National Medical Expenditure Survey Series

collection: series

Investigator(s): National Center for Health Services Research and Health Care Technology Assessment

About this Collection

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 first set of surveys, the NATIONAL MEDICAL CARE EXPENDITURE SURVEY (NMCES), was carried out in 1977 by the National Center for Health Services Research (now called the Agency for Health Care Policy and Research). In 1980 the NATIONAL MEDICAL CARE UTILIZATION AND EXPENDITURE SURVEY, conducted by the National Center for Health Statistics and the Health Care Financing Administration, significantly extended the series. The 1987 NMES, conducted by the Agency for Health Care Policy and Research, gathered still more detailed information on health expenditures through the use of several component surveys. The first is a Household Survey based on a national probability sample of the civilian noninstitutionalized population of the United States. The second component of the 1987 NMES, the Institutional Population Component, is a survey of nursing/personal care homes and facilities for the mentally retarded and residents admitted to those facilities. The third component is the Survey of American Indians and Alaska Natives (SAIAN), which sampled American Indians and Alaska Natives, living on or near federal reservations, who were eligible to receive care from the Indian Health Service. Data from the interview rounds and special topic surveys are released as separate public use tape collections. Records in the NMES Household, Institutional, and SAIAN components can be linked with records in other surveys from the same component.

Studies

40 results

National Medical Expenditure Survey, 1987: Institutional Population Component

This survey was designed to yield national estimates of the use of and expenditures for care during 1987 by persons who resided in nursing homes or facilities for the mentally retarded. The Facility Questionnaire was completed by administrators of 1,501 participating facilities (810 nursing homes and 691 facilities for the mentally retarded). Data records contain bed size, type of ownership, facility certification, services routinely provided, average cost, and other information. Weights, which must be used to generate nationally representative facility-level estimates, are provided. The Baseline Questionnaire file contains data collected from institutional caregivers and next of kin of 6,965 randomly sampled persons who were living in the sampled facilities on January 1, 1987. Data include sociodemographic information such as age, race, and sex. Information on residences prior to admission, measures of functional limitations and chronic conditions, and the work history of persons in facilities for the mentally retarded is also provided. Person level records can be linked to facility records and include person weights for obtaining national estimates. The documentation file includes an overview of the entire 1987 National Medical Expenditure Survey (NMES), which is expected to produce 15 files of data. The documentation provides frequencies, questionnaires, and technical information on sample design, weights, and variance estimation.

National Medical Expenditure Survey, 1987: Household Survey, Prescribed Medicines for Medicare Beneficiaries

This data collection contains two data files derived from information gathered in the initial screening interview and Rounds 1-4 of the Household Survey component of the 1987 NATIONAL MEDICAL EXPENDITURE SURVEY (NMES). The Person File supplies data on each sampled person who reported coverage by Medicare at any time in 1987 and who responded to all rounds of the Household Survey for which he or she was eligible to respond. Data in this file include age, sex, race, marital status, education, employment status, personal and family income, coverage under private health insurance and public programs such as Medicaid and CAMPUS/CAMPVA, and the total number and cost of all prescriptions purchased in 1987 while under Medicare coverage. In addition, there are indicators of general health and specific medical conditions: stroke, cancer, heart disease, gallbladder disease, high blood pressure, hardening of the arteries, rheumatism, emphysema, arthritis and diabetes. The Prescribed Medicines Event File presents data pertaining to every instance a prescribed medicine was purchased or otherwise obtained by these Medicare beneficiaries during 1987. For respondents who were covered by Medicare for part of the year, only prescribed medicines acquired during the Medicare coverage period are included. This file gives the trade and generic name of each prescribed medication and reports the cost of the prescription and the medical condition for which it was prescribed.

National Medical Expenditure Survey, 1987: Household Survey, Hospital Stays Data [Public Use Tape 14.4]

The Household Survey is one of the three major components of the 1987 National Medical Expenditure Survey (NMES). (The other two components are the Survey of American Indians and Alaska Natives [SAIAN] and the Institutional Population Component.) Like its predecessors, the 1987 NMES 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 Household Survey was fielded over four rounds of personal and telephone interviews at four-month intervals. Baseline data on household composition, employment, and insurance characteristics were updated each quarter, and information on all uses of and expenditures for health care services and sources of payment was obtained. The data on Public Use Tape 14.4 provide information on hospital stays, the major reason reported by household respondents for admission and related conditions, length of stay, medical procedures performed, cost of services, and means of payment. These data were collected in the four rounds of interviews and in the NMES Medical Provider Survey, a survey designed to reduce the potential bias in medical expenditure estimates derived solely from data provided by household respondents. The data file contains one record per hospital stay for each eligible person in the Household Survey who reported at least one stay during 1987.

Variables

0 results

Variable-level metadata is not available for this collection.

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