Showing 1 – 8 of 8 results.
Curated
Chronic Illness and Caregiving, 2000: [United States] (ICPSR 3402)
Released/updated on: 2024-02-14
Geographic coverage: United States
The objective of this survey, which interviewed individuals from the general public, chronically ill persons, and informal caregivers, was threefold: (1) to assess public awareness of chronic care issues and the level of support for chronic care policy initiatives, (2) to examine experiences and needs of chronically ill Americans concerning health care and other assistance, and (3) to evaluate experiences and needs of informal caregivers. Questions to the general public addressed awareness of the availability of supportive and housing services for the chronically ill, knowledge about coverage for long-term care, concerns about the future of the chronic care delivery system, support for policy initiatives such as tax credits for the chronically ill and caregivers, and support for a policy that would ensure pharmaceutical coverage in Medicare. Chronically ill interviewees responded to questions about access to and experience with chronic care and other health care services, experiences with and needs for clinical services coordination, experiences with and needs for social supports and interventions, and adjustment skills and knowledge (e.g., what were their needs for learning how to live with chronic conditions). Questions for informal caregivers focused on experiences with caregiving (e.g., for whom they provided care, how many hours they devoted to caregiving per week, and living arrangements), balance between caregiving and other areas of their lives, experiences with and needs for respite care, and availability of social supports for caregivers.
Curated
Partially restricted
Extending Health Insurance to the Working Poor: An Assessment of Health Status and Health Care Utilization Effects Among New York City Home Health Attendants, February 1990-June 1991 (ICPSR 9774)
Released/updated on: 2006-01-12
Geographic coverage: New York City
Time period: 1990-02-01--1991-06-01
Using a pre- and post-program design, this survey studied newly-hired home health attendants and their families, most of whom were without medical insurance until they became eligible for health benefits through their union. To assess changes in health status and health services utilization, the attendants were interviewed at the point of union enrollment, and again nine months later. The interview taken prior to enrollment in the benefits program elicited information about concern over health, recent injuries, and self-assessed health status, e.g., the presence or absence of specific health conditions such as diabetes, ulcers, arthritis, stomach trouble, high blood pressure, allergies, asthma, and back problems. Respondents were also queried about the extent and type of previous health coverage (including Medicare and disability insurance), limitations of daily functioning due to poor health, and recent health care utilization, including hospitalization, emergency room usage, and routine ambulatory care. The latter included questions about out-of-pocket expenses and the type of health services received, such as X-rays, CAT scans, sonograms, laboratory tests, electrocardiograms, stress tests, surgery, and setting of bones. Other questions addressed utilization issues of particular relevance to the New York City area, e.g., the use of city hospital clinics. The post-enrollment survey included parallel follow-up questions, as well as questions regarding the respondent's employment status and current benefits. Additional variables in the data collection include respondent's race, Hispanic origin, place of birth, past work experience, date of birth, and sex, plus the sex and dates of birth of family members.
Curated
Medicare+Choice Survey, 2000: [United States] (ICPSR 3406)
Released/updated on: 2002-05-14
Geographic coverage: United States
This survey is one component of the Monitoring Medicare+Choice Project, a national study designed to provide information on health insurance decisions made by Medicare beneficiaries. Funded by the Robert Wood Johnson Foundation, the project examined how Medicare beneficiaries responded to the implementation of the Medicare+Choice provisions of the Balanced Budget Act of 1997. Among their multiple objectives, the Medicare+Choice provisions sought to expand substantially the types of coverage choices available to Medicare beneficiaries and to encourage beneficiaries to think more actively about these choices. The Medicare+Choice Survey interviewed a sample of Medicare beneficiaries about their basic knowledge of Medicare, current Medicare coverage options, sources of supplemental insurance coverage, satisfaction with current coverage, reasons for the most recent change in Medicare coverage or lack of change since September 15, 1999, sources of information used to make their coverage choices, and salience of the choice and its most relevant considerations. Additional information collected by the survey included the respondent's health and functional status, age, sex, marital status, race, Hispanic origin, education, reading ability, household income and the number of people supported by that income, and language spoken at home.
Curated
National Survey of Surgeons on Trauma Care Issues, March-July 1993 (ICPSR 6265)
Released/updated on: 1998-04-28
Geographic coverage: United States
Time period: 1993-03-02--1993-07-01
This study investigated surgeons' practice patterns, experience and training in trauma care, and preferences and opinions about caring for trauma patients. Practice pattern variables include surgical specialty, type of surgical practice arrangement, type of appointment with a medical school or university, membership in the American Academy of Orthopedic Surgeons, the American College of Surgeons, or the American Association of Neurological Surgeons, and whether the respondents' patients paid their bills through private insurance, Medicaid, Medicare, or an HMO. In addition, respondents were queried about their primary hospital, including number of beds, types of physicians employed in the trauma or emergency department, whether the hospital was officially recognized as a trauma center, whether it had a separate clinical trauma service with oversight and responsibility for the care of trauma patients, whether surgical patients were covered 24 hours a day by a resident or in-house physician, and whether there was 24-hour coverage by a resident or in-house physician in the hospital's Intensive Care Unit. To assess experience and training in trauma care, respondents were asked how often they were inappropriately called to evaluate and treat trauma patients, if they had taken trauma call at any hospital during the last 12 months, how many trauma patients they treated during the last 12 months and for what percent of them they received compensation, whether they had taken the Advanced Trauma Life Support (ATLS) Course in the last four years, how much they had learned about trauma from residency training, post-residency fellowship, combat duty in the Armed Forces, journal articles, and colleagues, how confident they were in their ability to provide resuscitation, diagnosis, operative care, and critical care, if they had ever been named in a malpractice suit in a trauma case, non-trauma emergency case, or non-emergency case in certain disease categories, and whether this litigation made them reluctant to take on these types of cases. Preferences and opinions on the care of trauma patients were investigated through questions that asked respondents if they preferred to treat adult or pediatric trauma patients, if they preferred to treat blunt or penetrating trauma, and how taking care of trauma patients affected their image with their peers and community. Respondents were also queried about incentives and disincentives for treating trauma patients, reasons for not providing trauma care, opinions on how trauma cases compared with other emergency cases, and opinions on how various aspects of trauma care in their community were deficient. The data also include information on the age, gender, and geographic location (census region) of the respondents.
Curated
Physician Responses to Medicare Payment Reductions: Impacts on the Public and Private Sectors, 1988-1991 (ICPSR 6563)
Released/updated on: 2024-02-14
Geographic coverage: United States
Time period: 1988-04-01--1991-12-01
The purpose of this study was to investigate the effects on physician behavior of decreases in Medicare payment rates for surgical procedures. The study examined the volume of services provided, billed charges, and the selection of diagnostic or therapeutic alternative procedures, or clinically unrelated procedures, for Medicare and privately-insured patients. Also studied were the proportion of physician income derived from Medicare and the profitability of procedures as they related to the volume of services provided. This data collection comprises observations for 21 surgical procedure groups in the specialty areas of general surgery, gastroenterology, orthopedic surgery, ophthalmology, urology, gynecological surgery, thoracic surgery, and cardiology, from up to 187 hospitals and for up to 15 quarters. Efforts were made to include high volume and expensive procedures. Excluded were radiology, pathology, or other lab procedures, and procedures that had experienced erratic changes in volume due to changes in technology or changes in national standards. Also included in this collection are hospital characteristics and county-level data pertaining to number of hospital beds, per capita income, licensed practical nurse and registered nurse wages, doctors per 1000 population, and health maintenance organization enrollees per 1000 population.
Curated
Partially restricted
Practice Patterns of Young Physicians, 1991: [United States] (ICPSR 6145)
Released/updated on: 2009-09-15
Geographic coverage: United States
The purpose of this survey was to obtain information on the characteristics and practice patterns of early career physicians in order to analyze trends in physicians' activities and the supply of physicians. To that end, the survey interviewed early career physicians and re-interviewed physicians who participated in the previous survey of early career physicians PRACTICE PATTERNS OF YOUNG PHYSICIANS, 1987 (ICPSR 9277). With separate samples drawn for allopathic and osteopathic physicians, the respondents were interviewed about their medical training, medical education financing, career choices and satisfaction, practice arrangements and compensation, and patient care activities. They were also questioned about medical care management in their practice(s), perceptions of their freedom to deliver care, medical malpractice claims, and the composition of their patients, such as the percent who were poor, black, Hispanic, uninsured, covered by Medicaid or Medicare, or had severe physical disabilities, chronic mental illness, or problems with substance abuse. Demographic characteristics covered by the survey include race, Hispanic origin, year of birth, marital status, number and ages of children, and parents' education.
In addition to the variables collected by survey, the allopath sample data also comprise variables obtained from the American Medical Association (AMA) and the Student and Applicant Information Management System (SAIMS) of the Association of American Medical Colleges (AAMC). The AMA variables include gender, name of medical school, board certification status, physician's specialty, and AMA membership, while the SAIMS variables include dates of application to medical school, graduation dates, Medical College Admission Test (MCAT) scores, undergraduate grade-point averages, religious preference, career preference, preferred practice setting, educational debt, scholarship information, and participation in courses/clerkships in different subject areas.
The study comprises five data files. Dataset 1 contains the public-use version of the data for the allopath sample and Dataset 2 the public-use version of the data data for the osteopath sample. Both of these files were generated by ICPSR from the original restricted-use allopath and osteopath data files provided by the principal investigator, which are stored as Datasets 3 and 4 respectively. As noted in the ICPSR Processing Note in the codebook, Dataset 5 contains 26 restricted variables which the principal investigator omitted from the original allopath data (Dataset 3) for reasons of confidentiality. ICPSR received the omitted variables in 2009, 14 years after its initial release of the data.
Curated
Restricted
Practice Patterns of Young Physicians, 1997: [75 Largest Metropolitan Statistical Areas in the United States] (ICPSR 2829)
Released/updated on: 2024-02-14
Geographic coverage: United States
This survey reinterviewed a subsample of physicians who responded to the survey PRACTICE PATTERNS OF YOUNG PHYSICIANS, 1991: [UNITED STATES] (ICPSR 6145). Respondents answered questions about their practice arrangements, such as the number of different medical practices that they worked in during the past month, the number of hours spent providing patient care, and the number of patients seen in the past week. They also described the characteristics of their main practice in terms of type of practice setting, practice ownership, number of physicians, percentage of revenues from patients covered by Medicaid and Medicare, share of Medicaid and Medicare revenues from managed care organizations, percentage of patients with no health insurance coverage, and percentage of Black and Hispanic patients. Other information covered whether the practice had a formal mechanism for reviewing clinical practice decisions, whether it had contracted to provide care through a Preferred Provider Organization (PPO), Health Maintenance Organization (HMO), or Independent Practice Arrangement (IPA), whether it was joined with one or more physician practices or was purchased by an insurance company in the past two years, percentage of revenues from PPO, HMO, and IPA arrangements, and whether there were personal financial incentives that favored reducing or expanding services to patients. Additionally, respondents were asked whether contracts or other communications received from insurance plans implied that continued participation in the plans depended upon costs associated with their clinical decisions, or implied that they should not tell patients about restrictions on coverage for medically accepted testing, treatment, or referral options. Other questions probed respondents' career satisfaction, ethical beliefs regarding the practice of medicine, and freedom to practice medicine as they saw fit. The survey also gathered information on determinants of physician compensation, medical specialty, income, marital status, spouse's occupation, and the number of children living with the respondent.
Curated
Six-State Survey of Elderly Dual Enrollees in Medicare and Medicaid, 1999 (ICPSR 3240)
Released/updated on: 2024-02-14
Geographic coverage: Iowa, United States, Massachusetts, Georgia, New Jersey, Wisconsin, Washington
This survey, conducted in Georgia, Iowa, Massachusetts, New Jersey, Washington, and Wisconsin, examined access to health care among elderly dual enrollees in Medicare and Medicaid. Respondents provided information about their health status, unmet needs for care, care availability, care utilization, quality of care, and difficulty in activities related to personal care and independent living. Additionally, the survey questioned respondents about private health insurance coverage, out-of-pocket expenses for prescribed medicines and medical bills as a whole, delays in getting health care caused by money problems, and concerns with neighborhood crime and violence at home. Background variables include sex, age (two age groups), race, Hispanic origin, education, home ownership, income, and work status at age 65.