Scholion.ai

Government-Academic Partnerships in Randomized Evaluations: The Case of Inappropriate Prescribing

Adam Sacarny, David Yokum, Shantanu Agrawal

American Economic Review · 2017 · Volume 107 · Issue 5

DOI: 10.1257/aer.p20171061

Abstract

There is growing evidence that inappropriate prescribing is harming patients and raising costs in the US health care system. Through a partnership between the federal government and academics, we seek to develop evidence on reducing this prescribing. We conduct several randomized letter interventions targeting high-volume prescribers of drugs that can harm patients. We take a continuous improvement approach, rapidly evaluating each round and using the results to inform subsequent work. The first round of letters yielded no effects, and we responded with new interventions that are now under evaluation. We discuss lessons our work provides for future government-academic partnerships.

Keywords

National Government Expenditures and Health, Analysis of Health Care Markets, Health: Government Policy, Regulation, Public Health, Higher Education, Research Institutions, Chemicals, Plastics, Rubber, Drugs, Biotechnology

Enable JavaScript for citation tools and additional paper interactions.