A High-Resolution Analysis of Process Improvement: Use of Quantile Regression for Wait Time

Authors


Address correspondence to Dongseok Choi, Ph.D., Department of Public Health and Preventive Medicine, Oregon Health & Science University, 3181 SW Sam Jackson Park Road CB669, Portland, OR 97239; e-mail: choid@ohsu.edu.

Abstract

Objective

Apply quantile regression for a high-resolution analysis of changes in wait time to treatment and assess its applicability to quality improvement data compared with least-squares regression.

Data Source

Addiction treatment programs participating in the Network for the Improvement of Addiction Treatment.

Methods

We used quantile regression to estimate wait time changes at 5, 50, and 95 percent and compared the results with mean trends by least-squares regression.

Principal Findings

Quantile regression analysis found statistically significant changes in the 5 and 95 percent quantiles of wait time that were not identified using least-squares regression.

Conclusions

Quantile regression enabled estimating changes specific to different percentiles of the wait time distribution. It provided a high-resolution analysis that was more sensitive to changes in quantiles of the wait time distributions.

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