Health and Medical Care Archive

 

Description & Citation--Study No. 3267

Bibliographic Description

ICPSR Study No.:3267
 
Title:Community Tracking Study Physician Survey, 1998-1999: [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 PHYSICIAN SURVEY, 1998-1999: [UNITED STATES] [Computer file]. ICPSR version. Washington, DC: Center for Studying Health System Change [producer], 2001. Ann Arbor, MI: Inter-university Consortium for Political and Social Research, 2004.
 

Scope of Study

Summary: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 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 effects of care management strategies, and various other aspects of physicians' practice of medicine. For primary care physicians (PCPs), the instrument also provided vignettes of clinical presentations for which there was no prescribed method of treatment. PCPs were asked to state 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, identifies the counties that constitute each site. Part 4, Physician Survey Summary File, contains site-level estimates and standard errors 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.
 
Subject Term(s):career expectations, career goals, career satisfaction, communities, counties, health care delivery, health care facilities, health care services, medical specializations, patient care, physician practice, physicians
 
Geographic Coverage:United States
 
Time Period:1998 - 1999
 
Date(s) of Collection:1998 - 1999
 
Universe:Physicians practicing in the 48 states of the contiguous United States who provided direct patient care for at least 20 hours per week, and were not federal employees, specialists in fields in which the primary focus was not direct patient care, or graduates of foreign medical schools who were only temporarily licensed to practice in the United States. Residents, interns, and fellows were excluded.
 
Data Type:survey data
 
Data Collection Notes:(1) The data maps are provided as ASCII text files and the codebooks and user guides are provided by the data producer 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 Web site. (2) Additional information regarding this study is located at the Web site of the Center for Studying Health System Change, http://www.hschange.com.
 

Methodology

Sample: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. The sample frame was developed by combining lists of physicians from the American Medical Association and the American Osteopathic Association. In the site sample and the supplemental sample, the sample design involved randomly selecting both physicians who were part of the Round 1 survey and physicians who were not. About 58 percent of the Round 2 respondents also participated in Round 1. Primary care physicians were oversampled in the site sample.
 
Data Source:telephone interviews
 

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 to learn the identity of any person or establishment is prohibited. To preserve respondent anonymity, certain variables are restricted from general dissemination. The restricted-use version of the Main Data File contains 87 more variables than the public-use version of the Main Data File. To obtain this restricted-use file, researchers must agree to the terms and conditions of a Restricted Data Use Agreement (link).
 
Original ICPSR Release:2001-10-22
 
Version History:The last update of this study occurred on 2004-02-24.
 
  2004-02-24 - The user guide for the restricted-use version of the main data file has been revised. As noted on the "What's New" page in the guide, there are minor changes to the text related to the recommended SUDAAN parameters.
 
  2002-03-01 - The user guides for the public- and restricted-use versions of the main data file have been revised. A discussion was added about how to pool data from Round 1 and Round 2 in order to increase sample size. In addition, the data definition statements have been enhanced.
 
Dataset(s):
  • DS1: Public-Use Version of the Main Data File
  • DS2: Restricted-Use Version of the Main Data File
  • DS3: Site and County Crosswalk Data File
  • DS4: Physician Survey Summary File
 


The Inter-university Consortium for Political and Social Research               The Robert Wood Johnson Foundation

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