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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.
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Community Tracking Study Physician Survey, 1996-1997: [United States] (ICPSR 2597)

Released/updated on: 2024-02-14
Geographic coverage: United States
Time period: 1996-08-01--1997-08-01
Sponsored by the Robert Wood Johnson Foundation, this survey is one component of the Community Tracking Study (CTS), a national study designed to track changes in the health care system and the effects of the changes on care delivery and on individuals. Central to the design of the CTS is its community focus. Sixty sites (51 metropolitan areas and 9 nonmetropolitan areas) were randomly selected to form the core of the CTS and to be representative of the nation as a whole. The Physician Survey was administered to physicians in the 60 CTS sites and to a supplemental national sample of physicians. Information gathered by the survey instrument includes physician supply and specialty distribution, practice arrangements and physician ownership of practices, sources of practice revenue, level and determinants of physician compensation, effects of care management strategies, and physicians' allocation of time, provision of charity care, career satisfaction, and perceptions of their ability to deliver care. For primary care physicians, the survey instrument also provided vignettes of various clinical presentations for which there was no prescribed method of treatment. These physicians were asked to indicate the percentage of patients for whom they would recommend the course of action specified in each particular vignette. Part 3, the Site and County Crosswalk Data File, describes which counties constitute each site. Part 4, the Physician Survey Summary File, contains site-level averages and percentages and standard errors of these estimates for selected attributes, e.g., the percentage of physicians who were foreign medical school graduates, average age of physicians, average percentage of patient care practice revenue from Medicaid, etc.
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Community Tracking Study Physician Survey, 1998-1999: [United States] (ICPSR 3267)

Released/updated on: 2024-02-14
Geographic coverage: United States
Time period: 1998-01-01--1999-01-01

This study comprises the second round of the physician survey component of the Community Tracking Study (CTS) sponsored by the Robert Wood Johnson Foundation. The CTS is a national study designed to track changes in the American health care system and the effects of the changes on care delivery and on individuals. Central to the design of the CTS is its community focus. Sixty sites (51 metropolitan areas and 9 nonmetropolitan areas) were randomly selected to form the core of the CTS and to be representative of the nation as a whole. As in the first round of the physician survey (COMMUNITY TRACKING STUDY PHYSICIAN SURVEY, 1996-1997: [UNITED STATES] (ICPSR 2597)), the second round was administered to physicians in the 60 CTS sites and to a supplemental national sample of physicians. The survey instrument collected information on physician supply and specialty distribution, practice arrangements and physician ownership of practices, physician time allocation, sources of practice revenue, level and determinants of physician compensation, provision of charity care, career satisfaction, physicians' perceptions of their ability to deliver care, views on care management strategies, and various other aspects of physicians' practice of medicine. In addition, primary care physicians (PCPs) were asked to recommend courses of action in response to some vignettes of clinical presentations for which there was no prescribed method of treatment.

Dataset 3, the Site and County Crosswalk Data File, identifies the counties that constitute each CTS site.

Dataset 4, the Physician Survey Summary File, contains site-level estimates and standard errors of the estimates for selected physician characteristics, e.g., the percentage of physicians who were foreign medical school graduates, the mean age of physicians, and the mean percentage of patient care practice revenue from Medicaid.

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Community Tracking Study Physician Survey, 2000-2001: [United States] (ICPSR 3820)

Released/updated on: 2024-02-14
Geographic coverage: United States
Time period: 2000-01-01--2001-01-01
This study comprises the third round of the physician survey component of the Community Tracking Study (CTS). Sponsored by the Robert Wood Johnson Foundation, the CTS is a large-scale investigation of changes in the health care system and their effects on people. Central to the design of the CTS is its community focus. Sixty sites (51 metropolitan areas and 9 nonmetropolitan areas) were randomly selected to form the core of the CTS and to be representative of the nation as a whole. As in the first two rounds of the physician survey, COMMUNITY TRACKING STUDY PHYSICIAN SURVEY, 1996-1997: [UNITED STATES] (ICPSR 2597) and COMMUNITY TRACKING STUDY PHYSICIAN SURVEY, 1998-1999: [UNITED STATES] (ICPSR 3267), the third round was administered to physicians in the 60 CTS sites and to a supplemental national sample of physicians. The survey instrument collected information on physician supply and specialty distribution, practice arrangements and physician ownership of practices, physician time allocation, sources of practice revenue, level and determinants of physician compensation, provision of charity care, career satisfaction, physicians' perceptions of their ability to deliver care, effects of care management strategies, and various other aspects of physicians' practice of medicine. Part 3, the Site and County Crosswalk Data File, identifies the counties that constitute each CTS site. Part 4, Physician Survey Summary File, contains site-level estimates and standard errors for selected physician characteristics, e.g., the average age of physicians, the percentage of physicians who were either very or somewhat dissatisfied with their overall career in medicine, and the average percentage of patients with prescription coverage that included the use of a formulary.
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Health Maintenance Organizations in the United States, 1984 (ICPSR 8468)

Released/updated on: 2006-01-18
Geographic coverage: United States
The Health Maintenance Organization study was designed to provide an up-to-date report card on how well HMOs are meeting the aspirations and demands of members, employers, and physicians who work in them. This study includes a detailed assessment of the strengths and successes, weaknesses and failures of HMOs as perceived by their key constituencies. This survey also obtained attitudes toward, and knowledge of HMOs among the general public, as well as changes in those attitudes. Other objectives include a comparison of different levels of knowledge, attitudes, and perceptions of HMOs among the public, employers, and physicians both working in HMOs and non-HMO physicians. Variables in the Corporate Employer file include familiarity with HMOs, whether the company offers HMOs to employees, type of experience with HMOs, incentives and drawbacks of HMOs, number of employees, industry of the company, and number of years at present position of the executive being interviewed. The Physicians file contains variables on opinions and attitudes toward HMOs, whether the physician is an HMO practitioner, the number of HMO patients seen in a week, changes in the physician's practice caused by HMOs, primary speciality, number of years in practice, and age. The Members of HMOs and Public Cross-Section files contain variables on HMO membership, opinions on services at HMOs, comparisons between HMOs and traditional services, desire to join an HMO, health of respondent, occupation, education, age, marital and financial status, and race.
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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.
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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.