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<record>
	<leader>     nmm  22        4500</leader>
	<controlfield tag="001">ICPSR06563</controlfield> 
	<controlfield tag="003">MiAaI</controlfield>
	<controlfield tag="006">m    f   a u      </controlfield>
	<controlfield tag="007">cr mn mmmmuuuu</controlfield>
	<controlfield tag="008">130525s1995    miu    f   a        eng d</controlfield>
	<datafield tag="035" ind1=" " ind2=" ">
		<subfield code="a">(MiAaI)ICPSR06563</subfield> 
	</datafield>
	<datafield tag="040" ind1=" " ind2=" ">
		<subfield code="a">MiAaI</subfield>
		<subfield code="c">MiAaI</subfield>
	</datafield>	
	
		
		
		
		
	
	<datafield tag="245" ind1="0" ind2="0">
		<subfield code="a">
			
				Physician Responses to Medicare Payment Reductions
				
			
		</subfield>
		<subfield code="h">[electronic resource]</subfield>
		
			<subfield code="b">Impacts on the Public and Private Sectors, 1988-1991</subfield>
			
		<subfield code="c">
			
				
					
					Thomas Rice
				, 				
			
				
					
					Sally Stearns
								
			
		</subfield>
	</datafield>				
	<datafield tag="250" ind1=" " ind2=" ">
		<subfield code="a">1998-04-28</subfield>
	</datafield>
	<datafield tag="260" ind1=" " ind2=" ">
		<subfield code="a">Ann Arbor, Mich.</subfield>
		<subfield code="b">Inter-university Consortium for Political and Social Research [distributor]</subfield>
		<subfield code="c">1995</subfield>
	</datafield>
	<datafield tag="490" ind1="1" ind2=" ">
		<subfield code="a">ICPSR</subfield>
		<subfield code="v">6563</subfield> 
	</datafield>	
	
	<datafield tag="516" ind1=" " ind2=" ">
		<subfield code="a">Numeric</subfield>
	</datafield>
	
	<datafield tag="500" ind1=" " ind2=" ">
		<subfield code="a">Title from ICPSR DDI metadata of 2013-05-25.</subfield>
	</datafield>
		
	
	
		<datafield tag="506" ind1=" " ind2=" ">
			<subfield code="a">AVAILABLE. This study is freely available to the general public.</subfield>
		</datafield>
	
	
	
	
	
	<datafield tag="530" ind1=" " ind2=" ">
		<subfield code="a">Also available as downloadable files.</subfield>
	</datafield>	
	
	
	<datafield tag="520" ind1="3" ind2=" ">
		<subfield code="a">
			The purpose of this study was to investigate the effects on 
 physician behavior of decreases in Medicare payment rates for surgical 
 procedures. The study examined the volume of services provided, billed 
 charges, and the selection of diagnostic or therapeutic alternative 
 procedures, or clinically unrelated procedures, for Medicare and 
 privately-insured patients. Also studied were the proportion of 
 physician income derived from Medicare and the profitability of 
 procedures as they related to the volume of services provided. This 
 data collection comprises observations for 21 surgical procedure groups 
 in the specialty areas of general surgery, gastroenterology, orthopedic 
 surgery, ophthalmology, urology, gynecological surgery, thoracic 
 surgery, and cardiology, from up to 187 hospitals and for up to 15 
 quarters. Efforts were made to include high volume and expensive 
 procedures. Excluded were radiology, pathology, or other lab 
 procedures, and procedures that had experienced erratic changes in 
 volume due to changes in technology or changes in national standards. 
 Also included in this collection are hospital characteristics and 
 county-level data pertaining to number of hospital beds, per capita 
 income, licensed practical nurse and registered nurse wages, doctors 
 per 1000 population, and health maintenance organization enrollees per 
1000 population. 
			Cf.: http://dx.doi.org/10.3886/ICPSR06563.v1
		</subfield>
	</datafield>	
		
		
	
		<datafield tag="650" ind1=" " ind2="7">
			<subfield code="a">hospitals</subfield>
			<subfield code="2">icpsr</subfield>
		</datafield>
	
		<datafield tag="650" ind1=" " ind2="7">
			<subfield code="a">medical care</subfield>
			<subfield code="2">icpsr</subfield>
		</datafield>
	
		<datafield tag="650" ind1=" " ind2="7">
			<subfield code="a">medical procedures</subfield>
			<subfield code="2">icpsr</subfield>
		</datafield>
	
		<datafield tag="650" ind1=" " ind2="7">
			<subfield code="a">Medicare</subfield>
			<subfield code="2">icpsr</subfield>
		</datafield>
	
		<datafield tag="650" ind1=" " ind2="7">
			<subfield code="a">older adults</subfield>
			<subfield code="2">icpsr</subfield>
		</datafield>
		
	<datafield tag="653" ind1="0" ind2=" ">
		
			<subfield code="a">ICPSR IX. Health Care and Health Facilities</subfield>
		
			<subfield code="a">HMCA II. Cost/Access to Health Care</subfield>
		
			<subfield code="a">NACDA VI. Health Care Needs, Utilization, and Financing for Older Adults</subfield>
		
	</datafield>
	
		
			
			
				<datafield tag="700" ind1="2" ind2=" ">
					<subfield code="a">Rice, Thomas</subfield>
					<subfield code="u"></subfield>
				</datafield>
			
			
		
	
		
			
			
				<datafield tag="700" ind1="2" ind2=" ">
					<subfield code="a">Stearns, Sally</subfield>
					<subfield code="u"></subfield>
				</datafield>
			
			
		
	
	<datafield tag="710" ind1="2" ind2=" ">
		<subfield code="a">Inter-university Consortium for Political and Social Research.</subfield>
	</datafield>
	<datafield tag="830" ind1=" " ind2="0">
		<subfield code="a">ICPSR (Series)</subfield>
		<subfield code="v">6563</subfield>
	</datafield>
	<datafield tag="856" ind1="4" ind2="0">
		<subfield code="z">Access restricted ; authentication may be required:</subfield>
		<subfield code="u">http://dx.doi.org/10.3886/ICPSR06563.v1</subfield>
	</datafield>
</record>


    
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