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Activity Number: 104
Type: Contributed
Date/Time: Monday, August 4, 2008 : 8:30 AM to 10:20 AM
Sponsor: Section on Health Policy Statistics
Abstract - #302050
Title: The Essential Role of Pair Matching in Cluster-Randomized Experiments, with Application to the Mexican Universal Health Insurance Evaluation
Author(s): Kosuke Imai*+ and Gary King and Clayton Nall
Companies: Princeton University and Harvard University and Harvard University
Address: Department of Politics, Princeton, NJ, 08544,
Keywords: causal inference ; community intervention trials ; group-randomized trials ; matched-pair design ; health policy ; noncompliance
Abstract:

A basic feature of many field experiments is that investigators are only able to randomize clusters of individuals even when individuals are the unit of interest. To recoup some of the resulting efficiency loss, many studies use the ``matched-pair cluster-randomized design.'' Other studies avoid pairing, because some claim to have identified serious problems with this design. We prove that all such claims are unfounded, and show that the estimator favored in the literature is appropriate only in situations where matching is not needed. To address this problem, we propose a simple nonparametric estimator with improved statistical properties. We show that from the perspective of bias, efficiency, power, or robustness, pairing should be used whenever feasible. We develop these techniques in the context of a randomized evaluation of the Mexican Universal Health Insurance Program.


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