle: RePEc:eme:ceazzz:s0573-855520240000297011
    DOI: 10.1108/S0573-855520240000297011
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