Estimated Data Collection Organization Effect in the National Medical Care Expenditure Survey

The National Medical Care Expenditure Survey, which has a complex survey design, is further complicated by combining two independently drawn national samples of households from the Research Triangle Institute (RTI) and the National Opinion Research Center (NORC). It is assumed that since the structures of these national-area samples are similar, they are thereby compatible and allow for the derivation of statistically equivalent unbiased national estimates of relevant health parameters. In this paper, national parameter estimates of relevant demographic and health measures were separately produced for each of the two survey organizations and a determination was made regarding statistical equivalence across samples. In addition, the data-collection organization effect was estimated and tested within the framework of a multivariate analysis appropriate for complex survey data. The findings consistently revealed a statistically nonsignificant data-collection organization effect when testing for differences in domain estimates of the relevant health parameters under consideration.