Hagemeier, Anna, Samel, Christina and Hellmich, Martin (2022). The regression discontinuity design: Methods and implementation with a worked example in health services research. Z. Evidenz Fortbild. Qual. Gesundheitswesen, 172. S. 71 - 78. MUNICH: ELSEVIER GMBH. ISSN 2212-0289

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Abstract

Background: The randomized controlled trial (RCT) is the gold standard in evidence-based medicine. However, this design may not be appropriate in every setting, so other methods or designs such as the regression discontinuity design (RDD) are required. Method: The aim of this article is to introduce the RDD, summarise methodology in the context of health services research and present a worked example using the statistic software SPSS (Examples for R and Stata in the Appendix A). The mathematical notations of sharp and fuzzy RDD as well as their distinction are presented. Furthermore, examples from the literature and recent studies are highlighted, and both advantages and disadvantages of the design are discussed. Application: The RDD consists of four essential steps: 1. Determine feasibility; 2. Note possible treatment manipulation, 3. Check for the treatment effect, and 4. Fit the regression models to measure the treatment effect. Conclusion: The RDD comes as an alternative for studies in health service research where an RCT cannot be conducted, but a threshold-based comparison can be made.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Hagemeier, AnnaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Samel, ChristinaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Hellmich, MartinUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-662868
DOI: 10.1016/j.zefq.2022.04.014
Journal or Publication Title: Z. Evidenz Fortbild. Qual. Gesundheitswesen
Volume: 172
Page Range: S. 71 - 78
Date: 2022
Publisher: ELSEVIER GMBH
Place of Publication: MUNICH
ISSN: 2212-0289
Language: English
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
CAUSAL-INFERENCE; EPIDEMIOLOGY; RDROBUST; GUIDEMultiple languages
Health Policy & ServicesMultiple languages
URI: http://kups.ub.uni-koeln.de/id/eprint/66286

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