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Measuring the effect of policy interventions at the population level: some methodological concerns.

Publication ,  Journal Article
Huesch, MD; Østbye, T; Ong, MK
Published in: Health Econ
October 2012

Health policy evaluations estimate the response of population aggregate outcomes to interventions. However, clarity on the form of the expected causal relationship, the parameter identification strategy, and the mode of hypothesis testing is required to overcome a number of conceptual and methodological problems. We use the New Jersey statewide smoking ban as an example. We examine statewide admission rates for acute myocardial infarctions, strokes and lower limb fractures, and emergency room encounter rates for asthma exacerbations before and after the smoking ban. We discuss the identification options and show the sensitivity of estimates of the response function to different specifications of the stochastic and intervention components and to different modes of inference. Model misspecification is demonstrated by rolling Chow tests for structural breaks in repeated observations.

Duke Scholars

Published In

Health Econ

DOI

EISSN

1099-1050

Publication Date

October 2012

Volume

21

Issue

10

Start / End Page

1234 / 1249

Location

England

Related Subject Headings

  • Smoking
  • New Jersey
  • Models, Economic
  • Lower Extremity
  • Humans
  • Hospitalization
  • Health Policy & Services
  • Health Policy
  • Fractures, Bone
  • Emergency Service, Hospital
 

Citation

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Chicago
ICMJE
MLA
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Huesch, M. D., Østbye, T., & Ong, M. K. (2012). Measuring the effect of policy interventions at the population level: some methodological concerns. Health Econ, 21(10), 1234–1249. https://doi.org/10.1002/hec.1783
Huesch, Marco D., Truls Østbye, and Michael K. Ong. “Measuring the effect of policy interventions at the population level: some methodological concerns.Health Econ 21, no. 10 (October 2012): 1234–49. https://doi.org/10.1002/hec.1783.
Huesch MD, Østbye T, Ong MK. Measuring the effect of policy interventions at the population level: some methodological concerns. Health Econ. 2012 Oct;21(10):1234–49.
Huesch, Marco D., et al. “Measuring the effect of policy interventions at the population level: some methodological concerns.Health Econ, vol. 21, no. 10, Oct. 2012, pp. 1234–49. Pubmed, doi:10.1002/hec.1783.
Huesch MD, Østbye T, Ong MK. Measuring the effect of policy interventions at the population level: some methodological concerns. Health Econ. 2012 Oct;21(10):1234–1249.
Journal cover image

Published In

Health Econ

DOI

EISSN

1099-1050

Publication Date

October 2012

Volume

21

Issue

10

Start / End Page

1234 / 1249

Location

England

Related Subject Headings

  • Smoking
  • New Jersey
  • Models, Economic
  • Lower Extremity
  • Humans
  • Hospitalization
  • Health Policy & Services
  • Health Policy
  • Fractures, Bone
  • Emergency Service, Hospital