Modeling zero-modified count and semicontinuous data in health services research part 2: case studies

Stat Med. 2016 Nov 30;35(27):5094-5112. doi: 10.1002/sim.7063. Epub 2016 Aug 8.

Abstract

This article is the second installment of a two-part tutorial on the analysis of zero-modified count and semicontinuous data. Part 1, which appears as a companion piece in this issue of Statistics in Medicine, provides a general background and overview of the topic, with particular emphasis on applications to health services research. Here, we present three case studies highlighting various approaches for the analysis of zero-modified data. The first case study describes methods for analyzing zero-inflated longitudinal count data. Case study 2 considers the use of hurdle models for the analysis of spatiotemporal count data. The third case study discusses an application of marginalized two-part models to the analysis of semicontinuous health expenditure data. Copyright © 2016 John Wiley & Sons, Ltd.

Keywords: Hurdle model; health services research; semicontinuous data; two-part model; zero inflation; zero-modified data.

MeSH terms

  • Biometry
  • Health Expenditures
  • Health Services Research*
  • Humans
  • Models, Statistical*