Benchmarking Clinical Practice on Treatment Gain Inequality–Probability Bounds

Van Gestel, R; Avdic, D; O’Donnell, O

Benchmarking Clinical Practice on Treatment Gain Inequality–Probability Bounds

Van Gestel, R Avdic, D O’Donnell, O

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Publisher:: Emerald
Publication Type:: Chapter
Citation:: Recent Developments in Health Econometrics, 2024, 297, pp. 229-239
Issue Date:: 2024-08-27

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Field	Value	Language
dc.contributor.author	Van Gestel, R
dc.contributor.author	Avdic, D
dc.contributor.author	O’Donnell, O
dc.date.accessioned	2025-03-03T22:14:50Z
dc.date.available	2025-03-03T22:14:50Z
dc.date.issued	2024-08-27
dc.identifier.citation	Recent Developments in Health Econometrics, 2024, 297, pp. 229-239
dc.identifier.isbn	978-1-83753-259-9
dc.identifier.uri	http://hdl.handle.net/10453/185497
dc.description.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.
dc.format.extent	14
dc.language	en
dc.publisher	Emerald
dc.relation.ispartof	Recent Developments in Health Econometrics
dc.relation.ispartofseries	Contributions to Economic Analysis
dc.relation.isbasedon	10.1108/S0573-855520240000297011
dc.rights	info:eu-repo/semantics/restrictedAccess
dc.title	Benchmarking Clinical Practice on Treatment Gain Inequality–Probability Bounds
dc.type	Chapter
utslib.citation.volume	297
pubs.organisational-group	University of Technology Sydney
pubs.organisational-group	University of Technology Sydney/Faculty of Health
utslib.copyright.status	recently_added	*
pubs.consider-herdc	false
dc.date.updated	2025-03-03T22:14:49Z
pubs.place-of-publication	UK
pubs.publication-status	Published
pubs.volume	297
dc.location	UK

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.

Please use this identifier to cite or link to this item:

http://hdl.handle.net/10453/185497