预测长期计划影响的数据融合。

IF 1.8 4区 医学 Q3 MATHEMATICAL & COMPUTATIONAL BIOLOGY
Statistics in Medicine Pub Date : 2024-08-30 Epub Date: 2024-06-18 DOI:10.1002/sim.10147
Michael W Robbins, Sebastian Bauhoff, Lane Burgette
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引用次数: 0

摘要

政策制定者往往需要在决策时无法获得的有关计划长期影响的信息。例如,俄勒冈健康保险实验(OHIE)的严谨证据表明,拥有健康保险会影响短期的健康和财务状况,但对死亡率等长期结果的影响却要在计划实施多年后才能知晓。我们展示了如何利用数据融合方法来解决最终结果缺失的问题,并在获得必要数据之前预测干预措施的长期影响。我们通过将干预数据(如 OHIE)与辅助的长期数据进行合并,然后使用短期替代结果对缺失的长期结果进行归因,同时使用复制方法对不确定性进行近似。我们通过模拟来检验该方法的性能,并将该方法应用于案例研究中。具体来说,我们将 OHIE 的数据与全国纵向死亡率研究的数据进行了融合,并估计有资格申请补贴医疗保险将导致长期死亡率在统计学上有显著改善。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Data fusion for predicting long-term program impacts.

Policymakers often require information on programs' long-term impacts that is not available when decisions are made. For example, while rigorous evidence from the Oregon Health Insurance Experiment (OHIE) shows that having health insurance influences short-term health and financial measures, the impact on long-term outcomes, such as mortality, will not be known for many years following the program's implementation. We demonstrate how data fusion methods may be used address the problem of missing final outcomes and predict long-run impacts of interventions before the requisite data are available. We implement this method by concatenating data on an intervention (such as the OHIE) with auxiliary long-term data and then imputing missing long-term outcomes using short-term surrogate outcomes while approximating uncertainty with replication methods. We use simulations to examine the performance of the methodology and apply the method in a case study. Specifically, we fuse data on the OHIE with data from the National Longitudinal Mortality Study and estimate that being eligible to apply for subsidized health insurance will lead to a statistically significant improvement in long-term mortality.

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来源期刊
Statistics in Medicine
Statistics in Medicine 医学-公共卫生、环境卫生与职业卫生
CiteScore
3.40
自引率
10.00%
发文量
334
审稿时长
2-4 weeks
期刊介绍: The journal aims to influence practice in medicine and its associated sciences through the publication of papers on statistical and other quantitative methods. Papers will explain new methods and demonstrate their application, preferably through a substantive, real, motivating example or a comprehensive evaluation based on an illustrative example. Alternatively, papers will report on case-studies where creative use or technical generalizations of established methodology is directed towards a substantive application. Reviews of, and tutorials on, general topics relevant to the application of statistics to medicine will also be published. The main criteria for publication are appropriateness of the statistical methods to a particular medical problem and clarity of exposition. Papers with primarily mathematical content will be excluded. The journal aims to enhance communication between statisticians, clinicians and medical researchers.
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