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  • Mixed-Effect Zero Inflated Negative Binomial model ??

    Hello,
    I have a study where I am evaluating the relationship between the total number of health care visits and geographic access (measured by travel time categories).
    Initially I thought this would be a mixed-effects Poisson regression - total visits + individual level fixed effects & random intercept at geographic area level -- and using robust SE.

    However, I have a significant amount of no-visits (25.7%) for my dependent variable.

    Therefore I'm looking at a mixed effect zero-inflated negative binomial model. I am wondering if this is logical or if others have recommendations.

    Thanks,
    Devin
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