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Raphaël Langevin

Publications and source records attributed to Raphaël Langevin.

2 recordsLinked to original sources

Policy Learning with Observational Data: The Case of Hepatitis C Treatment for HIV/HCV Co-Infected Patients

Decision-makers frequently must choose a single action from a finite set of alternatives -- for example, physicians selecting a treatment, investors choosing a portfolio risk level, or judges determining sentences. To improve outcomes, policymakers often issue policy rules or guidelines to inform such choices. In this paper, I show how to generally derive policy rules from observational data in a multi-action framework under relatively weak assumptions about the underlying structure of the heterogeneous sampled population. Conditional average treatment effects (CATEs) are consistently estimated via a weighted K-means algorithm, assuming the outcome model is correctly specified within each homogeneous subgroup. Feasible policy rules are then implemented via a standard decision tree, allowing for both perfect and imperfect adherence to treatment. The methodology is applied to treatment options for Hepatitis C (HCV) among patients co-infected with human immunodeficiency virus (HIV), a setting in which no uniform guideline exists for modern pharmaceutical therapies. The results identify a subgroup of patients with approximately an 80% probability of spontaneous HCV clearance without treatment. Estimation results also show that reallocating treatments among treated individuals could have reduced total treatment costs by CAN$3.6-4.9 million while still increasing aggregate health benefits relative to the status quo. These findings demonstrate that the proposed approach can generate improved, data-driven treatment guidelines for the management of HIV/HCV co-infected patients.

stat.AP↗

Bias-Reduced Estimation of Finite Mixtures: An Application to Latent Group Structures in Panel Data

Finite mixture models are widely used in econometric analyses to capture unobserved heterogeneity. This paper shows that maximum likelihood estimation of finite mixtures of parametric densities can suffer from substantial finite-sample bias in all parameters under mild regularity conditions. The bias arises from the influence of outliers in component densities with unbounded or large support and increases with the degree of overlap among mixture components. I show that maximizing the classification-mixture likelihood function, equipped with a consistent classifier, yields parameter estimates that are less biased than those obtained by standard maximum likelihood estimation (MLE). I then derive the asymptotic distribution of the resulting estimator and provide conditions under which oracle efficiency is achieved. Monte Carlo simulations show that conventional mixture MLE exhibits pronounced finite-sample bias, which diminishes as the sample size or the statistical distance between component densities tends to infinity. The simulations further show that the proposed estimation strategy generally outperforms standard MLE in finite samples in terms of both bias and mean squared errors under relatively weak assumptions. An empirical application to latent group panel structures using health administrative data shows that the proposed approach reduces out-of-sample prediction error by approximately 17.6% relative to the best results obtained from standard MLE procedures.

stat.ME↗