Metadata record for National Medical Expenditure Survey, 1987: Survey of American Indians and Alaska Natives, Preliminary Population Characteristics [Public Use Tape 20P] 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 National Medical Expenditure Survey, 1987: Survey of American Indians and Alaska Natives, Preliminary Population Characteristics [Public Use Tape 20P] 6231 10.3886/ICPSR06231.v1 United States Department of Health and Human Services. Agency for Health Care Policy and Research Inter-university Consortium for Political and Social Research 1994-03-10 National Medical Expenditure Survey Series U.S. Dept. of Health and Human Services, Agency for Health Care Policy and Research. NATIONAL MEDICAL EXPENDITURE SURVEY, 1987: SURVEY OF AMERICAN INDIANS AND ALASKA NATIVES, PRELIMINARY POPULATION CHARACTERISTICS [PUBLIC USE TAPE 20P]. Rockville, MD: U.S. Dept. of Health and Human Services, Agency for Health Care Policy and Research [producer], 1993. Ann Arbor, MI: Inter-university Consortium for Political and Social Research [distributor], 1994. doi:10.3886/ICPSR06231.v1 Alaskan Natives health care costs health care services health expenditures health insurance health services utilization insurance coverage medical care Native Americans payment methods population characteristics AHRQMCC.I NACDA.VI ICPSR.IX RCMD.V The National Medical Expenditure Survey (NMES) series provides information on health expenditures by or on behalf of families and individuals, the financing of these expenditures, and each person's use of services. The Survey of American Indians and Alaska Natives (SAIAN) was designed in collaboration with the Indian Health Service (IHS), and used the same data collection instruments, interview procedures, and time frame as the NMES Household Survey component. However, the SAIAN differed from the Household Survey in several respects. The SAIAN sample was interviewed only three times and was not given the supplements on long-term care, caregiving, and care-receiving. Also, SAIAN respondents were asked additional questions on topics such as use of IHS facilities and traditional medicine, and were given a modified self-administered questionnaire with separate versions for adults and children. Interviewers for the SAIAN were mainly American Indians or Alaska Natives, and about 20 percent of the interviews were not conducted entirely in English. Of these, approximately 40 percent were conducted entirely in the native language of the respondent. Public Use Tape 20P contains detailed information on eligibility status, interview dates, demographic characteristics (age, marital status, military service, education, income), employment and insurance, link variables, and other survey administration variables for all persons in the sample. The Round 1 person characteristics previously released in NATIONAL MEDICAL EXPENDITURE SURVEY, 1987: SURVEY OF AMERICAN INDIANS AND ALASKA NATIVES, ROUND 1 PERSON-LEVEL FILE [PUBLIC USE TAPE 11] (ICPSR 9689) are being replaced by the data contained in this collection. 1987 1987 United States Civilian, noninstitutionalized American Indians and Alaska Natives, living on or near federal reservations, who were eligible to receive care provided or supported by the Indian Health Service. survey data The sample is a stratified area probability design with three stages of sample selection: (1) selection of primary sampling units (PSUs), which are counties or groups of contiguous counties (in Alaska, the county equivalents developed by the state of Alaska and the Census Bureau for statistical purposes were employed), (2) selection of segments within PSUs, (3) selection and screening of dwelling units within segments. Based on the results of the screening, all dwelling units including persons eligible for IHS services were selected in the SAIAN. The sample frame included all counties in the United States including or adjacent to reservations of federally-recognized tribes or Alaska Native villages. For cost considerations, the sample frame was truncated to remove counties with the lowest concentrations of eligible persons, and disproportionate sampling was applied to remaining counties with low concentrations of American Indians. personal interviews The principal investigator notes that the data in Public Use Tape 20P are preliminary in nature and are being released prior to final cleaning and editing, in order to provide access to information from the SAIAN. Public Use Tape 20 will serve as the base tape for all NMES SAIAN Public Use Tapes containing full-year 1987 data. This collection is superseded by NATIONAL MEDICAL EXPENDITURE SURVEY, 1987: SURVEY OF AMERICAN INDIANS AND ALASKA NATIVES, POPULATION DATA, DATA FROM THE HEALTH STATUS QUESTIONNAIRE AND ACCESS TO CARE SUPPLEMENT, AND EXPENDITURES AND SOURCES OF PAYMENT DATA [PUBLIC USE TAPE 37] (ICPSR 6490). Ann Arbor, Mi.: Inter-university Consortium for Political and Social Research Additional special permissions, where applicable, are described in the restrictions field.

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

You agree not to redistribute data or other materials without the written agreement of ICPSR, unless:

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. Main Data File Data Dictionary and Technical and Programming Information SAS Control Cards