Abstract
Multilevel analysis is today considered a more appropriate way to monitor health care performance, as it allows a less biased estimation of uncertainty, and can also separate and quantify contextual (as opposed to individual) effects. Multilevel analysis should be applied as the standard methodology for hospital comparisons. A greater awareness of this question in future Journal articles may be in order.
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Merlo, J. Changing Analytical Approaches in European Epidemiology – A Short Comment on a Recent Article. Eur J Epidemiol 20, 737 (2005). https://doi.org/10.1007/s10654-005-2065-9
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DOI: https://doi.org/10.1007/s10654-005-2065-9