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Practice Patterns of Young Physicians, 1997: [75 Largest Metropolitan Statistical Areas in the United States] (ICPSR 2829)

Released/updated on: 2024-02-14
Geographic coverage: United States
Time period: 1997-01-01--1997-12-31
This survey reinterviewed a subsample of physicians who responded to the survey PRACTICE PATTERNS OF YOUNG PHYSICIANS, 1991: [UNITED STATES] (ICPSR 6145). Respondents answered questions about their practice arrangements, such as the number of different medical practices that they worked in during the past month, the number of hours spent providing patient care, and the number of patients seen in the past week. They also described the characteristics of their main practice in terms of type of practice setting, practice ownership, number of physicians, percentage of revenues from patients covered by Medicaid and Medicare, share of Medicaid and Medicare revenues from managed care organizations, percentage of patients with no health insurance coverage, and percentage of Black and Hispanic patients. Other information covered whether the practice had a formal mechanism for reviewing clinical practice decisions, whether it had contracted to provide care through a Preferred Provider Organization (PPO), Health Maintenance Organization (HMO), or Independent Practice Arrangement (IPA), whether it was joined with one or more physician practices or was purchased by an insurance company in the past two years, percentage of revenues from PPO, HMO, and IPA arrangements, and whether there were personal financial incentives that favored reducing or expanding services to patients. Additionally, respondents were asked whether contracts or other communications received from insurance plans implied that continued participation in the plans depended upon costs associated with their clinical decisions, or implied that they should not tell patients about restrictions on coverage for medically accepted testing, treatment, or referral options. Other questions probed respondents' career satisfaction, ethical beliefs regarding the practice of medicine, and freedom to practice medicine as they saw fit. The survey also gathered information on determinants of physician compensation, medical specialty, income, marital status, spouse's occupation, and the number of children living with the respondent.
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Preventing Ethical Disasters in the Practice of Medicine, United States, 2008-2016 (ICPSR 38314)

Released/updated on: 2022-11-03
Geographic coverage: United States
Time period: 2008-01-01--2016-05-27

Researchers researched and analyzed 280 cases of serious wrongdoing in medicine involving three kinds of violations: improper prescribing of controlled substances (IPCS), sexual abuse of patients (SAP), and unnecessary invasive procedures (UIP). They focused on these three types of wrongdoing because each is traumatizing to patients, causing physical and emotional harm, financial loss, and sometimes death. They are often the cause of major disciplinary actions by medical boards.

The methodological approach involved identifying potential cases of serious wrongdoing through systematic literature reviews of court records, medical boards reports, newspaper articles, and online materials for each case. Using a detailed codebook, researchers performed descriptive coding of the literature and used a criminal law framework to identify the salient individual and environmental factors that predicted motive, means, and opportunity (MMO) for each case. Within each of the three types of wrongdoing, they identified typologies of cases using qualitative analysis.

Finally, researchers held a working group meeting with experts to reach a consensus on how findings can inform medical education, policies, and oversight practices to reduce the rates and the duration of serious wrongdoing.

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Stakeholder Views on Intellectual Disability Research Ethics, New York, 2013 (ICPSR 38311)

Released/updated on: 2022-03-30
Geographic coverage: United States, Syracuse, New York (state)
Time period: 2013-07-01--2013-11-24

Adults with intellectual disabilities (ID) face significant physical and mental health disparities. Ethical challenges may discourage their inclusion in research and hinder scientific advancements to reduce these health disparities. Five core groups are adults with ID, individuals who provide informal support to adults with ID, individuals who provide services to adults with ID, ID researchers, and Institutional Review Board (IRB) members. Little is known about these stakeholders' opinions on how to ethically include adults with ID in research. Increasing this knowledge base, especially by inviting input from groups whose opinions are rarely examined, is critical to helping the scientific community devise and deploy sensitive and responsive practices and encouraging research to reduce pressing disparities.

The research's long-term goal is to encourage science that is sensitive to the ethical and social dimensions of research with adults with ID and more inclusive of this population. The research's aim was to qualitatively study the views of adults with ID, persons who provide informal support to adults with ID, and persons who provide services to adults with ID on the participation of adults with ID in self-report research. The focus on self-report research that aims to study the thoughts and experiences of adults with intellectual disability reflects the field's increased emphasis on direct representation in such research and the less clear risks this research may bear.

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Chicago Lawyers Survey, 1994-1995 (ICPSR 4100)

Released/updated on: 2012-08-22
Geographic coverage: United States, Chicago, Illinois
Time period: 1994-01-01--1995-12-31
Conducted as a partial replication of the CHICAGO LAWYERS SURVEY, 1975 (ICPSR 8218), this 1994-1995 survey sought to analyze the processes of change that transformed the practice of law and the market for legal services over the two decades between 1975 and 1995. Randomly selected Chicago, Illinois, lawyers were asked about, for example, the nature of their work, work settings, fields of practice, job satisfaction, career histories, professional commitment, client characteristics, and social and political values. Results revealed important changes in the legal profession between 1975 and 1995: women entered the profession in substantial numbers, new specialties were created, law firms and corporate legal departments grew dramatically, and in many organizations the practice of law became constrained by bureaucratic rules and procedures. Background information includes state of residence during high school, college or university attended, law school attended, law school class rank, political preference, degree of political party affiliation, religious preference, marital status, nationality, year of birth, income, race, zip code, number of children, work status of spouse, spouse's nationality, respondents' mother's occupation, respondents' mother's law school, respondents' father's occupation, and respondents' father's law school.
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Chicago Lawyers Survey, 1975 (ICPSR 8218)

Released/updated on: 2006-01-06
Geographic coverage: United States, Chicago, Illinois
Time period: 1975-01-01--1975-12-31
This data collection contains information gathered in 1975 on attorneys in Chicago, Illinois. The purpose of this data collection was to describe and analyze the social organization of the legal profession in Chicago. Several major aspects of the legal profession were investigated: the organization of lawyers' work, the social stratification within the Chicago Bar Association, prestige within the profession, lawyers' personal values, career patterns and mobility, networks of association, and the "elites" within the profession. Specific questions elicited information on areas of law in which the respondents spent most of their time practicing, and the ethnicities, educational background, religion, political affiliation, bar association memberships, and sex of respondents' friends and colleagues. Other variables probe respondents' backgrounds, such as father's occupation, home town, law school from which the respondent graduated, religious and political affiliations, ethnicity, sex, and income.
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Police Corruption in Thirty Agencies in the United States, 1997 (ICPSR 2629)

Released/updated on: 2005-11-04
Geographic coverage: United States
Time period: 1997-01-01--1997-12-31
This study examined police officers' perceptions of and tolerance for corruption. In contrast to the popular viewpoint that police corruption is a result of moral defects in the individual police officer, this study investigated corruption from an organizational viewpoint. The approach examined the ways rules are communicated to officers, how rules are enforced by supervisors, including sanctions for violation of ethical guidelines, the unspoken code against reporting the misconduct of a fellow officer, and the influence of public expectations about police behavior. For the survey, a questionnaire describing 11 hypothetical scenarios of police misconduct was administered to 30 police agencies in the United States. Specifically, officers were asked to compare the violations in terms of seriousness and to assess the level of sanctions each violation of policies and procedures both should and would likely receive. For each instance of misconduct, officers were asked about the extent to which they supported agency discipline for it and their willingness to report it. Scenarios included issues such as off-duty private business, free meals, bribes for speeding, free gifts, stealing, drinking on duty, and use of excessive force. Additional information was collected about the officers' personal characteristics, such as length of time in the police force (in general and at their agency), the size of the agency, and the level of rank the officer held.
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Center for Research on Social Reality [Spain] Survey, November 1992: Social Ethics (ICPSR 6058)

Released/updated on: 1993-10-02
Geographic coverage: Europe, Global, Spain
Time period: 1992-11-01--1992-11-30
This data collection is part of a continuing series of semi-monthly surveys of individuals in Spain. Each survey consists of three sections. The first section collects information on respondents' attitudes regarding personal and national issues. This section includes questions on level of life satisfaction and frequency of relationships, as well as a rating of the importance of national issues. The second section varies according to the monthly topic, with this month's topic focusing on social ethics. Among the issues investigated are the respondent's attitude toward personal/family situations such as marital infidelity, homosexuality, abortion, contraception, pregnancy out of wedlock, and divorce. Also explored are issues relating to ethics in the workplace, such as work habits and degree of dedication to one's job, and issues relating to civic cooperation with the justice system, including attitudes toward minorities, the death penalty, and government corruption. The third section collects demographic data such as sex, age, religion, income, and place of residence.
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