The McNemar test is extended to multiple groups based on a latent class model incorporating classes representing consistent responders and a single latent error rate. The method is illustrated with data from a CDC survey of immunizations for flu and pneumonia for which a part-heterogeneous model is selected for interpretation.
Dayton, C. M. (2017). A reinterpretation and extension of McNemar’s test. Journal of Modern Applied Statistical Methods, 16(1), 20-33. doi: 10.22237/jmasm/1493596860