A review of instrumental variables estimation of treatment effects in the applied health sciences

被引:25
作者
Grootendorst P. [1 ,2 ]
机构
[1] Faculty of Pharmacy, University of Toronto, Toronto, ON M5S 3M2
[2] Department of Economics, McMaster University, Hamilton, ON
关键词
Health outcomes; Instrumental variables; Observational data; Treatment effects;
D O I
10.1007/s10742-007-0023-6
中图分类号
学科分类号
摘要
Health scientists often use observational data to estimate treatment effects when controlled experiments are not feasible. A limitation of observational research is non-random selection of subjects into different treatments, potentially leading to selection bias. The two commonly used solutions to this problem-covariate adjustment and fully parametric models-are limited by strong and untestable assumptions. Instrumental variables (IV) estimation can be a viable alternative. In this paper, I review examples of the application of IV in the health sciences, I show how the IV estimator works, I discuss the factors that affect its performance, I review how the interpretation of the IV estimator changes when treatment effects vary by individual, and consider the application of IV to nonlinear models. © Springer Science+Business Media, LLC 2007.
引用
收藏
页码:159 / 179
页数:20
相关论文
共 25 条
[21]  
Snow J., On the Mode of Communication of Cholera, (1965)
[22]  
Staiger D., Stock J.H., Instrumental variables regression with weak instruments, Econometrica, 65, pp. 557-586, (1997)
[23]  
Stock J.H., Wright J.H., Yogo M., A survey of weak instruments and weak identification in generalized method of moments, J. Bus. Econ. Stat., 20, 4, pp. 518-529, (2002)
[24]  
Stukel T.A., Fisher E.S., Wennberg D.E., Alter D.A., Gottlieb D.J., Vermeulen M.J., Analysis of observational studies in the presence of treatment selection bias: Effects of invasive cardiac management on AMI survival using propensity score and instrumental variable methods, JAMA, 297, pp. 278-285, (2007)
[25]  
Terza J.V., Estimation of policy effects using parametric nonlinear models: A contextual critique of the generalized method of moments, J. Health Serv. Outcomes Res. Methodol., 6, pp. 177-198, (2006)