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Causal Mediation Analysis for Standardized Mortality Ratios

Indirectly standardized mortality ratios (SMR) are often used to compare patient outcomes between health care providers as indicators of quality of care. Observed differences in the outcomes raise the question of whether these could be causally attributable to earlier processes or outcomes in the pathway of care that the patients received. Such pathways can be naturally addressed in a causal mediation analysis framework.

New publication in Epidemiology.

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