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Optimal Treatment Allocation under Constraints

Torben S. D. Johansen

arXiv 28 Apr 2024 · Econometrics

arXiv:2404.18268 · PDF · DOI · OpenAlex · Extracted main text

Abstract

In optimal policy problems where treatment effects vary at the individual level, optimally allocating treatments to recipients is complex even when potential outcomes are known. We present an algorithm for multi-arm treatment allocation problems that is guaranteed to find the optimal allocation in strongly polynomial time, and which is able to handle arbitrary potential outcomes as well as constraints on treatment requirement and capacity. Further, starting from an arbitrary allocation, we show how to optimally re-allocate treatments in a Pareto-improving manner. To showcase our results, we use data from Danish nurse home visiting for infants. We estimate nurse specific treatment effects for children born 1959-1967 in Copenhagen, comparing nurses against each other. We exploit random assignment of newborn children to nurses within a district to obtain causal estimates of nurse-specific treatment effects using causal machine learning. Using these estimates, and treating the Danish nurse home visiting program as a case of an optimal treatment allocation problem (where a treatment is a nurse), we document room for significant productivity improvements by optimally re-allocating nurses to children. Our estimates suggest that optimal allocation of nurses to children could have improved average yearly earnings by USD 1,815 and length of education by around two months.

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108
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185
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108
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6
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Most heavily cited references

The works this paper leans on most, across its whole bibliography — not restricted to papers in our corpus. Ranked by composite intensity, which combines how often a work is mentioned, how many sections mention it, and how much of that falls in the main text rather than the appendix.

ReferenceIntensityMentionsSectionsMain text
1Hjort, Jonas, Wüst, Miriam (2017) Universal Investment in Infants and Long-Run Health: Evidence from Denmark's 1937 Home Visiting Program1.00064100%
2Bjerregaard, Lise G, Wüst, Miriam, Johansen, Torben SD, Dahl, Christ… (2023) Cohort Profile: The Copenhagen Infant Health Nurse Records (CIHNR) cohort self1.00054100%
3Bhalotra, Sonia, Karlsson, Martin, Nilsson, Therese (2017) Infant Health and Longevity: Evidence from A Historical Intervention in Sweden1.00053100%
4Bütikofer, Aline, Salvanes, Kjell G (2019) Infant Health Care and Long-Term Outcomes1.00053100%
5Baker, Jennifer, Bjerregaard, Lise, Dahl, Christian M, Johansen, Tor… (2023) Universal Investments in Toddler Health. Learning from a Large Government Trial self0.92820680%
6Wüst, Miriam (2012) Early interventions and infant health: Evidence from the Danish home visiting program0.92844100%
7Hoehn-Velasco, Lauren (2021) The Long-term Impact of Preventative Public Health Programs0.92843100%
8Athey, Susan, Tibshirani, Julie, Wager, Stefan (2019) Generalized Random Forests0.84333100%
9Nie, Xinkun, Wager, Stefan (2021) Quasi-Oracle Estimation of Heterogeneous Treatment Effects0.84333100%
10Wager, Stefan, Athey, Susan (2018) Estimation and inference of heterogeneous treatment effects using random forests0.84333100%

Showing the top 10 of 108 scored citations.