Showing 1 – 2 of 2 results.
Curated
Community Hospital Program (CHP) Access Impact Evaluation Surveys, 1978-1979, 1981 (ICPSR 8245)
Released/updated on: 2006-01-12
Geographic coverage: United States
Time period: 1978-01-01--1979-01-01
This data collection evaluates group medical practices and the ways in which they affect both access to and use of medical services. Group practices, sponsored by the Robert Wood Johnson Foundation Community Hospital Program (CHP), were selected for use in this assessment. The data were collected by the Center for Health Administration Studies at the University of Chicago, with the assistance of Chilton Research Services. Two surveys were conducted for the study: a baseline survey in 1978-1979 and a follow-up in 1981. Community residents and CHP patients in 12 communities were interviewed. Demographic and medical care data were collected for selected individuals and families in the survey areas. Data on regular sources of medical care for individuals include the type of organization used, type of practice, accessibility, frequency of visits, types of health care professionals seen, cost, and satisfaction. Also in the collection are data on perceived health, episodes of illness (including symptoms, duration, disability days, and doctors consulted), use of preventive health care services, and insurance coverage. Demographic data for individuals and families include age, sex, race, educational attainment, employment, and income. Of the 198 files in this collection, 88 are "raw" data files and 110 are frequencies. The data files consist of four types. The first type are Sample Person files. These contain the responses of group practice patients and community members. The second type are Doctor Episode files, which record doctors and episodes of illness. Family files make up the third type of file, and consist of family members' responses to the survey. Analysis files, linking patient and doctor data, are the fourth type of file. The SPSS frequency files correspond to the data files: two per file for the Sample Person files, and one per file for the remaining three types of files.
Curated
RAND Health Insurance Experiment [in Metropolitan and Non-Metropolitan Areas of the United States], 1974-1982 (ICPSR 6439)
Released/updated on: 2005-11-04
Geographic coverage: Charleston (South Carolina), Seattle, United States, Massachusetts, Ohio, Washington, South Carolina, Dayton
Time period: 1974-01-01--1982-01-01
The Health Insurance Experiment (HIE) was conducted from 1974 to 1982 in six sites across the country: Dayton, Ohio, Seattle, Washington, Fitchburg-Leominster and Franklin County, Massachusetts, and Charleston and Georgetown County, South Carolina. These sites represent four census regions (Midwest, West, Northeast, and South), as well as urban and rural areas. The HIE attempted to determine what effects alternative cost-sharing plans and a staff-model Health Maintenance Organization (HMO) had on the use of medical services and individual health outcomes. The main purpose of the experiment was to assess how the cost of health services affected individuals' use of services, their satisfaction with health care, the quality of their care, and the state of their health. To study the effects of health insurance coverage, a comprehensive method for measuring health and monitoring changes in health over time was developed. Health status was seen as having four dimensions: physical, mental, social, and physiological. Physical health focused on five categories of activities: self-care, mobility, exertion, role fulfillment, and leisure pursuits. Mental health focused on mood and anxiety disorders along with loss of control over feelings, thoughts, and behavior. Social health was assessed by the frequency of several kinds of participation, interaction, and resources, covering family and home, social life, and community involvement. Physiologic health was determined by looking at a number of physical disorders both in adults (aged 14 to 61) and children (aged 0 to 13) that would be easily traced over time and would be responsive to changes in the level and quality of medical care. For adults, acne, congestive heart failure, and sleeping pill and tranquilizer use were considered. For children, variables included allergic conditions (asthma, eczema, hay fever), anemia, middle ear disease, hearing impairment, and vision impairment. Also included were general health measures based on single questions about health-related pain and worry, and a rating of health (excellent, good, fair, poor). Health habits described aspects of smoking, consumption of alcohol, weight, height, and exercise.