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Extending Health Insurance to the Working Poor: An Assessment of Health Status and Health Care Utilization Effects Among New York City Home Health Attendants, February 1990-June 1991 (ICPSR 9774)
Released/updated on: 2006-01-12
Geographic coverage: New York City
Time period: 1990-02-01--1991-06-01
Using a pre- and post-program design, this survey studied newly-hired home health attendants and their families, most of whom were without medical insurance until they became eligible for health benefits through their union. To assess changes in health status and health services utilization, the attendants were interviewed at the point of union enrollment, and again nine months later. The interview taken prior to enrollment in the benefits program elicited information about concern over health, recent injuries, and self-assessed health status, e.g., the presence or absence of specific health conditions such as diabetes, ulcers, arthritis, stomach trouble, high blood pressure, allergies, asthma, and back problems. Respondents were also queried about the extent and type of previous health coverage (including Medicare and disability insurance), limitations of daily functioning due to poor health, and recent health care utilization, including hospitalization, emergency room usage, and routine ambulatory care. The latter included questions about out-of-pocket expenses and the type of health services received, such as X-rays, CAT scans, sonograms, laboratory tests, electrocardiograms, stress tests, surgery, and setting of bones. Other questions addressed utilization issues of particular relevance to the New York City area, e.g., the use of city hospital clinics. The post-enrollment survey included parallel follow-up questions, as well as questions regarding the respondent's employment status and current benefits. Additional variables in the data collection include respondent's race, Hispanic origin, place of birth, past work experience, date of birth, and sex, plus the sex and dates of birth of family members.
Curated
National Medical Expenditure Survey, 1987: Household Survey I, Population and Home Health Providers (ICPSR 9339)
Released/updated on: 2006-01-18
Geographic coverage: United States
This data collection contains two data files derived from information gathered in the initial screening and Round 1 interviews of the Household Survey component of the 1987 NATIONAL MEDICAL EXPENDITURE SURVEY (NMES). The Person File contains data on each person sampled in the first round of the Household Survey. Data are included on each sampled person's self-reported coverage under private health insurance and public programs such as Medicaid, Medicare, and CAMPUS/CAMPVA. In addition, data describe difficulties and help with activities of daily living such as bathing, dressing, eating, toileting, handling money, walking, shopping, preparation of meals, light housekeeping, and the use of telephones and transportation. For persons with difficulties in activities of daily living, there is also information on prior nursing home institutionalization and the use of special equipment, adult day care, senior centers, home-delivered and congregate meals, special transportation, and telephone assurance. The Person File covers a broad range of personal background variables: age, sex, race, ethnicity, Hispanic ancestry, marital status, family relationships, educational status, employment status, occupation, industry, wages and salary, length of time at work, characteristics of the workplace, union membership, and military service. The Home Health Provider File contains data (as reported by the Household Survey respondents) on each provider of formal or informal services who came to the home of a person in the Household Survey sample within a month of the Round 1 interview. Information in the Home Health Provider File includes date of the provider's last visit, length of stay in the home, type of services rendered, provider's place of work, provider's medical specialty, if any, and whether or not the provider was a relative of the person receiving help.