Showing 1 – 7 of 7 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
Partially restricted
Impact of the Internet and Advertising on Patients and Physicians, 2000-2001: [United States] (ICPSR 3994)
Released/updated on: 2024-02-14
Geographic coverage: United States
Time period: 2000-01-01--2001-01-01
This study investigated public reactions and physicians' views on the effects of direct-to-consumer advertising (DTCA) of prescription medications and health information on the Internet. To this end, separate surveys of the general public (Part 1) and physicians (Part 2) were conducted. The Survey of the Public collected data on demographics, health status, health insurance coverage, perceived quality of medical care, sources of medical information, and attitudes toward and experience with DTCAs and health information on the Internet. Respondents who had seen a DTCA or health information on the Internet in the past 12 months, perceived it as personally relevant, and discussed it with their physician were asked about the last time they had done this, e.g., whether they scheduled the doctor visit specifically because they wanted to discuss information they got from the Internet, whether, during or after the visit, the doctor diagnosed them with the disease or medical condition that a DTCA related to, and whether or not their physician ordered a test, changed their medication or treatment, or referred them to a specialist when they talked about a DCTA during the visit. Similarly, the Survey of Physicians explored the most recent occasion when physicians talked to a patient about information the patient found on the Internet or obtained from a DTCA. Physicians expressed their views on the impact of this information on health outcomes, health service utilization, and the physician-patient relationship. Additional topics covered by the Survey of Physicians included the role physicians played in their patients' health care decisions and role they would like to play in these decisions, physicians' use of the Internet for purposes related to the practice of medicine, and physicians' practice profiles, income, age, race, and Hispanic origin. The data from the Survey of Physicians include variables from the American Medical Association's (AMA) master files such as sex, type of medical specialty, and year of graduation from medical school.
Curated
National Hospice Study: Patient and Facility Data, [1980-1983] (ICPSR 8466)
Released/updated on: 2006-01-12
Geographic coverage: United States
Time period: 1980-01-01--1983-01-01
The purpose of the National Hospice Study was to examine the impact of hospice care on the quality of life of patients and their families and the health care cost incurred by patients. The National Hospice Study consists of two distinct, but interrelated, primary data collection components. The first relates to patient level studies of the costs incurred by patients and their families during the final phases of terminal cancer as well as the quality of life that they experienced during this period. The second component of the study relates to comparisons of the hospices that had received special demonstration funding from the Health Care Financing Adminstration for reimbursement of costs incurred by Medicare patients and those that had not. To address the issue of the desirability of reimbursing for hospice under Medicare, data from a large number of hospice and nonhospice patients were gathered. Patients were identified via the sites of care serving them, both hospice and nonhospice. Three types of data were collected: (1) facility level characteristics for a sample of all hospices nationwide, (2) census of intake and discharge characteristics for all patients served by those hospices during the study period, and (3) an extensive interview schedule regarding the quality of care and adequacy of Medicare reimbursement programs was conducted in both hospice and nonhospice settings with a sample of those patients fulfilling certain selection criteria (as well as their primary care person and family).
Curated
National Studies of Physicians from Twenty-four Medical and Surgical Specialties, 1976-1978 (ICPSR 7782)
Released/updated on: 2006-01-18
Geographic coverage: United States
Time period: 1976-01-01--1978-01-01
This study was conducted in order to gather detailed specialty-specific data for most of the physician population of the United States. Each member of sample groups of physicians in each of 24 specialty areas completed numerically coded "log diaries" (self-enumerated questionnaires) over the course of one week during the survey data gathering period of 1976-1978. With the information obtained from the log diaries, three data files containing detailed information on the activities of the physicians surveyed and on the characteristics of their practices were prepared for each of the 24 specialty areas: allergy, cardiology, dermatology, emergency medicine, endocrinology, family practice, gastroenterology, general practice, general surgery, hematology, infectious diseases, internal medicine, nephrology, neurological surgery, neurology, obstetrics/gynecology, oncology, ophthalmology, orthopaedic surgery, otorhinolaryngology, pediatrics, psychiatry, pulmonary diseases, and rheumatology. As a result, there are 71 discrete datafiles in this dataset (emergency medicine has only two files). Parts 1-24 contain detailed information about each physician's medical or surgical practice, e.g., specialty, major professional activity, board certifications, type of practice, physician's opinion concerning distribution of specialties in the community, number of hours per week worked and in what capacity, and type of employees in physician's practice and number of hours worked. Parts 28-48 contain data on each patient the physician saw in person during the week in which he or she kept the log diary. Parts 49-71 hold the data derived from each encounter the physician had via telephone with a patient during the same period. The data in the latter two groups of files contain patient age, sex, problem focus, role, source, and diagnoses.
Curated
National Study of Internal Medicine, Physician Practice Study, Phase III, 1981 (ICPSR 8301)
Released/updated on: 2006-01-12
Geographic coverage: United States
This data collection contains information on the practices of young internists in order to understand the determinants of different practice styles, especially the relationship between training and practice, and to compare the practices of four groups of physicians: (1) general internists with traditional residencies, (2) general internists who received their residency training in special primary care tracks, (3) family physicians, and (4) subspecialty internists. The study queried a national sample of residents and fellows who were in training during 1976-1977 about their current positions, activities, patients, physician-patient relationships, family backgrounds, and educational training histories. Patients of these doctors were also surveyed. Demographic characteristics, such as age, sex, race, educational level, work status, marital status, and income, were recorded for the patient respondents. Background information on physicians includes family, educational history, 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
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.