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Community Tracking Study Series

Investigator(s): Center for Studying Health System Change

The Community Tracking Study (CTS), a project of the Center for Studying Health System Change (HSC), is a large-scale longitudinal investigation of health system change and its effects on people. Designed to track a cohort of American communities at two-year intervals beginning in 1996, this major research effort, sponsored by The Robert Wood Johnson Foundation (RWJF), gathers information to monitor and understand the evolution of health care in the United States. CTS is investigating the ways in which hospitals, health plans, physicians, safety-net providers, and other provider groups are restructuring their systems, and the forces driving the organizational changes. Additionally, the project tracks health insurance coverage, access to care, use of health services, health care costs, and perceived quality of health care. Sixty sites (51 metropolitan areas and 9 nonmetropolitan areas) were randomly selected to form the core of CTS and to be representative of the nation as a whole. Much of the information collected by CTS comes from nationally representative surveys of households, health plans, and physicians conducted by HSC. The Household Survey is administered to households in the 60 CTS sites, plus a supplemental national sample of households, covering some 60,000 individuals. A survey of health plans, the Followback Survey, elicits detailed information on private health insurance coverage reported in the Household Survey from organizations that offer or administer private health insurance policies in the CTS sites. The Physician Survey interviews physicians in the 60 CTS sites and a supplemental national sample of physicians. RWJF has built a network of research organizations that are studying various facets of the changing health care system, some of which are simultaneously examining the CTS communities. Stephen H. Long and M. Susan Marquis at RAND conducted an employer survey (Robert Wood Johnson Foundation Employer Health Insurance Survey [Community Tracking Study and State Initiatives in Health Care Reform Program], 1997) with a special emphasis on the 60 CTS sites. At UCLA and RAND, Kenneth B. Wells, Audrey Burman, and Roland Sturm are examining how public policies and markets are affecting access to substance abuse and mental health services. Their survey, National Survey of Alcohol, Drug, and Mental Health Problems [Healthcare for Communities], 1997-1998, reinterviewed some 9,600 respondents from the CTS Household Survey about their health and daily activities, use of alcohol, illicit drugs, and medications, health insurance coverage and coverage for mental health, plus access to, utilization, and quality of behavioral health care.

Most Recent Studies

Related Publications ?

Most Recent Publications

2014
Brunt, Christopher S.,  Jensen, Gail A. Payment generosity and physician acceptance of Medicare and Medicaid patients. International Journal of Health Care Finance and Economics.
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2014
Inter-university Consortium for Political and Social Research . Racial Disparities in Health Care: A Data-Driven Learning Guide. Ann Arbor, MI: Inter-university Consortium for Political and Social Research.
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2014
Landon, B.E.,  O'Malley, A.J.,  McKellar, M.R.,  Hadley, J.,  Reschovsky, J.D. . Higher practice intensity is associated with higher quality of care but more avoidable admissions for Medicare beneficiaries. Journal of General Internal Medicine.
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2014
Lin, Katherine Y. Physicians' perceptions of autonomy across practice types: Is autonomy in solo practice a myth?. Social Science and Medicine. 100, 21-29.
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2014
Menchik, Daniel A.,  Jin, Lei . When do doctors follow patientsí orders? Organizational mechanisms of physician influence. Social Science Research. 48, 171-184.
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2013
Baek, Jong-Deuk . Patient centered practice climate, information technology functionality, and primary care physicians' confidence in providing high quality primary care [poster]. 141st American Public Health Association Annual Meeting. Boston, MA.
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2013
Baek, Jong-Deuk,  Xirasagar, Sudha,  Stoskopf, Carleen H.,  Seidman, Robert L. Physician-targeted financial incentives and primary care physicians' self-reported ability to provide high-quality primary care. Journal of Primary Care and Community Health. 4, (3), 182-188.
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2013
Basanez, Tatiana,  Bianco, Lyzette,  Collazo, Jose Luis,  Berge, Dale E.,  Crano, William D. Ethnic groups' perception of physicians' attentiveness: Implications for health and obesity. Psychology, Health and Medicine. 18, (1), 37-46.
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2013
Brunt, Christopher S.,  Jensen, Gail A. Medicare payment generosity and access to care. Journal of Regulatory Economics.
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2013
Carrier, Emily R.,  Reschovsky, James D.,  Katz, David A.,  Mello, Michelle M. High physician concern about malpractice risk predicts more aggressive diagnostic testing in office-based practice. Health Affairs. 32, (8), 1383-1391.
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