Abstract
A significant amount of survey resources are allocated to obtaining the participation of households that constitute the last ten percent of the survey response rate. Often, a substantial representation of these households were initial refusals to the survey. This paper is directed to an analysis of the factors that distinguished those households that required special efforts to obtain their participation in the National Medical Expenditure Survey. The quality of the data obtained from these reluctant respondents is examined, in addition to assessing the likelihood of achieving their cooperation for all required rounds of data collection. The results have significant design implications for future medical expenditure surveys.
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