Abstract: The application of linear mixed models or generalized linear mixed models to large databases in which the level 2 units (hospitals) have a wide variety of characteristics is a problem frequently encountered in studies of medical quality. Accurate estimation of model parameters and standard errors requires accounting for the grouping of outcomes within hospitals. Including the hospitals as random effect in the model is a common method of doing so. However in a large, diverse population, the required assump tions are not satisfied, which can lead to inconsistent and biased parameter estimates. One solution is to use cluster analysis with clustering variables distinct from the model covariates to group the hospitals into smaller, more homogeneous groups. The analysis can then be carried out within these groups. We illustrate this analysis using an example of a study of hemoglobin A1c control among diabetic patients in a national database of United States Department of Veterans’ Affairs (VA) hospitals.
Abstract: A new set of methods are developed to perform cluster analysis of functions, motivated by a data set consisting of hydraulic gradients at several locations distributed across a wetland complex. The methods build on previous work on clustering of functions, such as Tarpey and Kinateder (2003) and Hitchcock et al. (2007), but explore functions generated from an additive model decomposition (Wood, 2006) of the original time series. Our decomposition targets two aspects of the series, using an adaptive smoother for the trend and circular spline for the diurnal variation in the series. Different measures for comparing locations are discussed, including a method for efficiently clustering time series that are of different lengths using a functional data approach. The complicated nature of these wetlands are highlighted by the shifting group memberships depending on which scale of variation and year of the study are considered.
Abstract: This paper describes and compares three clustering techniques: traditional clustering methods, Kohonen maps and latent class models. The paper also proposes some novel measures of the quality of a clustering. To the best of our knowledge, this is the first contribution in the literature to compare these three techniques in a context where the classes are not known in advance.