On the use of survival analysis techniques to estimate medical care costs
On the use of survival analysis techniques to estimate medical care costs
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DOI：
10.1016/s0167-6296(98)00056-3
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发表时间：
1999-06-01
影响因子：
3.5
通讯作者：
Ramsey, SD
中科院分区：
文献类型：
--
作者：
Etzioni, RD;Feuer, EJ;Ramsey, SD
治疗费用的计量在医疗干预措施的评价中很重要。当成本记录不完整时，准确的成本估算是有问题的。生存分析文献中的方法已经被提出来使用现有数据估计成本。在这篇文章中，我们澄清这些技术的有效性所必需的假设。我们演示了如何有效的生存分析所需的假设可能会被违反时，这些方法被应用到成本估计。我们的观察结果通过模拟和实证数据分析得到证实。我们的结论是生存分析方法一般不适合医疗费用的分析，并审查几个有效的替代方案。(C)1999 Elsevier Science B. V.保留所有权利。JEL分类：C 000数学和定量方法：一般; C100计量经济学和统计方法：一般; C400计量经济学和统计方法：专题：一般。
Measurement of treatment costs is important in the evaluation of medical interventions. Accurate cost estimation is problematic, when cost records are incomplete. Methods from the survival analysis literature have been proposed for estimating costs using available data. In this article, we clarify assumptions necessary for validity of these techniques. We demonstrate how assumptions needed for valid survival analysis may be violated when these methods are applied to cost estimation. Our observations are confirmed through simulations and empirical data analysis. We conclude that survival analysis approaches are not generally appropriate for the analysis of medical costs and review several valid alternatives. (C) 1999 Elsevier Science B.V. All rights reserved. JEL classification: C000 Mathematical and quantitative methods: general; C100 Econometric and statistical methods: general; C400 Econometric and statistical methods: special topics: general.