Practice Patterns of Young Physicians, 1997: [75 Largest Metropolitan Statistical Areas in the United States] (ICPSR 2829)
Principal Investigator(s): Hadley, Jack, Georgetown University. Center for Health Policy Studies
This survey reinterviewed a subsample of physicians who responded to the survey PRACTICE PATTERNS OF YOUNG PHYSICIANS, 1991: [UNITED STATES] (ICPSR 6145). Respondents answered questions about their practice arrangements, such as the number of different medical practices that they worked in during the past month, the number of hours spent providing patient care, and the number of patients seen in the past week. They also described the characteristics of their main practice in terms of type of practice setting, practice ownership, number of physicians, percentage of revenues from patients covered by Medicaid and Medicare, share of Medicaid and Medicare revenues from managed care organizations, percentage of patients with no health insurance coverage, and percentage of Black and Hispanic patients. Other information covered whether the practice had a formal mechanism for reviewing clinical practice decisions, whether it had contracted to provide care through a Preferred Provider Organization (PPO), Health Maintenance Organization (HMO), or Independent Practice Arrangement (IPA), whether it was joined with one or more physician practices or was purchased by an insurance company in the past two years, percentage of revenues from PPO, HMO, and IPA arrangements, and whether there were personal financial incentives that favored reducing or expanding services to patients. Additionally, respondents were asked whether contracts or other communications received from insurance plans implied that continued participation in the plans depended upon costs associated with their clinical decisions, or implied that they should not tell patients about restrictions on coverage for medically accepted testing, treatment, or referral options. Other questions probed respondents' career satisfaction, ethical beliefs regarding the practice of medicine, and freedom to practice medicine as they saw fit. The survey also gathered information on determinants of physician compensation, medical specialty, income, marital status, spouse's occupation, and the number of children living with the respondent.
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As explained in the codebook, 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 <a href="http://dx.doi.org/10.3886/ICPSR02829">study home page</a>.
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.
Hadley, Jack. Practice Patterns of Young Physicians, 1997: [75 Largest Metropolitan Statistical Areas in the United States]. ICPSR02829-v1. Ann Arbor, MI: Inter-university Consortium for Political and Social Research [distributor], 2000. http://doi.org/10.3886/ICPSR02829.v1
Persistent URL: http://doi.org/10.3886/ICPSR02829.v1
This study was funded by:
- Robert Wood Johnson Foundation (028326 and 17-C-90395)
- United States Department of Health and Human Services. Agency for Healthcare Research and Quality
Scope of Study
Geographic Coverage: United States
Date of Collection:
Universe: Allopaths who responded to the survey PRACTICE PATTERNS OF YOUNG PHYSICIANS, 1991: [UNITED STATES] (ICPSR 6145) were located in the 75 largest Metropolitan Statistical Areas/ Primary Metropolitan Statistical Areas in 1991, and worked 20+ hours per week in patient care in 1991. These physicians were under age 52 and had completed 8-17 years of post-residency training at the time of the survey. The allopath sample of the survey PRACTICE PATTERNS OF YOUNG PHYSICIANS, 1991: [UNITED STATES] (ICPSR 6145) had three components: (1) A simple random sample of physicians born in 1952 or later who completed residency training in 1986-1989, (2) an oversample of minority physicians who met the same criteria as the first component, and (3) a simple random sample of physicians who participated in the survey PRACTICE PATTERNS OF YOUNG PHYSICIANS, 1987 (ICPSR 9277).
Data Types: survey data
Data Collection Notes:
The cases in this study can be linked to cases in PRACTICE PATTERNS OF YOUNG PHYSICIANS, 1991: [UNITED STATES] (ICPSR 6145) by matching on the common ID variable CSID.
The SAS transport file was created using the SAS CPORT procedure.
The data map is provided as an ASCII file and the codebook is provided as a Portable Document Format (PDF) file.
Sample: The entire universe was sampled with a 70.7-percent response rate.
Original ICPSR Release: 2000-05-17
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