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In a study of malpractice claims where a settlement had been reached, two random samples were selected: a random sample of 515 closed malpractice claims that were found not to involve medical errors and a random sample of 889 claims that were found to involve errors (New England Journal of Medicine [2006]: \(2024-2033\) ). The following statement appeared in the referenced paper: "When claims not involving errors were compensated, payments were significantly lower on average than were payments for claims involving errors \((\$ 313,205\) vs. \(\$ 521,560, P=0.004) . "\) a. What hypotheses must the researchers have tested in order to reach the stated conclusion? b. Which of the following could have been the value of the test statistic for the hypothesis test? Explain your reasoning. i. \(t=5.00\) ii. \(t=2.65\) iii. \(t=2.33\) iv. \(t=1.47\)

Short Answer

Expert verified
The hypotheses that the researchers must have tested are: \(H_0: \mu_1 = \mu_2\) and \(H_a: \mu_1 > \mu_2\). The possible values for the test statistic in this test, given the p-value and the nature of the alternative hypothesis, are \(t=5.00\), \(t=2.65\), and \(t=2.33\).

Step by step solution

01

Formulate the hypotheses

Given the context in the exercise, the null hypothesis \(H_0\) is that there are no significant differences in the payouts for malpractice claims that involve errors and those that do not. In other words, the mean of claim settlements involving errors is equal to the mean of claim settlements not involving errors. The alternative hypothesis \(H_a\) is that there is a significant difference, more specifically that the mean value of the claim settlements involving errors is greater than those not involving errors. These are mathematically stated as: \(H_0: \mu_1 = \mu_2\) and \(H_a: \mu_1 > \mu_2\)
02

Test-statistic values analysis

Since it is established that the p-value is 0.004, this is less than the commonly used significance level of 0.05. This means that the null hypothesis is rejected, implying there is a significant difference in payouts for claims with errors and those without. Therefore, the t-statistic for this test must point to the right side of the t-distribution, that is, it must be a positive value to convey that the mean of the group with errors is greater. Therefore, out of the given options, the potential values for the test statistic are \(t=5.00\), \(t=2.65\) and \(t=2.33\). The value \(t=1.47\) is less likely as it might not correspond to a p-value as low as 0.004.

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Key Concepts

These are the key concepts you need to understand to accurately answer the question.

Null Hypothesis
The null hypothesis, often denoted as \( H_0 \), is a starting point in hypothesis testing. It represents the assumption that there is no effect or no difference in the study being conducted.
For the exercise involving malpractice claims, the null hypothesis states that the average payout for claims involving errors \( \mu_1 \) is equal to the average payout for claims not involving errors \( \mu_2 \).

Mathematically, this can be expressed as:
\[ H_0: \mu_1 = \mu_2 \]
This hypothesis is tested to explore whether there is sufficient evidence to prove any difference between the two averages. Only if there is strong evidence against the null hypothesis do we consider an alternative assumption.
Understanding the null hypothesis is crucial because it provides a baseline for our statistical tests. If our test shows that the data aligns with \( H_0 \), then we conclude that there is no statistically significant difference between the groups studied.
Alternative Hypothesis
The alternative hypothesis, symbolized as \( H_a \), is the statement that indicates the presence of an effect or a difference. It is what the researchers aim to support in their study.
In our exercise, the alternative hypothesis suggests that the average payout for claims involving errors is greater than those for claims without errors. This is because the study aims to reveal a difference in amounts between errors-related claims and non-errors-related claims.

The mathematical form of the alternative hypothesis is:
\[ H_a: \mu_1 > \mu_2 \]
This inequality reflects the belief that the mean claims involving errors are significantly larger. Testing the alternative hypothesis requires substantial evidence against the null hypothesis. Only then can we accept \( H_a \), suggesting the observed differences are not due to random chance.
Conclusively, the alternative hypothesis is the key focus of any statistical test, dictating the direction which the research hopes to prove.
p-value
The p-value is a crucial component in hypothesis testing and represents the probability of observing the test results, or more extreme, given that the null hypothesis is true.
In our context, a p-value of 0.004 suggests there is a very low probability of observing the payout difference solely due to random variation if there really was no difference ( the null hypothesis is true).

This small p-value indicates strong evidence against the null hypothesis. Typically:
  • A p-value less than 0.05 signifies statistical significance, prompting us to reject the null hypothesis.
  • Conversely, a p-value higher than 0.05 suggests insufficient evidence to reject \( H_0 \).
In our malpractice study, a p-value of 0.004 leads us to confidently reject the null hypothesis, thus supporting the alternative hypothesis which proposes a difference.
Ultimately, understanding the p-value helps in identifying the strength of your test results and in making informed decisions.
t-statistic
The t-statistic is a value obtained from a t-test, which quantifies the difference observed between two groups relative to the variability observed within the groups. In the given exercise, the researchers needed to determine if the difference in malpractice claim payouts was significant.
The t-statistic serves several purposes:
  • Indicates the strength of the evidence against the null hypothesis.
  • Helps in calculating the p-value.
In the exercise, suitable t-statistics would be higher values such as 5.00, 2.65, or 2.33, as these suggest strong evidence that favors the alternative hypothesis.
Calculating the t-statistic involves looking at the difference between group means and the variability within the groups while scaling it by sample size.
In summary, the t-statistic is a tool that anchors our hypotheses testing, allowing us to quantify the effect size in relation to randomness, leading us to conclusive results.

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Most popular questions from this chapter

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