“…Pertinent questions are how much improvement can be gained through manual intervention, and how much effort is required to obtain that improvement (i.e., is it worth it)? Although the practice is used throughout the health literature [ 2 , 11 , 14 , 15 , 17 - 19 , 26 - 29 , 34 - 36 ] and elsewhere [ 37 - 40 ], little quantitative research exists on the benefits or drawbacks of employing a manual intervention approach for improving the quality of one's geocodes in terms of the effort required. Manual approaches have typically been applied to small scale problems [ 11 , 19 , 26 , 27 , 33 - 36 ], and/or to samples of addresses representing a population with a single characteristic, e.g., all within a single area [ 15 , 26 , 27 , 36 ], all rural addresses [ 15 , 26 , 34 ], all addresses of individuals with a particular type of cancer e.g., breast cancer [ 14 ], or all industrial complexes [ 35 ].…”