Comparing Medical Care Costs using Bayesian Credible Intervals for the Ratio of Means of Delta-Lognormal Distributions

When considering the medical care costs data with a high proportion of zero items of two inpatient groups, comparing them can be estimated using confidence intervals for the ratio of the means of two delta-lognormal distributions. The Bayesian credible interval-based uniform-beta prior (BCIh-UB) is proposed and compared with the generalized confidence interval (GCI), fiducial GCI (FGCI), the method of variance estimates recovery (MOVER), BCIh based on Jeffreys' rule prior (BCIh-JR), and BCIh based on the normal-gamma prior (BCIh-NG). The coverage probability (CP), average length (AL), and lower and upper error rates were the performance measures applied for assessing the methods through a Monte Carlo simulation. A numerical evaluation showed that BCIh-UB had much better CP and AL than the others even with a large difference between the variances and with a high proportion of zero. Finally, to illustrate the efficacy of BCIh-UB, the methods were applied to two sets of medical care costs data.