Showing 1 – 3 of 3 results.
Curated
National Survey of Access to Medical Care, 1982 (ICPSR 8244)
Released/updated on: 2005-11-04
Geographic coverage: United States
The purpose of this study, which served to update information available from previous Center for Health Administration Studies/National Opinion Research Center surveys in 1953, 1958, 1963, 1970, and 1976, was to provide current data on the accessibility of medical care for the United States population. The survey collected information on usual sources of medical care, sources of medical care utilized, problems associated with access to sources of care, satisfaction with medical services received, utilization of medical diagnostic procedures, health insurance coverage, episodes of illness, and other health-related issues. Additional information collected by the survey includes household composition, age, sex, income, race, education, employment status, and occupation.
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.