Southern Rural Access Program (SRAP) Survey of Access to Outpatient Medical Services in the Rural Southeast, 2002-2003 (ICPSR 4724)

Principal Investigator(s): Pathman, Donald E., University of North Carolina at Chapel Hill


This survey was conducted to obtain baseline data as part of an evaluation of the Southern Rural Access Program (SRAP), a Robert Wood Johnson Foundation initiative to improve access to health care services in select rural areas of eight states: Alabama, Arkansas, Georgia, Louisiana, Mississippi, South Carolina, West Virginia, and eastern Texas. Within these states, 150 nonmetropolitan counties were selected for SRAP participation based on perceived local health needs, willingness of local organizations and providers to partner with the program's efforts, and prospects for long-term program viability. The SRAP counties demonstrated greater socioeconomic need than other nonmetropolitan counties in the eight states: approximately 50 percent higher poverty rates, 30 percent higher unemployment, and 40 percent greater minority proportions. Topics covered by the survey include health status, health insurance coverage, health care access challenges, confidence in and satisfaction with health care, and utilization of outpatient services including specific disease prevention services. Personal demographic characteristics collected by the survey include age, sex, race, Hispanic origin, primary language spoken at home, marital status, educational achievement, work status, income, number of children at home, and the state, county, town, and ZIP code of residence. The data file also contains county-level and Primary Care Service Area (PCSA)-level contextual variables from external sources, such as population size, population composition by race, number of hospital beds, and variables indicating the presence of short term hospitals and Federally Qualified Health Centers.

Access Notes

  • One or more files in this data collection have special restrictions ; consult the restrictions note to learn more. You can apply online for access to the restricted-use data. A login is required to apply.

    As explained in the ICPSR Processing Note in the codebook, many variables are restricted from general dissemination for reasons of confidentiality. Users interested in obtaining these data must complete an Agreement for the Use of Confidential Data, specify the reasons for the request, and obtain IRB approval or notice of exemption for their research. Apply for access to these data through the ICPSR restricted data contract portal, which can be accessed via the study home page.

    Any public-use data files in this collection are available for access by the general public. Access does not require affiliation with an ICPSR member institution.


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Study Description


Pathman, Donald E. Southern Rural Access Program (SRAP) Survey of Access to Outpatient Medical Services in the Rural Southeast, 2002-2003. ICPSR04724-v2. Ann Arbor, MI: Inter-university Consortium for Political and Social Research [distributor], 2007-10-17.

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This study was funded by:

  • Robert Wood Johnson Foundation (036829 and 044706)

Scope of Study

Subject Terms:    health care, health care access, patient care, health insurance, medical care, health status, health services utilization, rural areas, nonmetropolitan areas, outpatient care

Geographic Coverage:    Alabama, Arkansas, Georgia, Louisiana, Mississippi, South Carolina, West Virginia, Texas, United States

Time Period:   

  • 2002-11--2003-07

Date of Collection:   

  • 2002-11--2003-07

Universe:    Persons 18 years old and over in the SRAP counties who spoke either English or Spanish and lived in their community for at least the twelve previous months.

Data Type(s):    survey data


Sample:    Random digit dialing modeled after the Behavioral Risk Factor Surveillance System was used. Up to 10 calls were made to randomly generated numbers within telephone exchanges and active number blocks in each county. Six-hundred completed surveys were targeted for the counties of each state. One individual was randomly selected within each household. Less populated counties were over-sampled.

Mode of Data Collection:    computer-assisted telephone interview (CATI)

Data Source:

Area Resource File (ARF). Bureau of Health Professions, Health Resources and Services Administration, U.S. Department of Health & Human Services, 2004

Primary Care Service Area and ZIP Code Tabulation Area Data. Geospatial Data Warehouse, Health Resources and Services Administration, U.S. Department of Health & Human Services, 2004.

Online Survey, Certification, and Reporting (OSCAR) Provider of Services (POS) System Data Base. Office of Information Services, Centers for Medicare and Medicaid Services, U.S. Department of Health and Human Services, 2003

Response Rates:    The participation rate of households reached was 51 percent, with 4,879 total respondents and 4,682 refusals. Any telephone number that was reached (i.e., the call was picked up) was conservatively treated as eligible and counted as a refusal if the call was terminated before it could be determined whether an eligible adult lived in the household.


Original ICPSR Release:   2007-06-27

Version History:

  • 2007-10-17 The verbatim responses to questions 75, 75A, 76, 76A, 78A, 78B, and 79A have been appended to the data file. These responses are restricted from general dissemination.

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