we are looking at a series of pilot studies - which we know have very severe selection bias. However we know from the literature and experience what drives the selection bias. We have been asked to examine the outcomes and costs of rolling out the pilots to the total population. We therefore need to somehow move from the pilot to inferring something about the whole population.
I am coming to believe that if we gather a non-probability sample of the whole population which takes account of the selection bias we can estimate through PSA we can find the effects of the outcome and then we can weight these to reflect the total population. Is this right?
I should add the literature from around the world shows that this intervention is always and everywhere better however the literature is very quiet on the costs. So we need to quantify the outcome improvement and compare it to the cost (increase or decrease).
one other consideration - we know that some groups are very expensive under the old regime and remain so in the new regime - likewise a group who are relatively cheap. However we know of one group who are expensive in the old regime but have very variable costs in the new regime (very, very high and relatively low) in the new regime. We intend to over-sample this group.
As background - the pilots are looking at people with a disability in Ireland who live in institutions - Government policy Is to de-congregate over the next few years. Some pilots have been run and these have been very successful. But we are unclear what the transition costs are and how much the new system will need. The group who have variable outcomes are people with behaviour that challenges. Sometimes their challenging behaviour declines and sometimes they need a staff of 8 so there is a loss of economies of scale.