Showing 1 – 15 of 15 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
Effects of Preferred Provider Organizations on Health Care Use and Costs: Pooled Cross-Sectional Time Series, First Quarter 1988 Through First Quarter 1990 (ICPSR 6373)
Released/updated on: 2006-01-12
Geographic coverage: United States
Time period: 1988-01-01--1990-03-31
This research project studied the effects of Preferred Provider Organizations (PPOs) on health care use and costs in comparison with indemnity health care plans and indemnity plans with utilization review (UR). The data cover nine quarters of a single insurer's claims experience with these types of health care plans. The unit of observation is the employer group covered by a given plan. Variables describing claims experience include number of claims, reimbursed costs after copayments and deductibles, hospital expenditures, number of hospital admissions, percent of claims in different diagnostic categories (surgery, tumors, births, and mental health), and number of tonsillectomy/adenoidectomy and colonoscopy cases. Reported characteristics of these groups include coinsurance rates, plan type, industry of employer, group mean age, percent of covered lives with dental or prescription drug coverage, and percent of covered lives that were women or dependents. In addition, the data contain variables describing the market in which each group was located, such as number of hospital beds in the city or county, number of hospitals and health maintenance organizations in the metropolitan statistical area, median rental cost for housing units in the city or county, percent of county or city that was Black or age 65 or older, number of nonfederal physicians in the county, and number of PPOs in the state.
Curated
National Survey of Access to Medical Care, 1975-1976 (ICPSR 7730)
Released/updated on: 2024-02-14
Geographic coverage: United States
Time period: 1975-01-01--1976-01-01
This study was undertaken for the purpose of providing baseline national indicators of access to health care for an evaluation of a program of hospital-based primary care group practices funded by the Robert Wood Johnson Foundation. The main objective of that large-scale social experiment was to improve access to medical care for the population in areas served by the groups. The access framework and questionnaires designed for the study were developed to provide empirical indicators of the concept that could be used to monitor progress toward this objective. Five data collection instruments were used by the study: the Household Enumeration Folder, the Main Questionnaire, the Health Opinions Questionnaire, the Physician Supplement, and the Hospital/Extended Care Supplement. The Household Enumeration Folder collected basic demographic information on all household members and served as a screener for the episode of illness and minority oversamples. The Main Questionnaire collected information on disability, symptoms of illness, episodes of illness, socioeconomic and demographic characteristics, and access to health care: sources of medical care utilized, problems associated with access to sources of care (e.g., transportation, parking, waiting time for an appointment), satisfaction with medical services received, utilization of medical diagnostic procedures, dental care, and eye care, and insurance coverage and out-of-pocket expenditures for health care. Respondents' opinions concerning the medical care that they received were gauged by the Health Opinions Questionnaire. The Physician Supplement and the Hospital/Extended Care Supplement collected information on physicians contacted and facilities utilized in connection with reported episodes of illness. File 1, File 2, and File 3 constitute the data files for this collection. File 1 comprises data from the Household Enumeration Folder, the Main Questionnaire, and the Health Opinions Questionnaire, plus variables from secondary sources, such as characteristics, derived from the American Medical Association Physician Masterfile, of physicians named as caregivers by respondents, and medical shortage data, from various sources, for the respondent's county of residence. File 2 contains the data from the Physician Supplement, while File 3 provides the data collected by the Hospital/Extended Care Supplement.
Curated
Restricted
National Survey of Attitudes and Choices in Medical Education and Training (ACMET) II, 1997 (ICPSR 3317)
Released/updated on: 2024-02-14
Geographic coverage: United States
The purpose of this study was threefold: (1) to assess the effects of the Robert Wood Johnson Foundation Generalist Physician Initiative (GPI) on attitudes toward primary care among a national cross-sectional sample of medical students, residents, faculty, residency training directors (RTDs), chairpersons, and medical school deans\; (2) to conduct a longitudinal study of medical student, resident, and faculty participants from ACMET I (1994) and ACMET II (1997) to measure changes over time in attitudes and beliefs about primary care and primary care career choice\; and (3) to survey a nationally representative sample of medical students, residents, faculty, RTDs, chairpersons, and medical school deans about their attitudes toward managed care. The GPI challenged schools of medicine, in collaboration with state governments, private insurers, HMOs, hospitals, and community health centers, to increase the supply of generalist physicians (general internal medicine, general pediatrics, family practice, and general practice). ACMET II gauged views on primary care and specialist medical careers, factors affecting residency choice, faculty influences on medical students and residents, and time spent in various settings (inpatient, outpatient, emergency ward, managed care, and long-term care settings) during electives, clerkships, internships, and residency. Background information collected by the survey includes age, sex, marital status, race, medical school debt, and medical specialty.
Curated
Partially restricted
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.
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
Partially restricted
New Careers in Nursing Nationwide, 2007-2017 (ICPSR 36758)
Released/updated on: 2018-05-02
Geographic coverage: United States
Time period: 2007-01-01--2017-01-01
The New Careers in Nursing Nationwide, 2007-2017 database was designed to evaluate the New Careers in Nursing (NCIN) program. NCIN aimed to provide a streamlined pathway for those individuals who held a bachelor degree but no healthcare experience, to diversify the nursing workforce by identifying underrepresented minorities who were interested in the nursing profession, and to provide individuals with leadership and mentoring opportunities and allow them to cultivate skills as future nursing educators. The NCIN program ran from 2008 through 2015 and awarded 3517 scholarships to 130 schools/programs of nursing. NCIN scholars received three surveys: at the start of their program, the midpoint and upon completing their program. The surveys asked about their curricular and co-curricular experiences, aspirations, program satisfaction, education debt, and future employment.
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Partially restricted
Simple Crosstabs
Newly Licensed Registered Nurse New Cohort 1 Survey, 2009 (ICPSR 36819)
Released/updated on: 2020-02-20
Geographic coverage: United States
The Newly Licensed Registered Nurse Cohort 1 Survey, 2009 is the first wave of a multi-wave panel survey that studied newly licensed registered nurses who obtained their first license to practice between August 1, 2007 and July 31, 2008. 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, education, intentions and attitudes--including intent, satisfaction, organizational commitment, and preferences about work.
Curated
Partially restricted
Simple Crosstabs
Newly Licensed Registered Nurse New Cohort 2 Survey, 2012 (ICPSR 36820)
Released/updated on: 2020-02-20
Geographic coverage: United States
Time period: 2010-08-01--2011-07-31
The Newly Licensed Registered Nurse New Cohort 2 Survey, 2012 is the second wave of a multi-wave panel survey that studied newly licensed registered nurses who obtained their first license to practice between August 1, 2010 and July 31, 2011. 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, education, intentions and attitudes--including intent, satisfaction, organizational commitment, and preferences about work.
Curated
Partially restricted
Simple Crosstabs
Newly Licensed Registered Nurse New Cohort 3 Survey, 2016 (ICPSR 36821)
Released/updated on: 2020-02-20
Geographic coverage: United States
Time period: 2014-08-01--2015-07-31
The Newly Licensed Registered Nurse New Cohort 3 Survey, 2016 is the third wave of a multi-wave panel survey that studied newly licensed registered nurses who obtained their first license to practice between August 1, 2014 and July 31, 2015. 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, education, intentions and attitudes--including intent, satisfaction, organizational commitment, and preferences about work.
Curated
Partially restricted
Simple Crosstabs
Newly Licensed Registered Nurse Quality Improvement Survey 1, 2008 (ICPSR 36817)
Released/updated on: 2021-01-27
Geographic coverage: United States
The purpose of this study was to describe what newly licensed registered nurses (NLRN) working in hospitals learned about quality improvement in their education programs and workplaces. The survey was administered to nurses working in a hospital who participated in the second wave (ICPSR 36812) of the Newly Licensed Registered Nurse Survey series. This was part of a ten year panel survey. Quality improvement topics covered by the survey include:
- patient-centered care
- evidence-based practice
- standardized practices for restrain and seclusion, infection control and pain management
- use of information technology or strategies to reduce reliance on memory
- participation in analyzing errors and designing system improvements
- use of national patient safety resources, initiatives or regulations
- use of specific quality improvement models
Curated
Partially restricted
Oregon Health Insurance Experiment, 2007-2010 (ICPSR 34314)
Released/updated on: 2014-05-02
Geographic coverage: Oregon
Time period: 2007-01-01--2010-01-01
In 2008, a group of uninsured low-income adults in Oregon was selected by lottery to be given the chance to apply for Medicaid. This lottery provides an opportunity to gauge the effects of expanding access to public health insurance on the health care use, financial strain, and health of low-income adults using a randomized controlled design. The Oregon Health Insurance Experiment follows and compares those selected in the lottery (treatment group) with those not selected (control group). The data collected and provided here include data from in-person interviews, three mail surveys, emergency department records, and administrative records on Medicaid enrollment, the initial lottery sign-up list, welfare benefits, and mortality.
This data collection has seven data files:
Dataset 1 contains administrative data on the lottery from the state of Oregon. These data include demographic characteristics that were recorded when individuals signed up for the lottery, date of lottery draw, and information on who was selected for the lottery, applied for the lotteried Medicaid plan if selected, and whose application for the lotteried plan was approved. Also included are Oregon mortality data for 2008 and 2009.
Dataset 2 contains information from the state of Oregon on the individuals' participation in Medicaid, Supplemental Nutrition Assistance Program (SNAP), and Temporary Assistance to Needy Families (TANF).
Datasets 3-5 contain the data from the initial, six month, and 12 month mail surveys, respectively. Topics covered by the surveys include demographic characteristics; health insurance, access to health care and health care utilization; health care needs, experiences, and costs; overall health status and changes in health; and depression and medical conditions and use of medications to treat them.
Dataset 6 contains an analysis subset of the variables from the in-person interviews. Topics covered by the survey questionnaire include overall health, health insurance coverage, health care access, health care utilization, conditions and treatments, health behaviors, medical and dental costs, and demographic characteristics. The interviewers also obtained blood pressure and anthropometric measurements and collected dried blood spots to measure levels of cholesterol, glycated hemoglobin and C-reactive protein.
Dataset 7 contains an analysis subset of the variables the study obtained for all emergency department (ED) visits to twelve hospitals in the Portland area during 2007-2009. These variables capture total hospital costs, ED costs, and the number of ED visits categorized by time of the visit (daytime weekday or nighttime and weekends), necessity of the visit (emergent, ED care needed, non-preventable; emergent, ED care needed, preventable; emergent, primary care treatable), ambulatory case sensitive status, whether or not the patient was hospitalized, and the reason for the visit (e.g., injury, abdominal pain, chest pain, headache, and mental disorders).
The collection also includes a ZIP archive (Dataset 8) with Stata programs that replicate analyses reported in three articles by the principal investigators and others:
Finkelstein, Amy et al "The Oregon Health Insurance Experiment: Evidence from the First Year". The Quarterly Journal of Economics. August 2012. Vol 127(3).
Baicker, Katherine et al "The Oregon Experiment - Effects of Medicaid on Clinical Outcomes". New England Journal of Medicine. 2 May 2013. Vol 368(18).
Taubman, Sarah et al "Medicaid Increases Emergency Department Use: Evidence from Oregon's Health Insurance Experiment". Science. 2 Jan 2014.
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
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.