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Community Tracking Study Household Survey, 1998-1999, and Followback Survey, 1998-2000: [United States] (ICPSR 3199)
Released/updated on: 2024-02-14
Geographic coverage: United States
Time period: 1998-01-01--2000-01-01
This collection comprises the second round of the Community Tracking Study (CTS) Household Survey and the second round of the CTS Followback Survey. The CTS, sponsored by the Robert Wood Johnson Foundation, is a national study designed to track changes in the health care system and their effects on care delivery and individuals. Fifty-one metropolitan areas and nine nonmetropolitan areas were randomly selected to form the core of the CTS and to be representative of the nation as a whole. As in the first round of the Household Survey (COMMUNITY TRACKING STUDY HOUSEHOLD SURVEY, 1996-1997, AND FOLLOWBACK SURVEY, 1997-1998: [UNITED STATES] (ICPSR 2524)), the second round of the Household Survey was administered to households in the 60 CTS sites and to a supplemental national sample of households. Respondents provided information about household composition and demographic characteristics, health insurance coverage, use of health services, unmet health care needs, out-of-pocket expenses for health care, usual source of care, patient trust and satisfaction, last visit to a medical provider, health status and presence of chronic health conditions, risk behaviors and smoking, and employment, earnings, and income. The purpose of the Followback Survey was to obtain detailed information on private health insurance coverage reported in the Household Survey. It was administered to the health plans and other organizations (managed care organizations, third-party administrators, employer or union plans, and employers) that offered or administered the respondents' comprehensive private health insurance policies. Information on private health insurance policies collected by the Followback Survey includes product type, gatekeeping, consumer cost sharing, provider payment methods, and coverage of mental health and/or substance abuse services.
Curated
National Medical Expenditure Survey, 1987: Household Survey, Dental Visit Data [Public Use Tape 14.3] (ICPSR 9814)
Released/updated on: 1993-02-12
Geographic coverage: United States
Time period: 1987-01-01--1987-12-31
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 14.3 provide information on dental visits for calendar year 1987. The data file contains one record per dental visit for each eligible person in the Household Survey who reported a dental visit during 1987, and who responded for his/her entire period of eligibility. In addition, each record contains basic person-level demographic information for the sample person, including age, sex, race, and ethnicity. Information is also supplied on type of service obtained during the dental visit, dates of service, and medical condition (ICD9-HIS codes) if the visit was due to accident or injury.
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.