IDEAS home Printed from https://ideas.repec.org/a/spr/stmapp/v27y2018i1d10.1007_s10260-017-0390-2.html
   My bibliography  Save this article

Evaluation of long-term health care services through a latent Markov model with covariates

Author

Listed:
  • Giorgio E. Montanari

    (University of Perugia)

  • Silvia Pandolfi

    (University of Perugia)

Abstract

We focus on the evaluation of the long-term health care services provided to elderly patients by nursing homes of four different health districts in the Umbria region (Italy). To this end, we analyze data coming from a longitudinal survey aimed at assessing several aspects of patient health conditions and develop an extended version of the latent Markov model with covariates, which allows us to deal with dropout and intermittent missing data patterns that are common in longitudinal studies. Maximum likelihood estimates are obtained by a two-step approach that allows for fast estimation of model parameters and prevents some drawbacks of the standard maximum likelihood method encountered in the presence of many response variables and covariates. In the application to the observed data, we show how to obtain indicators of the effectiveness of the health care services delivered by each health district, by means of a resampling procedure.

Suggested Citation

  • Giorgio E. Montanari & Silvia Pandolfi, 2018. "Evaluation of long-term health care services through a latent Markov model with covariates," Statistical Methods & Applications, Springer;Società Italiana di Statistica, vol. 27(1), pages 151-173, March.
    • Handle: RePEc:spr:stmapp:v:27:y:2018:i:1:d:10.1007_s10260-017-0390-2
    DOI: 10.1007/s10260-017-0390-2
    as

    Download full text from publisher

    File URL: http://link.springer.com/10.1007/s10260-017-0390-2
    File Function: Abstract
    Download Restriction: Access to the full text of the articles in this series is restricted.
    File URL: https://libkey.io/10.1007/s10260-017-0390-2?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. S. Bacci & S. Pandolfi & F. Pennoni, 2014. "A comparison of some criteria for states selection in the latent Markov model for longitudinal data," Advances in Data Analysis and Classification, Springer;German Classification Society - Gesellschaft für Klassifikation (GfKl);Japanese Classification Society (JCS);Classification and Data Analysis Group of the Italian Statistical Society (CLADAG);International Federation of Classification Societies (IFCS), vol. 8(2), pages 125-145, June.
    2. Bartolucci, Francesco & Montanari, Giorgio E. & Pandolfi, Silvia, 2015. "Three-step estimation of latent Markov models with covariates," Computational Statistics & Data Analysis, Elsevier, vol. 83(C), pages 287-301.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Joan Gil & Paolo Li Donni & Eugenio Zucchelli, 2019. "Uncontrolled diabetes and health care utilisation: A bivariate latent Markov model approach," Health Economics, John Wiley & Sons, Ltd., vol. 28(11), pages 1262-1276, November.
    2. Giorgio E. Montanari & Marco Doretti, 2019. "Ranking Nursing Homes’ Performances Through a Latent Markov Model with Fixed and Random Effects," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 146(1), pages 307-326, November.
    3. Giorgio Eduardo Montanari & Marco Doretti & Maria Francesca Marino, 2022. "Model-based two-way clustering of second-level units in ordinal multilevel latent Markov models," Advances in Data Analysis and Classification, Springer;German Classification Society - Gesellschaft für Klassifikation (GfKl);Japanese Classification Society (JCS);Classification and Data Analysis Group of the Italian Statistical Society (CLADAG);International Federation of Classification Societies (IFCS), vol. 16(2), pages 457-485, June.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Giorgio Eduardo Montanari & Marco Doretti & Maria Francesca Marino, 2022. "Model-based two-way clustering of second-level units in ordinal multilevel latent Markov models," Advances in Data Analysis and Classification, Springer;German Classification Society - Gesellschaft für Klassifikation (GfKl);Japanese Classification Society (JCS);Classification and Data Analysis Group of the Italian Statistical Society (CLADAG);International Federation of Classification Societies (IFCS), vol. 16(2), pages 457-485, June.
    2. Montanari, Giorgio E. & Doretti, Marco & Bartolucci, Francesco, 2017. "A multilevel latent Markov model for the evaluation of nursing homes' performance," MPRA Paper 80691, University Library of Munich, Germany.
    3. Simon DeDeo, 2016. "Conflict and Computation on Wikipedia: A Finite-State Machine Analysis of Editor Interactions," Future Internet, MDPI, vol. 8(3), pages 1-23, July.
    4. Renske E. Kuijpers & Ingmar Visser & Dylan Molenaar, 2021. "Testing the Within-State Distribution in Mixture Models for Responses and Response Times," Journal of Educational and Behavioral Statistics, , vol. 46(3), pages 348-373, June.
    5. Qi Chen & Wen Luo & Gregory J. Palardy & Ryan Glaman & Amber McEnturff, 2017. "The Efficacy of Common Fit Indices for Enumerating Classes in Growth Mixture Models When Nested Data Structure Is Ignored," SAGE Open, , vol. 7(1), pages 21582440177, March.
    6. Di Mari, Roberto & Bakk, Zsuzsa & Oser, Jennifer & Kuha, Jouni, 2023. "A two-step estimator for multilevel latent class analysis with covariates," LSE Research Online Documents on Economics 119994, London School of Economics and Political Science, LSE Library.
    7. Francesco Bartolucci & Fulvia Pennoni & Giorgio Vittadini, 2016. "Causal Latent Markov Model for the Comparison of Multiple Treatments in Observational Longitudinal Studies," Journal of Educational and Behavioral Statistics, , vol. 41(2), pages 146-179, April.
    8. Fulvia Pennoni & Ewa Genge, 2020. "Analysing the course of public trust via hidden Markov models: a focus on the Polish society," Statistical Methods & Applications, Springer;Società Italiana di Statistica, vol. 29(2), pages 399-425, June.
    9. Geir D. Berentsen & Jan Bulla & Antonello Maruotti & Bård Støve, 2022. "Modelling clusters of corporate defaults: Regime‐switching models significantly reduce the contagion source," Journal of the Royal Statistical Society Series C, Royal Statistical Society, vol. 71(3), pages 698-722, June.
    10. F. Bartolucci & A. Farcomeni & F. Pennoni, 2014. "Latent Markov models: a review of a general framework for the analysis of longitudinal data with covariates," TEST: An Official Journal of the Spanish Society of Statistics and Operations Research, Springer;Sociedad de Estadística e Investigación Operativa, vol. 23(3), pages 433-465, September.
    11. Francesca Bassi & Fulvia Pennoni & Luca Rossetto, 2020. "The Italian market of sparkling wines: Latent variable models for brand positioning, customer loyalty, and transitions across brands' preferences," Agribusiness, John Wiley & Sons, Ltd., vol. 36(4), pages 542-567, October.
    12. Silvia Bacci & Francesco Bartolucci & Giulia Bettin & Claudia Pigini, 2017. "A mixture growth model for migrants' remittances: An application to the German Socio-Economic Panel," Mo.Fi.R. Working Papers 145, Money and Finance Research group (Mo.Fi.R.) - Univ. Politecnica Marche - Dept. Economic and Social Sciences.
    13. Antonello Maruotti & Jan Bulla & Tanya Mark, 2019. "Assessing the influence of marketing activities on customer behaviors: a dynamic clustering approach," METRON, Springer;Sapienza Università di Roma, vol. 77(1), pages 19-42, April.
    14. David Aristei & Silvia Bacci & Francesco Bartolucci & Silvia Pandolfi, 2021. "A bivariate finite mixture growth model with selection," Advances in Data Analysis and Classification, Springer;German Classification Society - Gesellschaft für Klassifikation (GfKl);Japanese Classification Society (JCS);Classification and Data Analysis Group of the Italian Statistical Society (CLADAG);International Federation of Classification Societies (IFCS), vol. 15(3), pages 759-793, September.
    15. Leonard Paas, 2014. "Comments on: Latent Markov models: a review of a general framework for the analysis of longitudinal data with covariates," TEST: An Official Journal of the Spanish Society of Statistics and Operations Research, Springer;Sociedad de Estadística e Investigación Operativa, vol. 23(3), pages 473-477, September.
    16. Philippe Carette & Marie-Anne Guerry, 2022. "Markov models for duration-dependent transitions: selecting the states using duration values or duration intervals?," Statistical Methods & Applications, Springer;Società Italiana di Statistica, vol. 31(5), pages 1203-1223, December.
    17. Dylan Molenaar & Paul Boeck, 2018. "Response Mixture Modeling: Accounting for Heterogeneity in Item Characteristics across Response Times," Psychometrika, Springer;The Psychometric Society, vol. 83(2), pages 279-297, June.
    18. Hans Jørn Juhl & Morten H. J. Fenger & John Thøgersen, 2017. "Will the Consistent Organic Food Consumer Step Forward? An Empirical Analysis," Journal of Consumer Research, Journal of Consumer Research Inc., vol. 44(3), pages 519-535.
    19. Morgan, Grant B. & Hodge, Kari J. & Baggett, Aaron R., 2016. "Latent profile analysis with nonnormal mixtures: A Monte Carlo examination of model selection using fit indices," Computational Statistics & Data Analysis, Elsevier, vol. 93(C), pages 146-161.
    20. Giorgio E. Montanari & Marco Doretti, 2019. "Ranking Nursing Homes’ Performances Through a Latent Markov Model with Fixed and Random Effects," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 146(1), pages 307-326, November.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:spr:stmapp:v:27:y:2018:i:1:d:10.1007_s10260-017-0390-2. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Sonal Shukla or Springer Nature Abstracting and Indexing (email available below). General contact details of provider: http://www.springer.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.