Complementarities between algorithmic and human decision-making: The case of antibiotic prescribing

Research output: Contribution to journalJournal articleResearchpeer-review

Artificial Intelligence has the potential to improve human decisions in complex environments, but its effectiveness can remain limited if humans hold context-specific private information. Using the empirical example of antibiotic prescribing for urinary tract infections, we show that full automation of prescribing fails to improve on physician decisions. Instead, optimally delegating a share of decisions to physicians, where they possess private diagnostic information, effectively utilizes the complementarity between algorithmic and human decisions. Combining physician and algorithmic decisions can achieve a reduction in inefficient overprescribing of antibiotics by 20.3 percent.

Original languageEnglish
JournalQuantitative Marketing and Economics
ISSN1570-7156
DOIs
Publication statusAccepted/In press - 2024

Bibliographical note

Funding Information:
We benefited from valuable feedback by the editor and anonymous referees and helpful suggestions by Jason Abaluck, Rolf Magnus Arpi, Lars Bjerrum, Chiara Canta, Gloria Cristina Cordoba Currea, Greg Crawford, Tomaso Duso, G\u00FCnter Hitsch, Shan Huang, Ulrich Kaiser, Reinhold Kesler, Jenny Dahl Knudsen, Sidsel Kyst, Chlo\u00E9 Michel, Jeanine Mikl\u00F3s-Thal, Maria Polyakova, Carlo Reggiani, Sherri Rose, Stephen Ryan, Karl Schmedders, Aaron Schwartz, Andr\u00E9 Veiga, participants at the Annual Health Econometrics Workshop 2018, the 2019 CESifo Area Conference on the Economics of Digitization, the Digital Economy Workshop 2019, the 2019 NBER Conference on Machine Learning in Health Care, the International Conference on Computational Social Science 2020, as well as in seminars at DIW Berlin, ESMT Berlin, Toulouse Business School, University of Copenhagen, University of Zurich, and Vienna University of Economics and Business. Financial support from the European Research Council (ERC) under the European Union\u2019s Horizon 2020 research and innovation programme (grant agreement no. 802450) is gratefully acknowledged.

Publisher Copyright:
© The Author(s) 2024.

    Research areas

  • Antibiotic prescribing, Antibiotic resistance, C53, D83, Human-machine complementarity, I18, I19, L2, M15, Machine learning

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