Effects of some design factors on the distribution of similarity indices in cluster analysis

This article investigates the effects of number of clusters, cluster size, and correction for chance agreement on the distribution of two similarity indices, namely, Jaccard and Rand indices. Skewness and kurtosis are calculated for the two indices and their corrected forms then compared with those of the normal distribution. Three clustering algorithms are implemented: complete linkage, Ward, and K-means. Data were randomly generated from bivariate normal distributions with specified means and variance covariance matrices. Three-way ANOVA is performed to assess the significance of the design factors using skewness and kurtosis of the indices as responses. Test statistics for testing skewness and kurtosis and observed power are calculated. Simulation results showed that independent of the clustering algorithms or the similarity indices used, the interaction effect cluster size x number of clusters and the main effects of cluster size and number of clusters were found always significant for skewness and kurtosis. The three way interaction of cluster size x correction x number of clusters was significant for skewness of Rand and Jaccard indices using all clustering algorithms, but was not significant using Ward's method for both Rand and Jaccard indices, while significant for Jaccard only using complete linkage and K-means algorithms. The correction for chance agreement was significant for skewness and kurtosis using Rand and Jaccard indices when complete linkage method is used. Hence, such design factors must be taken into consideration when studying distribution of such indices.     

Confidence interval estimation for the population coefficient of variation using ranked set sampling: a simulation study

In this paper, an evaluation of the performance of several confidence interval estimators of the population coefficient of variation (τ) using ranked set sampling compared to simple random sampling is performed. Two performance measures are used to assess the confidence intervals for τ, namely: width and coverage probabilities. Simulated data were generated from normal, log-normal, skew normal, Gamma, and Weibull distributions with specified population parameters so that the same values of τ are obtained for each distribution, with sample sizes n=15, 20, 25, 50, 100. A real data example representing birth weight of 189 newborns is used for illustration and performance comparison.     

Challenges to care coordination posed by the use of multiple health IT applications

Coordinating care for hospitalized patients requires the use of multiple sources of information. Using a macroergonomic framework (i.e. the work system model), we conducted interviews and observations of care managers involved in care coordination across transitions of care. When information is distributed across multiple health IT applications, care managers experience a range of challenges, including organizational barriers, technology design problems, skills and knowledge issues, and task performance demands (i.e. issues related to individual information processing and management and sharing of information). These challenges can be used as a checklist to evaluate the proposed IT infrastructure that will allow the integration of multiple health IT applications and, therefore, support coordination across transitions of care.