SCREENING FOR A CHRONIC DISEASE: A MULTIPLE STAGE DURATION MODEL WITH PARTIAL OBSERVABILITY

• 成果类型: Article
• 署名作者: Mroz, Thomas A.; Picone, Gabriel; Sloan, Frank; Yashkin, Arseniy P.
• 署名单位: University System of Georgia; Georgia State University; Federal Reserve System - USA; Federal Reserve Bank - Atlanta; State University System of Florida; University of South Florida; Duke University
• 刊物名称: INTERNATIONAL ECONOMIC REVIEW
• ISSN/ISSBN: 0020-6598
• DOI: 10.1111/iere.12180
• 发表日期: 2016
• 页码: 915-934
• 关键词: impact; EMPLOYMENT; insurance; selection; LIFE; WAR

摘要

We estimate a dynamic multistage duration model to investigate how early detection of diabetes can delay the onset of lower extremity complications and death. We allow for partial observability of the disease stage, unmeasured heterogeneity, and endogenous timing of diabetes screening. Timely diagnosis appears important. We evaluate the effectiveness of two potential policies to reduce the monetary costs of frequent screening in terms of lost longevity. Compared to the status quo, the more restrictive policy yields an implicit value for an additional year of life of about $50,000, whereas the less restrictive policy implies a value of about $120,000.