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Aligning Forces for Quality Evaluation: Consumer Survey Round 1, 2007-2008 and 2010 (ICPSR 35259)

Released/updated on: 2024-02-14
Geographic coverage: United States
Time period: 2007-06-01--2008-08-01, 2010-01-01--2010-05-01
This survey was conducted as part of the evaluation of the Aligning Forces for Quality (AF4Q) initiative, the Robert Wood Johnson Foundation's signature effort to lift the overall quality of health care in 17 targeted communities, reduce racial and ethnic disparities and provide models of national reform. The survey was administered to adults with one or more of five chronic illnesses -- diabetes, hypertension, heart disease, asthma and depression -- in the AF4Q communities and a national sample residing in non-AF4Q communities to provide a basis for comparison between the AF4Q communities and the rest of the United States. Survey questions focused on patient activation; consumer knowledge of publicly available performance reports that highlight quality differences among physicians, hospitals, and health plans; the ability to be an effective consumer in the context of a physician visit; patient knowledge about her/his illness; skills and willingness to self-manage one's illness; the impact of insurance and payment models; and the relationship between out-of-pocket costs and health care utilization.
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Simple Crosstabs

American Health Values Survey II, [United States], 2019-2020 (ICPSR 38818)

Released/updated on: 2025-03-05
Geographic coverage: United States
Time period: 2019-01-01--2020-01-01

The Robert Wood Johnson Foundation (RWJF) has a vision to build a Culture of Health (CoH) by making health a shared national priority, one valued and advanced by multiple stakeholders across all sectors of society. This vision embraces a very broadly integrated and comprehensive approach to health, one where well-being lies at the center of every aspect of American life. In 2014, the RWJF commissioned NORC at the University of Chicago to plan and conduct the first American Health Values Survey (AHVS) to understand the extent to which United States adults held views consistent with this vision. The idea was to explore which types of United States adults were more supportive and less supportive of the goal and what the differences were between the more and less supportive groups. To aid in the understanding of these differences, NORC developed a typology of United States adults based on their values and beliefs related to the CoH vision.

Using a large-scale national survey fielded in late 2015 and early 2016, NORC identified six major segments of the population of adults in the United States based on their differing health values and beliefs and developed detailed profiles of each segment that described their pattern of values and beliefs as well as their demographic, political and other characteristics. NORC subsequently replicated the typology development work in five RWJF Sentinel Communities across the nation and also developed a typology of rural America. The same segments, or similar ones, were common across various geographic areas of the United States. Four years have since passed, in which changes occurred in the country. RWJF in 2019 commissioned NORC to conduct a second national, cross-sectional survey (AHVS II) in late 2019 and early 2020.

Curated
Simple Crosstabs

ASTHO Forces of Change Survey, United States, 2017 (ICPSR 37223)

Released/updated on: 2019-07-30
Geographic coverage: District of Columbia, United States, Marshall Islands, Guam, Virgin Islands of the United States, Northern Mariana Islands, Micronesia (Federated States)

The Forces of Change Survey is an annual survey completed by the state and territorial health agencies that comprise the membership of the Association of State and Territorial Health Officials (ASTHO). ASTHO is the national nonprofit organization representing public health agencies in the United States, the U.S. territories and freely associated states, and the District of Columbia, and the over 100,000 public health professionals these agencies employ. The Forces of Change Survey primarily focuses on emergent and rapidly changing trends. The data collected sought to determine the current climate at state and territorial health agencies as it related to budget, workforce, accreditation, and special interest topics. The 2017 Forces of Change Survey examined the following topics:

  • Health agency resources
  • Activities related to the Zika virus
  • Opioid epidemic response
  • Communicating the value of public health
  • Efforts to advance health equity

The web-based survey, fielded by ASTHO in May of 2017, was administered to state and territorial health agencies through their senior deputies. A total of 52 health agencies responded (from 46 states, Washington, D.C., and five territories and freely associated states). Data included as part of this collection includes one dataset with 122 variables for 52 cases.

Curated

Communities in Charge Survey, 2001-2003 [Alameda County, California, Austin, Texas, and Southern Maine] (ICPSR 4638)

Released/updated on: 2007-03-01
Geographic coverage: Texas, Maine, California, Austin
Time period: 2001-01-01--2003-01-01
This three-wave survey was conducted as part of an evaluation of the Communities in Charge (CIC) initiative, a competitive grants program funded by the Robert Wood Johnson Foundation (RWJF). CIC provided funding and technical assistance to help communities design and implement new or expand existing approaches for supplying health care to the uninsured. Three of the 14 CIC sites funded by RWJF in 2001 were selected for the survey: Alameda County, California, Austin, Texas, and southern Maine. With CIC grant support, all three created programs that provided fairly comprehensive health benefits to low-income, uninsured participants, who were interviewed by the survey within three months of enrollment (Wave 1) and again at about six months and 12 months after enrollment (Waves 2 and 3). Conducted in English in southern Maine, English and Spanish in Austin, and English, Spanish, and Cantonese in Alameda County, the survey collected information on demographic and socioeconomic characteristics, health status, health insurance coverage, access to health services, and health services utilization. Additional topics covered by the survey include out-of-pocket spending on health care, unmet health care needs, and satisfaction with and opinions about health care. There are two data files for each wave, one with the data from the Cantonese interviews and one with the data from the English and Spanish interviews.
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.
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Community Tracking Study Household Survey, 1996-1997, and Followback Survey, 1997-1998: [United States] (ICPSR 2524)

Released/updated on: 2024-02-14
Geographic coverage: United States
Time period: 1996-07-01--1997-07-01, 1997-10-01--1998-08-01
This data collection comprises two components of the Community Tracking Study (CTS), the Household Survey and the 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. Central to the design of the CTS is its community focus. Sixty sites (51 metropolitan areas and 9 nonmetropolitan areas) were randomly selected to form the core of the CTS and to be representative of the nation as a whole. The Household Survey was administered to households in the 60 CTS sites and to a supplemental national sample of households. At the beginning of each interview, a household informant was identified and queried about the composition of the household. With this information, individuals in the household were grouped into family insurance units (FIU). An FIU reflects family groupings typically used by insurance carriers. It includes an adult household member, his or her spouse, if any, and any dependent children 0-17 years of age (or 18-22 years of age if a full-time student). Family informants, selected from each FIU in the household, provided information on health insurance coverage, health care use, usual source of care, and the general health of all persons in the FIU. These informants also provided information on family income and out-of-pocket expenses for health care, as well as employment, race, and Hispanic origin for all adult FIU members. Each adult in the household, including the FIU informants, responded through a self-response module to questions regarding unmet health care needs, patient trust, satisfaction with physician choice, limitations in daily activities, smoking behaviors, and last doctor visit. In FIUs with more than one child under 18, only one child was randomly selected for inclusion in the survey. The family informant responded on behalf of the child regarding unmet needs and satisfaction with physician choice. The adult family member who took this child to his or her last doctor visit responded to questions about the visit. The Followback Survey was designed to obtain detailed information on private health insurance coverage reported in the Household Survey. It was administered to health plans and other organizations that offered or administered the comprehensive private health insurance policies covering Household Survey respondents in the 60 CTS sites. 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.
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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.
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Community Tracking Study Household Survey, 2000-2001: [United States] (ICPSR 3764)

Released/updated on: 2024-02-14
Geographic coverage: United States
Time period: 2000-01-01--2001-01-01
This collection comprises the third round of the Community Tracking Study (CTS) Household Survey. The CTS, sponsored by the Robert Wood Johnson Foundation, is a national study designed to track changes in the health care system and the effects of those changes on people. 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 two rounds of the Household Survey (ICPSR 2524 and 3199), the third round 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. A new set of sample design variables was added to the third round data for variance estimation by statistical software packages other than SUDAAN.
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Community Tracking Study Household Survey, 2003: [United States] (ICPSR 4216)

Released/updated on: 2007-12-03
Geographic coverage: United States
Time period: 2003-01-01--2004-01-01
This collection contains data and documentation for the fourth round of the Community Tracking Study (CTS) Household Survey. Sponsored by the Robert Wood Johnson Foundation, the CTS is a national study designed to track changes in the United States' health care system and their effects. The fourth round was administered to households in the 60 CTS sites: 51 metropolitan areas and nine nonmetropolitan areas which were randomly selected to form the core of the CTS and to be representative of the nation as a whole. The first round of the CTS Household Survey was conducted in 1996-1997 (ICPSR 2524), the second round in 1998-1999 (ICPSR 3199), and the third in 2000-2001 (ICPSR 3764). Respondents to the fourth round provided information about health insurance coverage, use of health services, unmet needs for health care, children's special health care needs, out-of-pocket medical costs, patient trust in physicians, sources of health information, attitudes about medical care, and satisfaction with health care and health plans. Health status, chronic conditions, and risk attitudes and smoking behavior were additional topics covered by the fourth round questionnaire. The data include variables on height and weight, employment, income, ethnicity, race, United States citizenship, household composition, and demographic characteristics.
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Community Tracking Study Physician Survey, 1996-1997: [United States] (ICPSR 2597)

Released/updated on: 2024-02-14
Geographic coverage: United States
Time period: 1996-08-01--1997-08-01
Sponsored by the Robert Wood Johnson Foundation, this survey is one component of the Community Tracking Study (CTS), a national study designed to track changes in the health care system and the effects of the changes on care delivery and on individuals. Central to the design of the CTS is its community focus. Sixty sites (51 metropolitan areas and 9 nonmetropolitan areas) were randomly selected to form the core of the CTS and to be representative of the nation as a whole. The Physician Survey was administered to physicians in the 60 CTS sites and to a supplemental national sample of physicians. Information gathered by the survey instrument includes physician supply and specialty distribution, practice arrangements and physician ownership of practices, sources of practice revenue, level and determinants of physician compensation, effects of care management strategies, and physicians' allocation of time, provision of charity care, career satisfaction, and perceptions of their ability to deliver care. For primary care physicians, the survey instrument also provided vignettes of various clinical presentations for which there was no prescribed method of treatment. These physicians were asked to indicate the percentage of patients for whom they would recommend the course of action specified in each particular vignette. Part 3, the Site and County Crosswalk Data File, describes which counties constitute each site. Part 4, the Physician Survey Summary File, contains site-level averages and percentages and standard errors of these estimates for selected attributes, e.g., the percentage of physicians who were foreign medical school graduates, average age of physicians, average percentage of patient care practice revenue from Medicaid, etc.
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Community Tracking Study Physician Survey, 1998-1999: [United States] (ICPSR 3267)

Released/updated on: 2024-02-14
Geographic coverage: United States
Time period: 1998-01-01--1999-01-01

This study comprises the second round of the physician survey component of the Community Tracking Study (CTS) sponsored by the Robert Wood Johnson Foundation. The CTS is a national study designed to track changes in the American health care system and the effects of the changes on care delivery and on individuals. Central to the design of the CTS is its community focus. Sixty sites (51 metropolitan areas and 9 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 physician survey (COMMUNITY TRACKING STUDY PHYSICIAN SURVEY, 1996-1997: [UNITED STATES] (ICPSR 2597)), the second round was administered to physicians in the 60 CTS sites and to a supplemental national sample of physicians. The survey instrument collected information on physician supply and specialty distribution, practice arrangements and physician ownership of practices, physician time allocation, sources of practice revenue, level and determinants of physician compensation, provision of charity care, career satisfaction, physicians' perceptions of their ability to deliver care, views on care management strategies, and various other aspects of physicians' practice of medicine. In addition, primary care physicians (PCPs) were asked to recommend courses of action in response to some vignettes of clinical presentations for which there was no prescribed method of treatment.

Dataset 3, the Site and County Crosswalk Data File, identifies the counties that constitute each CTS site.

Dataset 4, the Physician Survey Summary File, contains site-level estimates and standard errors of the estimates for selected physician characteristics, e.g., the percentage of physicians who were foreign medical school graduates, the mean age of physicians, and the mean percentage of patient care practice revenue from Medicaid.

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Community Tracking Study Physician Survey, 2000-2001: [United States] (ICPSR 3820)

Released/updated on: 2024-02-14
Geographic coverage: United States
Time period: 2000-01-01--2001-01-01
This study comprises the third round of the physician survey component of the Community Tracking Study (CTS). Sponsored by the Robert Wood Johnson Foundation, the CTS is a large-scale investigation of changes in the health care system and their effects on people. Central to the design of the CTS is its community focus. Sixty sites (51 metropolitan areas and 9 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 two rounds of the physician survey, COMMUNITY TRACKING STUDY PHYSICIAN SURVEY, 1996-1997: [UNITED STATES] (ICPSR 2597) and COMMUNITY TRACKING STUDY PHYSICIAN SURVEY, 1998-1999: [UNITED STATES] (ICPSR 3267), the third round was administered to physicians in the 60 CTS sites and to a supplemental national sample of physicians. The survey instrument collected information on physician supply and specialty distribution, practice arrangements and physician ownership of practices, physician time allocation, sources of practice revenue, level and determinants of physician compensation, provision of charity care, career satisfaction, physicians' perceptions of their ability to deliver care, effects of care management strategies, and various other aspects of physicians' practice of medicine. Part 3, the Site and County Crosswalk Data File, identifies the counties that constitute each CTS site. Part 4, Physician Survey Summary File, contains site-level estimates and standard errors for selected physician characteristics, e.g., the average age of physicians, the percentage of physicians who were either very or somewhat dissatisfied with their overall career in medicine, and the average percentage of patients with prescription coverage that included the use of a formulary.
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Community Tracking Study Physician Survey, 2004-2005: [United States] (ICPSR 4584)

Released/updated on: 2024-02-14
Geographic coverage: United States
Time period: 2004-01-01--2005-01-01
This is the fourth round of the physician survey component of the Community Tracking Study (CTS). The first round was conducted in 1996-1997 (ICPSR 2597), the second round in 1998-1999 (ICPSR 3267), and the third in 2000-2001 (ICPSR 3820). Sponsored by the Robert Wood Johnson Foundation, the CTS is a large-scale investigation of changes in the American health care system and their effects on people. As in the previous rounds, physicians were sampled in the 60 CTS sites: 51 metropolitan and 9 nonmetropolitan areas that were randomly selected to form the core of the CTS and to be representative of the nation as a whole. However, the fourth round lacks an independent supplemental national sample of physicians, which augmented the CTS site sample in the previous rounds. Information collected by the survey includes net income from the practice of medicine, year of birth, sex, race, Hispanic origin, year of graduation from medical school, specialty, board certification status, compensation model, patient mix (e.g., race/Hispanic origin of patients and percent with chronic conditions), career satisfaction, practice type, size, and ownership, percent of practice revenue from Medicare, Medicaid, or managed care, acceptance of new Medicaid and Medicare patients and, if applicable, reasons for not accepting them, use of information technology for care management, number of patient visits and hours worked in medically related activities during the last complete week of work, and the number of hours spent providing charity care in the last month. In addition, the survey elicited views on a number of issues such as patient-physician interactions, competition among practices, the influence of financial incentives on the quantity of services provided to patients, trends in the amount and quality of nursing support, one's ability to provide quality care and obtain needed services for patients, and the importance of various factors that may limit the quality of care. Part 3, the Site and County Crosswalk Data File, identifies the counties that constitute each CTS site. Part 4, Physician Survey Summary File, contains site-level estimates and standard errors for selected physician characteristics, e.g., the average age of physicians, the average percentage of patients with a formulary, and the percentage of physicians who said medical errors in hospitals are a minor problem.
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Forces of Change Survey, United States, 2014, Restricted-Use Level 1 Data (ICPSR 36153)

Released/updated on: 2018-11-20
Geographic coverage: United States
Time period: 2014-01-23--2014-02-28

The National Association of County and City Health Officials' (NACCHO) Forces of Change Survey is an evolution of NACCHO's Job Losses and Program Cuts Surveys (also known as the Economic Surveillance Surveys) which measured the impact of the economic recession on local health departments' (LHD) budgets, staff, and programs. The Forces of Change Survey continues to measure changes in LHD budgets, staff, and programs and assess more broadly the impact of forces affecting change in LHDs, such as health reform and accreditation. More specifically, the survey collected information about LHD staffing levels, workforce reductions, and changes in budget sizes; provided services or functions; changes in the level of service delivery; billing for clinical services; efforts to help people enroll in health insurance from exchanges under the Affordable Care Act; awareness of and involvement in the State Innovation Models Initiative; participation in the Public Health Accreditation Board's national accreditation program for LHDs; and whether LHDs are part of a combined health and human services agency.

The collection is comprised of the public-use version (Restricted-Use Level 1) of the Forces of Change 2014 dataset, and includes 133 variables for 648 cases, with demographic variables related to LHD budgets, governance type, and number of employees.

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Forces of Change Survey, United States, 2014, Restricted-Use Level 2 Data (ICPSR 37139)

Released/updated on: 2018-11-20
Geographic coverage: United States
Time period: 2014-01-23--2014-02-28

The National Association of County and City Health Officials' (NACCHO) Forces of Change Survey is an evolution of NACCHO's Job Losses and Program Cuts Surveys (also known as the Economic Surveillance Surveys) which measured the impact of the economic recession on local health departments' (LHD) budgets, staff, and programs. The Forces of Change Survey continues to measure changes in LHD budgets, staff, and programs and assess more broadly the impact of forces affecting change in LHDs, such as health reform and accreditation. More specifically, the survey collected information about LHD staffing levels, workforce reductions, and changes in budget sizes; provided services or functions; changes in the level of service delivery; billing for clinical services; efforts to help people enroll in health insurance from exchanges under the Affordable Care Act; awareness of and involvement in the State Innovation Models Initiative; participation in the Public Health Accreditation Board's national accreditation program for LHDs; and whether LHDs are part of a combined health and human services agency.

The collection is comprised of the restricted-use version (Restricted-Use Level 2) of the Forces of Change 2014 dataset, and includes 140 variables for 648 cases, with demographic variables related to LHD budgets, governance type, and number of employees.

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Forces of Change Survey, United States, 2015, Restricted-Use Level 1 Data (ICPSR 37069)

Released/updated on: 2018-09-05
Geographic coverage: United States
Time period: 2014-01-01--2014-12-31

The National Association of County and City Health Officials' (NACCHO) Forces of Change Survey is an evolution of NACCHO's Job Losses and Program Cuts Surveys (also known as the Economic Surveillance Surveys) which measured the impact of the economic recession on local health departments' budgets, staff, and programs. The Forces of Change Survey continues to measure changes in Local Health Department (LHD) budgets, staff, and programs and assess more broadly the impact of forces affecting change in LHDs, such as health reform and accreditation. More specifically, the survey collected information about LHD staffing levels, workforce reductions, and changes in budget sizes; provided services or functions; changes in the level of service delivery; billing for clinical services; efforts to help people enroll in health insurance from exchanges under the Affordable Care Act; awareness of and involvement in the State Innovation Models Initiative; participation in the Public Health Accreditation Board's national accreditation program for LHDs; and whether LHDs were part of a combined health and human services agency.

The collection is comprised of the public-use version (Restricted-Use Level 1) of the Forces of Change 2015 dataset, and includes 101 variables for 690 cases, with demographic variables related to LHD budgets.

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Forces of Change Survey, United States, 2015, Restricted-Use Level 2 Data (ICPSR 37140)

Released/updated on: 2018-09-05
Geographic coverage: United States
Time period: 2014-01-01--2014-12-31

The National Association of County and City Health Officials' (NACCHO) Forces of Change Survey is an evolution of NACCHO's Job Losses and Program Cuts Surveys (also known as the Economic Surveillance Surveys) which measured the impact of the economic recession on local health departments' budgets, staff, and programs. The Forces of Change Survey continues to measure changes in Local Health Department (LHD) budgets, staff, and programs and assess more broadly the impact of forces affecting change in LHDs, such as health reform and accreditation. More specifically, the survey collected information about LHD staffing levels, workforce reductions, and changes in budget sizes; provided services or functions; changes in the level of service delivery; billing for clinical services; efforts to help people enroll in health insurance from exchanges under the Affordable Care Act; awareness of and involvement in the State Innovation Models Initiative; participation in the Public Health Accreditation Board's national accreditation program for LHDs; and whether LHDs were part of a combined health and human services agency.

The collection is comprised of the restricted-use version (Restricted-Use Level 2) of the Forces of Change 2015 dataset, which includes 103 variables for 690 cases and demographic variables related to the size of population served and LHD budgets.

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Forces of Change Survey, United States, 2017, Restricted-Use Level 1 Data (ICPSR 37103)

Released/updated on: 2018-11-07
Geographic coverage: United States
Time period: 2017-02-21--2017-04-21

The National Association of County and City Health Officials' (NACCHO) Forces of Change Survey is an evolution of NACCHO's Job Losses and Program Cuts Surveys (also known as the Economic Surveillance Surveys) which measured the impact of the economic recession on local health departments' (LHD) budgets, staff, and programs. The Forces of Change Survey continues to measure changes in LHD budgets, staff, and programs and assess more broadly the impact of forces affecting change in local health departments, such as health reform and accreditation. This current iteration of the survey collected information about Zika response; local health departments involvement in multi-sectoral partnerships; and workforce recruitment.

The collection is comprised of the public-use version (Restricted-Use Level 1) of the Forces of Change 2017 dataset, and includes 192 variables for 948 cases, with demographic variables related to LHD budgets.

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Forces of Change Survey, United States, 2017, Restricted-Use Level 2 Data (ICPSR 37141)

Released/updated on: 2018-11-07
Geographic coverage: United States
Time period: 2017-02-21--2017-04-21

The National Association of County and City Health Officials' (NACCHO) Forces of Change Survey is an evolution of NACCHO's Job Losses and Program Cuts Surveys (also known as the Economic Surveillance Surveys) which measured the impact of the economic recession on local health departments' (LHD) budgets, staff, and programs. The Forces of Change Survey continues to measure changes in LHD budgets, staff, and programs and assess more broadly the impact of forces affecting change in LHDs, such as health reform and accreditation. This current iteration of the survey collected information about Zika response; LHDs involvement in multi-sectoral partnerships; and workforce recruitment.

The collection is comprised of the restricted-use version (Restricted-Use Level 2) of the Forces of Change 2017 dataset, and includes 195 variables for 948 cases, with demographic variables related to LHD budgets.

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National Evaluation of Rural Primary Health Care Programs, 1979-1982 (ICPSR 8534)

Released/updated on: 2006-01-12
Geographic coverage: United States
Time period: 1979-01-01--1982-01-01
This data collection effort was undertaken in order to determine what kinds of program development strategies prove most effective for health care programs in different communities, specifically those defined as rural. Effectiveness of these programs was measured in terms of patient access to medical care, stability of the health care programs, and the impact of the programs on those they serve. General areas investigated in the surveys include program developmental methods, administrative structure, community setting, provider characteristics, financial policy, range of services offered, and consumer satisfaction.
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Simple Crosstabs

National Study of Physician Organizations (NSPO3), United States, 2012-2013 (ICPSR 38587)

Released/updated on: 2023-01-31
Geographic coverage: United States
Time period: 2012-01-01--2013-11-30
The National Study of Physician Organizations was designed to improve understanding of evidence-based care management processes (CMPs) as they relate to physician organizations (POs), that is, independent practice associations (IPAs) and medical groups. This survey, the third NSPO survey of IPAs and medical groups (NSPO2), examined over 2000 physician organizations of all sizes. As in prior surveys, NSPO3 collected demographic information about the following practices and assesses: (1) use of clinical information technology; (2) use of care management processes to improve the quality of care for four chronic conditions (asthma, congestive heart failure, depression, and diabetes); (3) provision of clinical preventive services and health promotion; (4) exposure to external performance incentives such as pay for performance and public reporting; (5) payer mix, forms of compensation from health plans, and forms of compensation paid by the practice to its physicians; (6) organizational culture. In addition, NSPO3 asked about participation or intended participation in Accountable Care Organizations (ACOs).
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National Survey of Primary Care Physicians and Nurse Practitioners, 2012 (ICPSR 36050)

Released/updated on: 2024-02-14
Geographic coverage: United States
Time period: 2011-11-23--2012-04-09
The focus of this survey was the role of nurse practitioners and physicians in primary care and the likely effects on the health care system of expanding the supply of nurse practitioners and their scope of practice. Topics of the survey include satisfaction with career, daily roles and responsibilities, perceived affects of increasing the supply of NPs, attitudes toward NP scope of practice, information on clinical practice services and revenue, and respondent demographics and income.
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National Survey of Rural Physicians, 1993 (ICPSR 6848)

Released/updated on: 2024-02-14
Geographic coverage: United States
The purpose of this survey was to examine various dimensions of physician availability in rural areas and their impact on access to care. Rural physicians provided information on the characteristics of their current practice setting, such as type of practice arrangement (solo practice, owner/part owner of group practice, employed by another physician or group of physicians, employed by a hospital, community or migrant health center, HMO, or the federal government, or some other arrangement), number of physician and nonphysician personnel in the practice, and number of patient visits. Respondents supplied the number of hours spent providing patient care and traveling to provide care during the most recent complete work week, percentage of time spent providing primary care services, and the usual fee for an office visit for the evaluation and management of an established patient that required a detailed examination, medical decision-making of moderate complexity, and 25 minutes of time face-to-face with the patient (CPT code 99214). Additional topics covered whether the practice had a contract with a preferred provider organization (PPO), a capitated managed care plan such as a health maintenance organization (HMO), or an independent practice association (IPA), and the percentage of the practice's revenue that came from Medicaid, PPOs for privately insured patients, IPAs or HMOs for privately insured patients, and Medicare. The physicians were also asked about plans to expand or reduce their practice, the amount of debt from medical education they carried when they first went to work for the rural practice, and whether working at a rural practice fulfilled a service obligation in exchange for some or all of the debt from their medical education. Respondents' opinions were sought on their practice, the community in which it was located, and on health care reform. Other information gathered by the survey included location of the practice, the year the respondent first went to work for the practice, and the respondent's primary specialty, board certification(s), hospital admitting privileges, marital status, income, race, and Hispanic origin.
Curated
Partially restricted

Newly Licensed Registered Nurse Survey, 2006 (ICPSR 36773)

Released/updated on: 2020-01-30
Geographic coverage: United States
This is the first wave of a multi wave panel survey that studied newly licensed registered nurses who obtained their first license to practice between September 1, 2004 and August 31, 2005. It was conducted as part of the RN Work Project, a national study of new nurses funded by the Robert Wood Johnson Foundation. The survey interviewed the nurses about their jobs, turnover, intentions and attitudes--including intent, satisfaction, organizational commitment, and preferences about work.
Curated
Partially restricted

Newly Licensed Registered Nurse Survey, 2007 (ICPSR 36812)

Released/updated on: 2020-01-30
Geographic coverage: United States
This is the second wave of a multi wave panel survey that studied newly licensed registered nurses who obtained their first license to practice between September 1, 2004 and August 31, 2005. It was conducted as part of the RN Work Project, a national study of new nurses funded by the Robert Wood Johnson Foundation. The survey interviewed the nurses about their jobs, turnover, intentions and attitudes--including intent, satisfaction, organizational commitment, and preferences about work.
Curated
Partially restricted

Newly Licensed Registered Nurse Survey, 2009 (ICPSR 36813)

Released/updated on: 2020-01-30
Geographic coverage: United States
This is the third wave of a multi wave panel survey that studied newly licensed registered nurses who obtained their first license to practice between September 1, 2004 and August 31, 2005. It was conducted as part of the RN Work Project, a national study of new nurses funded by the Robert Wood Johnson Foundation. The survey interviewed the nurses about their jobs, turnover, intentions and attitudes--including intent, satisfaction, organizational commitment, and preferences about work.
Curated
Partially restricted

Newly Licensed Registered Nurse Survey, 2011 (ICPSR 36814)

Released/updated on: 2020-01-30
Geographic coverage: United States
This is the fourth wave of a multi wave panel survey that studied newly licensed registered nurses who obtained their first license to practice between September 1, 2004 and August 31, 2005. It was conducted as part of the RN Work Project, a national study of new nurses funded by the Robert Wood Johnson Foundation. The survey interviewed the nurses about their jobs, turnover, intentions and attitudes--including intent, satisfaction, organizational commitment, and preferences about work.
Curated
Partially restricted

Newly Licensed Registered Nurse Survey, 2013 (ICPSR 36815)

Released/updated on: 2020-01-30
Geographic coverage: United States
This is the fifth wave of a multi wave panel survey that studied newly licensed registered nurses who obtained their first license to practice between September 1, 2004 and August 31, 2005. It was conducted as part of the RN Work Project, a national study of new nurses funded by the Robert Wood Johnson Foundation. The survey interviewed the nurses about their jobs, turnover, intentions and attitudes--including intent, satisfaction, organizational commitment, and preferences about work.
Curated
Partially restricted

Newly Licensed Registered Nurse Survey, 2015 (ICPSR 36816)

Released/updated on: 2020-01-30
Geographic coverage: United States
This is the sixth wave of a multi wave panel survey that studied newly licensed registered nurses who obtained their first license to practice between September 1, 2004 and August 31, 2005. It was conducted as part of the RN Work Project, a national study of new nurses funded by the Robert Wood Johnson Foundation. The survey interviewed the nurses about their jobs, turnover, intentions and attitudes--including intent, satisfaction, organizational commitment, and preferences about work.
Curated

Process Evaluation of an In-person Versus Webinar Human Papillomavirus (HPV) Vaccination Quality Improvement Program (Illinois, Michigan and Washington State), 2015-2016 (ICPSR 36757)

Released/updated on: 2017-09-28
Geographic coverage: United States
Time period: 2015-01-01--2016-01-01

These data were collected as part of an assessment of in-person and webinar AFIX consultations on best practices for adolescent HPV immunization. AFIX (which stands for Assessment, Feedback, Incentives, and eXchange) is a program of the Center for Disease Control and Prevention aimed at increasing vaccination of children and adolescents by reducing missed opportunities to vaccinate and improving immunization delivery practices at the provider level.

High-volume primary care clinics serving over 370,000 patients ages 11-17 in three states were randomly assigned to receive no consultation or an in-person or webinar AFIX consultation focused on improving adolescent HPV immunization. Immunization specialists from participating state health departments delivered the consultations. Physicians, nurses and other clinic staff in the in-person and webinar arms who participated in the consultation sessions completed web-based surveys pre-consultation (pre-visit survey), post-consultation (post-visit survey) and at six-month follow up (follow-up survey). Topics covered by the surveys include participation in and satisfaction with the assigned consultation delivery mode; strategies for improving HPV vaccination coverage used by the respondents' clinics; opinions about the level of HPV vaccination coverage in the respondents' clinics; and the respondents' self-efficacy for improving HPV vaccination coverage.

Curated
Partially restricted

Robert Wood Johnson Foundation Family Health Insurance Survey, 1993 (ICPSR 6894)

Released/updated on: 2005-06-22
Geographic coverage: Oregon, Vermont, New York, United States, New Mexico, Oklahoma, Colorado, Minnesota, Florida, North Dakota, Washington
Time period: 1993-01-01--1994-01-01
This survey investigated health insurance coverage, as well as access to and use of health services, in each of ten states. With the goal of remedying the previous lack of state-level data, the survey was conducted to aid in defining problems of insurance coverage and to analyze the impacts of states' policy options. The main unit of observation is the health insurance family, which includes the head, spouse, and their children up to age 18, or to age 23 if they were in school. Variables on health insurance coverage include the types of coverage respondents carried (Medicare, Medicaid, additional state or federal programs, and private policies), sources of private policy coverage, premiums paid for private policies, and number of months uninsured during the last year. Access to health care is measured by variables such as the type of usual health care provider, the amount of time it usually took to get to the doctor's office, and whether needed medical care was not received during the previous year. Variables on the utilization of health care include the number of overnight hospital stays, the number of visits to doctors, age at first DPT (diphtheria, whooping cough, and tetanus) shot, age at first oral polio immunization, and the number of months since the most recent breast exam and Pap smear. The survey also elicited self-reported health status and opinions on the health care system, gauged satisfaction/dissatisfaction with health services received, and gathered information on employment, income, education, migration, age, sex, marital status, race, Hispanic origin, and citizenship.
Curated

United States Hospital AIDS/HIV and Pediatric AIDS/HIV Care Survey, 1988, 1989, AND 1991 (ICPSR 6455)

Released/updated on: 2006-01-12
Geographic coverage: United States
The purpose of this study was to obtain information on hospital-based treatment of persons with Acquired Immune Deficiency Syndrome (AIDS) and other Human Immunodeficiency Virus (HIV)-related illnesses. Aggregate data were obtained from each surveyed hospital, with the hospital as the unit of observation. Topics covered included patient demographics, service volume and structure, sources of payment, and types of services and treatments rendered. Information was also solicited on inpatient and outpatient AIDS/HIV hospital utilization, patient discharge disposition and likely mode of exposure, hospital community AIDS/HIV education programs, and policies for the treatment of AIDS/HIV patients, for employees with AIDS/HIV, and for the confidentiality of AIDS/HIV patients. Additionally, hospital administrators were queried about monitoring and tracking of outpatient services and the existence of special hospital-operated AIDS/HIV outpatient clinics. Financial characteristics covered included net revenues, costs, and charges for inpatient and outpatient AIDS/HIV services, payer source, and methods used to determine costs. In 1989 and 1991, separate data were obtained for pediatric AIDS/HIV patients.
Curated

Use of Radiology and Laboratory Tests Among Selected Inpatients in Canadian and United States Hospitals, 1990-1991 (ICPSR 6539)

Released/updated on: 1998-06-12
Geographic coverage: Canada, United States, Global
Time period: 1990-01-01--1991-01-01
The purpose of this study was to compare the use of radiology and laboratory tests provided to inpatients admitted with specific medical and surgical Diagnosis-Related Groups (DRGs) to four hospitals in the United States and four hospitals in Canada. These DRGs covered specific cerebral vascular accidents (except transient ischemic attack), simple pneumonia and pleurisy with complications and comorbidities (CC), acute myocardial infarction with CC, acute myocardial infarction without CC, appendectomy with CC, major joint or limb reattachment procedures, hip and femur procedures with major joint procedure, uterine/adnexa procedures for nonmalignancy with CC, and uterine/adnexa procedures for nonmalignancy without CC. Patient admissions are the units of observation. For each patient admission, relative value units are given for radiology and laboratory tests that were administered, including biochemistry tests, hematology/coagulation tests, vascular radiology tests, nuclear medicine tests, ultrasound tests, and X-rays. Additional data cover patient age, gender, length of hospital stay, and principal discharge diagnosis.