Physician performance is critical to caring for patients admitted to the intensive care unit (ICU), who are in life-threatening situations and require high level medical care and interventions. Evaluating physicians is crucial for ensuring a high standard of medical care and fostering continuous performance improvement. The non-randomized nature of ICU data often results in imbalance in patient covariates across physician groups, making direct comparisons of the patients’ survival probabilities for each physician misleading. In this article, we utilize the propensity weighting method to address confounding, achieve covariates balance, and assess physician effects. Due to possible model misspecification, we compare the performance of the propensity weighting methods using both parametric models and super learning methods. When the generalized propensity or the quality function is not correctly specified within the parametric propensity weighting framework, super learning-based propensity weighting methods yield more efficient estimators. We demonstrate that utilizing propensity weighting offers an effective way to assess physician performance, a topic of considerable interest to hospital administrators.
Abstract: The problem of variable selection is fundamental to statistical modelling in diverse fields of sciences. In this paper, we study in particular the problem of selecting important variables in regression problems in the case where observations and labels of a real-world dataset are available. At first, we examine the performance of several existing statistical methods for analyzing a real large trauma dataset which consists of 7000 observations and 70 factors, that include demographic, transport and intrahospital data. The statistical methods employed in this work are the nonconcave penalized likelihood methods (SCAD, LASSO, and Hard), the generalized linear logis tic regression, and the best subset variable selection (with AIC and BIC), used to detect possible risk factors of death. Supersaturated designs (SSDs) are a large class of factorial designs which can be used for screening out the important factors from a large set of potentially active variables. This paper presents a new variable selection approach inspired by supersaturated designs given a dataset of observations. The merits and the effectiveness of this approach for identifying important variables in observational studies are evaluated by considering several two-levels supersaturated designs, and a variety of different statistical models with respect to the combinations of factors and the number of observations. The derived results are encour aging since the alternative approach using supersaturated designs provided specific information that are logical and consistent with the medical experi ence, which may also assist as guidelines for trauma management.