National Archive of Computerized Data on Aging

National Medical Expenditure Survey, 1987: Survey of American Indians and Alaska Natives, Preliminary Data on Home Health Care, Medical Equipment Purchases and Rentals, and Traditional Medicine [Public Use Tape 23.2P] (ICPSR 6251) RSS

Principal Investigator(s):

Summary:

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. Part 1 of this collection contains information on formal home care providers for each eligible person in the SAIAN who reported receiving home health services, including date the provider was seen, provider's length of stay, type of agency the provider worked for, and kind of help performed by the provider. Demographic information on the recipient (race, age, and sex), and household-reported medical conditions associated with the use of home health care is also included. Part 2 contains information on medical items purchased, rented, or otherwise obtained. Demographic variables similar to those in Part 1 are provided, along with medical conditions and dates that items were obtained. Part 3 contains variables on the type of traditional practitioner seen by respondents, as well as demographic and medical condition variables.

Series: National Medical Expenditure Survey Series

Access Notes

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Dataset(s)

DS0:  Study-Level Files
DS1:  Home Care Data - Download All Files (23.3 MB)
Data:
ASCII
ASCII + SAS Setup
DS2:  Medical Equipment and Supplies Data - Download All Files (23.3 MB)
Data:
ASCII
ASCII + SAS Setup
DS3:  Traditional Medicine Data - Download All Files (23.2 MB)
Data:
ASCII
ASCII + SAS Setup
DS4:  Technical and Programming Information and Data Dictionary - Download All Files (23.2 MB)
Data:

ASCII + SAS Setup
DS5:  SAS Control Cards - Download All Files (23.2 MB)
Data:

ASCII + SAS Setup

Study Description

Citation

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 DATA ON HOME HEALTH CARE, MEDICAL EQUIPMENT PURCHASES AND RENTALS, AND TRADITIONAL MEDICINE [PUBLIC USE TAPE 23.2P]. 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. http://doi.org/10.3886/ICPSR06251.v1

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Scope of Study

Subject Terms:   Alaskan Natives, assistive devices, disease, health care costs, health care services, health expenditures, health insurance, health services utilization, home health care, illness, insurance coverage, medical care, Native Americans, payment methods, service providers, traditional medicine

Geographic Coverage:   United States

Time Period:  

  • 1987

Date of Collection:  

  • 1987

Universe:   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.

Data Types:   survey data

Data Collection Notes:

The principal investigator notes that the data in Public Use Tape 23.2P are preliminary in nature and are being released prior to final cleaning and editing, in order to provide access to information from the SAIAN. Records in these files can be linked to other public use data sets from the SAIAN using the person identifier (PIDX). 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).

Methodology

Sample:   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.

Data Source:

personal interviews

Version(s)

Original ICPSR Release:  

Version History:

  • 2006-03-30 File CB6251.PDF was removed from any previous datasets and flagged as a study-level file, so that it will accompany all downloads.
  • 2006-03-30 File CB6251.PDF was removed from any previous datasets and flagged as a study-level file, so that it will accompany all downloads.
  • 2006-03-30 File CB6251.PDF was removed from any previous datasets and flagged as a study-level file, so that it will accompany all downloads.
  • 2006-03-30 File CB6251.PDF was removed from any previous datasets and flagged as a study-level file, so that it will accompany all downloads.
  • 2006-03-30 All files were removed from dataset 5 and flagged as study-level files, so that they will accompany all downloads.
  • 2006-03-30 All files were removed from dataset 4 and flagged as study-level files, so that they will accompany all downloads.

Utilities

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