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Methods to reduce selection bias in health economic evaluation.Economic evaluations often use observational data where the major concern
is selection bias. Traditional methods for dealing with this bias suffer
from important limitations, and can lead to misleading inferences for
policy-making. The project will examine a novel non-parametric technique
(Genetic Matching) that makes more appropriate assumptions. While Genetic
Matching has been tested on a single dataset in labour economics, this
research will further examine the technique using a series of health
economic evaluations. The case studies are primarily from a developed
country context (mainly the UK, and US) and include evaluations of clinical
and public health interventions. This context offers an excellent opportunity
to compare estimates from high-quality observational studies with those
from pragmatic RCTs. This research will provide rigorous evidence on
the technique's merits, which can ultimately help evaluations provide
a stronger basis for policy-making. The PhD thesis will be undertaken
within a larger project funded by ESRC/NIHR which involves collaboration
with colleagues at Universities of California, Harvard and MRC Biostatistics
Unit, Cambridge. The project will be supervised by Dr Richard Grieve (senior lecturer
in health economics). The successful applicant will also be able to
draw on expert guidance from senior colleagues with expertise in statistics
(Dr James Carpenter) and econometrics (Prof Jas Sekhon, University of
California, Berkeley). As part of the studentship, the applicant will
receive advanced statistical training, for example by taking study modules
from the highly regarded Master course in Medical Statistics, at LSHTM.
LSHTM provides a highly supportive environment for Research Degree study,
and has a strong tradition for providing training for PhD students and
junior health economists. This project will be based in the Health
Services Research Unit, in the Department
of Public Health & Policy. |
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