Metadata record for Community Tracking Study Physician Survey, 1998-1999: [United States] Inter-university Consortium for Political and Social Research ICPSR metadata records are licensed under a Creative Commons Attribution-Noncommercial 3.0 United States License . 2013-05-19 Community Tracking Study Physician Survey, 1998-1999: [United States] 3267 10.3886/ICPSR03267.v2 Center for Studying Health System Change Robert Wood Johnson Foundation 29275 Inter-university Consortium for Political and Social Research 2001-10-22 Community Tracking Study Series 2009-02-02 2009-02-02 Stata setups produced by ICPSR were added to the collection. 2004-02-24 2004-02-24 The user guide for the restricted-use version of the main data file has been revised. As noted on the "What's New" page in the guide, there are minor changes to the text related to the recommended SUDAAN parameters. 2002-03-01 2002-03-01 The user guides for the public- and restricted-use versions of the main data file have been revised. A discussion was added about how to pool data from Round 1 and Round 2 in order to increase sample size. In addition, the data definition statements have been enhanced. Center for Studying Health System Change. Community Tracking Study Physician Survey, 1998-1999: [United States] . ICPSR03267-v2. Ann Arbor, MI: Inter-university Consortium for Political and Social Research [distributor], 2009-02-02. doi:10.3886/ICPSR03267.v2 career expectations career goals communities counties health care delivery health care facilities health care services medical specializations patient care physician practice physicians NACDA.VI ICPSR.IX HMCA.I

This study comprises the second round of the physician survey component of the Community Tracking Study (CTS) sponsored by the Robert Wood Johnson Foundation. The CTS is a national study designed to track changes in the American health care system and the effects of the changes on care delivery and on individuals. Central to the design of the CTS is its community focus. Sixty sites (51 metropolitan areas and 9 nonmetropolitan areas) were randomly selected to form the core of the CTS and to be representative of the nation as a whole. As in the first round of the physician survey (COMMUNITY TRACKING STUDY PHYSICIAN SURVEY, 1996-1997: [UNITED STATES] (ICPSR 2597)), the second round was administered to physicians in the 60 CTS sites and to a supplemental national sample of physicians. The survey instrument collected information on physician supply and specialty distribution, practice arrangements and physician ownership of practices, physician time allocation, sources of practice revenue, level and determinants of physician compensation, provision of charity care, career satisfaction, physicians' perceptions of their ability to deliver care, views on care management strategies, and various other aspects of physicians' practice of medicine. In addition, primary care physicians (PCPs) were asked to recommend courses of action in response to some vignettes of clinical presentations for which there was no prescribed method of treatment.

Dataset 3, the Site and County Crosswalk Data File, identifies the counties that constitute each CTS site.

Dataset 4, the Physician Survey Summary File, contains site-level estimates and standard errors of the estimates for selected physician characteristics, e.g., the percentage of physicians who were foreign medical school graduates, the mean age of physicians, and the mean percentage of patient care practice revenue from Medicaid.

1998 1999 1998 1999 United States Physicians practicing in the 48 states of the contiguous United States who provided direct patient care for at least 20 hours per week and were not federal employees, specialists in fields in which the primary focus was not direct patient care, or graduates of foreign medical schools who were only temporarily licensed to practice in the United States. Residents, interns, and fellows were excluded. survey data The CTS sites were selected using stratified sampling with probability proportional to population size. The supplemental sample, which was selected using stratified random sampling, was included in the survey in order to increase the precision of national estimates. The sample frame was developed by combining lists of physicians from the American Medical Association and the American Osteopathic Association. For both the site and supplemental samples, the sampling design involved randomly selecting physicians who were part of the Round 1 survey and physicians who were not covered by Round 1. Thus, about 58 percent of the Round 2 respondents also participated in Round 1. PCPs were oversampled in the site sample. computer-assisted telephone interview (CATI)

ICPSR data undergo a confidentiality review and are altered when necessary to limit the risk of disclosure. ICPSR also routinely creates ready-to-go data files along with setups in the major statistical software formats as well as standard codebooks to accompany the data. In addition to these procedures, ICPSR performed the following processing steps for this data collection:

Checked for undocumented or out-of-range codes. For additional information about this study see the Web site of the Center for Studying Health System Change. Ann Arbor, Mi.: Inter-university Consortium for Political and Social Research Additional special permissions, where applicable, are described in the restrictions field. As explained in the technical documentation, some 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.

Please read the terms of use below. If you agree to them, click on the "I Agree" button to proceed. If you do not agree, you can click on the "I Do Not Agree" button to return to the home page.

ICPSR adheres to the principles of the Data Seal of Approval , which, in part, require the data consumer to comply with access regulations imposed both by law and by the data repository, and to conform to codes of conduct that are generally accepted in higher education and scientific research for the exchange of knowledge and information.

These data are distributed under the following terms of use, which are governed by ICPSR. By continuing past this point to the data retrieval process, you signify your agreement to comply with the requirements stated below:

Privacy of RESEARCH SUBJECTS

Any intentional identification of a RESEARCH SUBJECT (whether an individual or an organization) or unauthorized disclosure of his or her confidential information violates the PROMISE OF CONFIDENTIALITY given to the providers of the information. Therefore, users of data agree:

To use these datasets solely for research or statistical purposes and not for investigation of specific RESEARCH SUBJECTS, except when identification is authorized in writing by ICPSR (netmail@icpsr.umich.edu )

To make no use of the identity of any RESEARCH SUBJECT discovered inadvertently, and to advise ICPSR of any such discovery (netmail@icpsr.umich.edu )

 Redistribution of Data

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You serve as the OFFICIAL or DESIGNATED REPRESENTATIVE at an ICPSR MEMBER INSTITUTION and are assisting AUTHORIZED USERS with obtaining data, or

You are collaborating with other AUTHORIZED USERS to analyze the data for research or instructional purposes.

When sharing data or other materials in these approved ways, you must include all accompanying files with the data, including terms of use. More information on permission to redistribute data can be found on the ICPSR Web site.

Citing Data

You agree to reference the recommended bibliographic citation in any publication that employs resources provided by ICPSR. Authors of publications based on ICPSR data are required to send citations of their published works to ICPSR for inclusion in a database of related publications (bibliography@icpsr.umich.edu ) .

Disclaimer

You acknowledge that the original collector of the data, ICPSR, and the relevant funding agency bear no responsibility for use of the data or for interpretations or inferences based upon such uses.

Violations

If ICPSR determines that the terms of this agreement have been violated, ICPSR will act according to our policy on terms of use violations . Sanctions can include:

ICPSR may revoke the existing agreement, demand the return of the data in question, and deny all future access to ICPSR data.

The violation may be reported to the Research Integrity Officer, Institutional Review Board, or Human Subjects Review Committee of the user's institution. A range of sanctions are available to institutions including revocation of tenure and termination.

If the confidentiality of human subjects has been violated, the case may be reported to the Federal Office for Human Research Protections. This may result in an investigation of the user's institution, which can result in institution-wide sanctions including the suspension of all research grants.

A court may award the payment of damages to any individual(s)/organization(s) harmed by the breach of the agreement.

 Definitions authorized user - A faculty member, staff member, or student at a member institutionICPSR - Inter-university Consortium for Political and Social Researchmember institution - An institutional member of ICPSROfficial/Designated Representative - An individual appointed to represent a university's interests in ICPSR. This individual is also charged with providing user support to campus users. promise of confidentiality - A promise to a respondent or research participant that the information the respondent provides will not be disseminated without the permission of the respondent; that the fact that the respondent participated in the study will not be disclosed; and that disseminated information will include no linkages to the identity of the respondent. Such a promise encompasses traditional notions of both confidentiality and anonymity. Names and other identifying information regarding respondents, proxies, or other persons on whom the respondent or proxy provides information, are presumed to be confidential.research subject - A person or organization observed for purposes of research. Also called a respondent. A respondent is generally a survey respondent or informant, experimental or observational subject, focus group participant, or any other person providing information to a study or on whose behalf a proxy provides information.

AVAILABLE. This study is freely available to the general public.

 The original collector of the data, ICPSR, and the relevant funding agency bear no responsibility for use of the data or for interpretations or inferences based upon such uses. Public-Use Version of the Main Data File Restricted-Use Version of the Main Data File Site and County Crosswalk Data File Physician Survey Summary File