Kerry and Bland (1998) describe the analysis of cluster randomized studies where a group of subjects are

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Kerry and Bland (1998) describe the analysis of cluster randomized studies where a group of subjects are randomized to the same treatment. For ex-

ample, when women in some randomly selected districts are o ered breast cancer screening while women in other districts are not o ered the screen-

ing, or when some general practitioners are randomly assigned to receive one or more courses of special training and the others are not o ered the training. The response (some characteristic of the patients) in the clus-

ter trials must be measured on each patient rather than the group as a whole. What is the experimental unit in this type of study? How would you describe the individual measurements on patients?

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