A Multiple State Duration Model with Endogenous Treatment
This study develops a discrete multiple state duration model that al- lows for duration dependence, unmeasured heterogeneity, partial observ- ability of the state and endogenous time-varying treatment. Our econo- metric strategy has numerous potential empirical applications. We apply our duration model to the progression of diabetic neuropathy, a compli- cation of diabetes with four levels of progression, which if left untreated may lead to amputation. Our results show that the longer a person has diabetes without having being diagnosed (and treated) increases the prob- abilities of transitioning to a worse stage, death or amputation.
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