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UID:20251028T152850EDT-23729SzOsM@132.216.98.100
DTSTAMP:20251028T192850Z
DESCRIPTION:'Fixing Misallocation with Guidelines: Awareness vs. Adherence'
 \n\nLeila Agha (Dartmouth)\n	December 9\, 2022\, 3:30 to 5:00 PM\n	Leacock 4
 29\n\nHost: Erin Strumpf\n	Field: Applied\n\nAbstract:\n	Expert decisions of
 ten deviate from evidence-based guidelines. If experts are unaware of guid
 elines\, dissemination may improve outcomes. If experts are aware of guide
 lines but continue to deviate\, promoting stricter adherence has ambiguous
  effects on outcomes depending on whether experts have information not in 
 guidelines. We study guidelines for anticoagulant use to prevent strokes a
 mong atrial fibrillation patients. By text-mining physician notes\, we ide
 ntify when physicians start using guidelines. After mentioning guidelines\
 , physicians become more guideline-concordant\, but adherence remains far 
 from perfect. To evaluate whether non-adherence reflects physicians' super
 ior information\, we combine observational data on treatment choices with 
 machine learning estimates of heterogeneous treatment effects from eight r
 andomized trials. Most departures from guidelines are not justified by mea
 surable treatment effect heterogeneity. Promoting stricter adherence to gu
 idelines could prevent 22\% more strokes\, producing much larger gains tha
 n broader guideline awareness.\n
DTSTART:20221209T203000Z
DTEND:20221209T220000Z
LOCATION:Room 429\, Leacock Building\, CA\, QC\, Montreal\, H3A 2T7\, 855 r
 ue Sherbrooke Ouest
SUMMARY:Leila Agha (Dartmouth)\, 'Fixing Misallocation with Guidelines: Awa
 reness vs. Adherence'
URL:/economics/channels/event/leila-agha-dartmouth-fix
 ing-misallocation-guidelines-awareness-vs-adherence-340592
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