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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.
Curated
Partially restricted

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

Southern Rural Access Program (SRAP) Survey of Access to Outpatient Medical Services in the Rural Southeast, 2002-2003 (ICPSR 4724)

Released/updated on: 2007-10-17
Geographic coverage: West Virginia, Mississippi, United States, Texas, Louisiana, Georgia, Alabama, Arkansas, South Carolina
Time period: 2002-11-01--2003-07-01
This survey was conducted to obtain baseline data as part of an evaluation of the Southern Rural Access Program (SRAP), a Robert Wood Johnson Foundation initiative to improve access to health care services in select rural areas of eight states: Alabama, Arkansas, Georgia, Louisiana, Mississippi, South Carolina, West Virginia, and eastern Texas. Within these states, 150 nonmetropolitan counties were selected for SRAP participation based on perceived local health needs, willingness of local organizations and providers to partner with the program's efforts, and prospects for long-term program viability. The SRAP counties demonstrated greater socioeconomic need than other nonmetropolitan counties in the eight states: approximately 50 percent higher poverty rates, 30 percent higher unemployment, and 40 percent greater minority proportions. Topics covered by the survey include health status, health insurance coverage, health care access challenges, confidence in and satisfaction with health care, and utilization of outpatient services including specific disease prevention services. Personal demographic characteristics collected by the survey include age, sex, race, Hispanic origin, primary language spoken at home, marital status, educational achievement, work status, income, number of children at home, and the state, county, town, and ZIP code of residence. The data file also contains county-level and Primary Care Service Area (PCSA)-level contextual variables from external sources, such as population size, population composition by race, number of hospital beds, and variables indicating the presence of short term hospitals and Federally Qualified Health Centers.