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To determine whether inappropriate requesting varied at the patient level, rather than at the request level, we first used multilevel modeling using MLwiN software [version 2.22, Centre for Multi-Level Modeling, University of Bristol; this method is also available with Stata statistical software, version 8.0, by use of "gllam" and "xtmixed" with the "xt" commands (15)].
(2.) Since the dependent variable is non-linear, I estimate the model using the Generalized Linear and Latenet Mixed Model procedure (gllam procedure in Stata).