ASA Connect

Dear ASA Community:

My dataset is structured with PatientID, HospitalID, patient variables such as (age, gender, race, disease variables),
hospital variables such as (urban/rural, for-profit/not-for-profit, etc.).

A researcher is interested in hospital-level predictors of the cost of a specific procedure.

Does anyone have suggestions for articles or resources that focus on analysis at the facility level, when the original dataset contains persons clustered within facilities?

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Brandy Sinco, BS, MA, MS
Statistician Senior
Michigan Medicine
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Dear Brandy,

In my experience, multilevel models are perfect for this. We recently published an example in education (https://www.tandfonline.com/doi/full/10.1080/00224065.2020.1828008), for which we used materials such as the book Data Analysis Using Regression and Multilevel/Hierarchical Models by Gelman. 

Let me know if you have any questions!

Best,
Dr. Leo Huberts
University of Amsterdam

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Leo Huberts
Universiteit Van Amsterdam
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Original Message:
Sent: 05-20-2021 11:41
From: Brandy Sinco
Subject: Model for hospitals from data with patients within hospitals

Dear ASA Community:

My dataset is structured with PatientID, HospitalID, patient variables such as (age, gender, race, disease variables),
hospital variables such as (urban/rural, for-profit/not-for-profit, etc.).

A researcher is interested in hospital-level predictors of the cost of a specific procedure.

Does anyone have suggestions for articles or resources that focus on analysis at the facility level, when the original dataset contains persons clustered within facilities?

------------------------------
Brandy Sinco, BS, MA, MS
Statistician Senior
Michigan Medicine
------------------------------

Hi Brandy,

Croon, Marcel a, and Marc J P M van Veldhoven. "Predicting Group-Level Outcome Variables from Variables Measured at the Individual Level: A Latent Variable Multilevel Model." Psychological Methods 12, no. 1 (2007): 45–57. https://doi.org/10.1037/1082-989X.12.1.45.

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Travis Loux
Associate Professor of Biostatistics
Saint Louis University
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Original Message:
Sent: 05-20-2021 11:41
From: Brandy Sinco
Subject: Model for hospitals from data with patients within hospitals

Dear ASA Community:

My dataset is structured with PatientID, HospitalID, patient variables such as (age, gender, race, disease variables),
hospital variables such as (urban/rural, for-profit/not-for-profit, etc.).

A researcher is interested in hospital-level predictors of the cost of a specific procedure.

Does anyone have suggestions for articles or resources that focus on analysis at the facility level, when the original dataset contains persons clustered within facilities?

------------------------------
Brandy Sinco, BS, MA, MS
Statistician Senior
Michigan Medicine
------------------------------

Brandy,

Would Stan (https://mc-stan.org/) help you?  R's brms package interface to Stan (https://cran.r-project.org/web/packages/brms/index.html)  might make it easier.

Bill

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Bill Harris
Data & Analytics Consultant
Snohomish County PUD
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Original Message:
Sent: 05-20-2021 11:41
From: Brandy Sinco
Subject: Model for hospitals from data with patients within hospitals

Dear ASA Community:

My dataset is structured with PatientID, HospitalID, patient variables such as (age, gender, race, disease variables),
hospital variables such as (urban/rural, for-profit/not-for-profit, etc.).

A researcher is interested in hospital-level predictors of the cost of a specific procedure.

Does anyone have suggestions for articles or resources that focus on analysis at the facility level, when the original dataset contains persons clustered within facilities?

------------------------------
Brandy Sinco, BS, MA, MS
Statistician Senior
Michigan Medicine
------------------------------