D. Malec et J. Sedransk, BAYESIAN PREDICTIVE INFERENCE FOR UNITS WITH SMALL SAMPLE SIZES - THECASE OF BINARY RANDOM-VARIABLES, Medical care, 31(5), 1993, pp. 190000066-190000070
The National Health Interview Survey is designed to produce precise es
timates for the entire United States but not for individual states. In
this study, Bayesian predictive inference is used to provide point es
timates and measures of variability for the desired finite population
quantities. The investigation reported here concerns binary random var
iables such as the occurrence of at least one doctor visit within the
past 12 months. The specification is hierarchic. First, for each clust
er, there is a separate logistic regression relating a patient's proba
bility of a doctor visit with his or her characteristics. Second, ther
e is a multivariate linear regression linking the (cluster) regression
parameters to covariates measured at the cluster level. A fully Bayes
ian analysis is carried out; this technique provides gains over synthe
tic estimation and conventional randomization-based analysis. The repo
rted approach is potentially useful for any situation when the sample
size associated with a unit of interest (e.g., a hospital or small geo
graphic area) is too small to permit satisfactory inference using only
the data from that unit.