Health and Medical Care Archive

 

Description & Citation--Study No. 2524

Bibliographic Description

ICPSR Study No.:2524
 
Persistent URL: http://dx.doi.org/10.3886/ICPSR02524
 
Title:Community Tracking Study Household Survey, 1996-1997, and Followback Survey, 1997-1998: [United States]
 
Principal Investigator(s):Center for Studying Health System Change
 
Series:Community Tracking Study Series
 
Funding Agency:The Robert Wood Johnson Foundation.
 
Grant Number:29275
 
Bibliographic Citation:Center for Studying Health System Change. Community Tracking Study Household Survey, 1996-1997, and Followback Survey, 1997-1998: [United States] [Computer file]. ICPSR02524-v4. Washington, DC: Center for Studying Health System Change [producer], 2000. Inter-university Consortium for Political and Social Research [distributor], 2000-09-25. doi:10.3886/ICPSR02524
 

Scope of Study

Summary:This data collection comprises two components of the Community Tracking Study (CTS), the Household Survey and the Followback Survey. The CTS, sponsored by the Robert Wood Johnson Foundation, is a national study designed to track changes in the health care system and the effects of these 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 Household Survey was administered to households in the 60 CTS sites and to a supplemental national sample of households. At the beginning of each interview, a household informant was identified and queried about the composition of the household. With this information, individuals in the household were grouped into family insurance units (FIU). An FIU reflects family groupings typically used by insurance carriers. It includes an adult household member, his or her spouse, if any, and any dependent children 0-17 years of age (or 18-22 years of age if a full-time student). Family informants, selected from each FIU in the household, provided information on health insurance coverage, health care use, usual source of care, and the general health of all persons in the FIU. These informants also provided information on family income and out-of-pocket expenses for health care, as well as employment, race, and Hispanic origin for all adult FIU members. Each adult in the household, including the FIU informants, responded through a self-response module to questions regarding unmet health care needs, patient trust, satisfaction with physician choice, limitations in daily activities, smoking behaviors, and last doctor visit. In FIUs with more than one child under 18, only one child was randomly selected for inclusion in the survey. The family informant responded on behalf of the child regarding unmet needs and satisfaction with physician choice. The adult family member who took this child to his or her last doctor visit responded to questions about the visit. The Followback Survey was designed to obtain detailed information on private health insurance coverage reported in the Household Survey. It was administered to health plans and other organizations that offered or administered the comprehensive private health insurance policies covering Household Survey respondents in the 60 CTS sites. Information on private health insurance policies collected by the Followback Survey includes product type, gatekeeping, consumer cost sharing, provider payment methods, and coverage of mental health and/or substance abuse services.
 
Subject Term(s):communities, doctor visits, employment, families, health attitudes, health behavior, health care, health care costs, health care delivery, health care expenses, health care facilities, health care services, health services utilization, Hispanic origin, household composition, households, income, insurance coverage, insurance policies, mental health services, physician choice, physician patient relationship, private health insurance
 
Geographic Coverage:United States
 
Universe:Household Survey: Civilian, noninstitutionalized persons in the contiguous 48 states of the United States. Followback Survey: Comprehensive private health insurance policies covering the universe of the Household Survey.
 
Data Type:survey data
 
Data Collection Notes:(1) Additional information regarding this study is located on the website of the Center for Studying Health System Change, http://www.hschange.org (link). (2) Data maps are provided as ASCII text files, and the user guides and codebooks are provided as Portable Document Format (PDF) files. The PDF file format was developed by Adobe Systems Incorporated and can be accessed using PDF reader software, such as the Adobe Acrobat Reader. Information on how to obtain a copy of the Acrobat Reader is provided on the ICPSR Website.
 

Methodology

Sample:Household Survey: The CTS sites were selected using stratified sampling with probability proportional to population size. The supplemental sample, selected with stratified random sampling, was included in the survey to increase the precision of national estimates. Most households were selected using list-assisted random-digit dialing. Area probability samples of housing units were used to represent households without telephones or with intermittent telephone coverage. Followback Survey: Health plans and other organizations that offered or administered private health insurance (generically referred to as "entities") were identified using the names of health insurance plans and employers that Household Survey respondents provided. These entities were asked to provide information on all of the private policies covering the 38,310 privately insured Household Survey respondents in the 60 CTS sites. Interviews were typically conducted with health plan marketing staff in order to determine the characteristics of the products that the entities offered, and then Household Survey respondents' policies were matched to these products.
 
Data Source:telephone interviews and self-administered questionnaires
 

Access and Availability

Note:A list of the data formats available for this study can be found in the summary of holdings. Detailed file-level information (such as record length, case count, and variable count) is listed in the file manifest.
 
Restrictions:This data collection may not be used for any purpose other than statistical reporting and analysis. Use of these data in order to learn the identity of any person or establishment is prohibited. To preserve respondent privacy, certain variables in the Main Data File are restricted from general dissemination. Part 1, Public-Use Version of the Main Data File, does not include county identifiers or any variables from the Followback Survey. Part 3, Restricted-Use Version of the Main Data File, contains the variables excluded from the public-use version and can be obtained from ICPSR under the terms and conditions of a Restricted Data Use Agreement (link).
 
Original ICPSR Release:1998-09-11
 
Version History:The last update of this study occurred on 2000-09-25.
 
  2000-09-25 - A total of 56 Household Survey variables were revised as a result of changes in editing and confidentiality masking procedures. For a list of these variables, users should consult the documentation. Additionally, data from the Followback Survey were added to Part 3, Restricted-Use Version of the Main Data File. To obtain these data, researchers must agree to the terms and conditions of a Restricted Data Use Agreement.
 
  2000-03-23 - Part 1, Public-Use Version of the Main Data File, has been updated: variable SPANISH was added to the data, variables RACEX and RACEREX were revised, the SAS and SPSS data definition statements were revised, text format changes were implemented in the user guide and codebook, and text describing the use of weights was expanded. Also, a restricted-use version of the Main Data File has been added to the collection as Part 3. To obtain the restricted-use file, researchers must agree to the terms and conditions of a Restricted Data Use Agreement.
 
Dataset(s):
  • DS1: Public-Use Version of the Main Data File
  • DS2: Site and County Crosswalk Data File
  • DS3: Restricted-Use Version of the Main Data File
 


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