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How do machine learning algorithms perform in predicting hospital choices? evidence from changing environments

Devesh Raval, Ted Rosenbaum and Nathan Wilson ()

Journal of Health Economics, 2021, vol. 78, issue C

Abstract: Researchers have found that machine learning methods are typically better at prediction than econometric models when the choice environment is stable. We study hospital demand models, and evaluate the relative performance of machine learning algorithms when the choice environment changes substantially due to natural disasters that closed previously available hospitals. While machine learning algorithms outperform traditional econometric models in prediction, the gain they provide shrinks when patients’ choice sets are more profoundly affected. We show that traditional econometric methods provide important additional information when there are major changes in the choice environment.

Keywords: Machine learning; Hospitals; Natural experiment; Patient choice; Prediction (search for similar items in EconPapers)
JEL-codes: C18 I11 L1 L41 (search for similar items in EconPapers)
Date: 2021
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (4)

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Persistent link: https://EconPapers.repec.org/RePEc:eee:jhecon:v:78:y:2021:i:c:s0167629621000667

DOI: 10.1016/j.jhealeco.2021.102481

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Journal of Health Economics is currently edited by J. P. Newhouse, A. J. Culyer, R. Frank, K. Claxton and T. McGuire

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