Health and Medical Care Archive

 

Description & Citation--Study No. 9277

Bibliographic Description

ICPSR Study No.:9277
 
Persistent URL: http://dx.doi.org/10.3886/ICPSR09277
 
Title:Practice Patterns of Young Physicians, 1987: [United States]
 
Principal Investigator(s):American Medical Association Education and Research Foundation
 
Funding Agency:The Robert Wood Johnson Foundation.
 
Grant Number:11234
 
Bibliographic Citation:American Medical Association Education and Research Foundation. PRACTICE PATTERNS OF YOUNG PHYSICIANS, 1987: [UNITED STATES] [Computer file]. 2nd ICPSR version. Chicago, IL: American Medical Association Education and Research Foundation [producer], 1987. Ann Arbor, MI: Inter-university Consortium for Political and Social Research [distributor], 1998. doi:10.3886/ICPSR09277
 

Scope of Study

Summary:This four-part data collection was designed to investigate the factors that influence the career decisions of young physicians and the characteristics of their practices. Part 1 comprises responses from the Young Physicians Survey (YPS) and merged data from the American Medical Association (AMA) Masterfile and the Association of American Medical Colleges' Student and Applicant Information Management System (SAIMS) database. The YPS interviewed physicians below 40 years of age who recently completed graduate medical training and were in their early years of practice. These physicians were queried about their graduate medical training, perceptions of the medical profession, current practice arrangements, career decisions, family background, patient care activities, and current income and expenses. To obtain information on current practice arrangements, respondents were questioned about the practices they worked in, including who owned the practices, the number of physicians in each practice, specialities or subspecialities practiced, usual fees for selected services, percentages of revenues from HMOs, PPOs, and IPAs, and percentages of patients who were Medicare patients, had no health insurance coverage, or were poor, Black, Hispanic, severely physically disabled, or chronically mentally ill. Questions on career decisions asked respondents about factors that influenced their career choices, such as reasons for working in multiple practices, reasons for leaving past practices, and reasons for deciding in favor of or against self-employment. Information on family background elicited by the survey includes the respondent's race, marital status, and educational debt, parents' income class and education, number of children living in the respondent's home, and whether the respondent's spouse or parents were physicians. Questions on patient care activities included questions on the number of hours spent providing uncompensated health care to the poor, and the number of hours spent with patients in a variety of settings, such as the office, emergency rooms, hospital outpatient clinics, and operating rooms. Information from the AMA Masterfile and the SAIMS database includes board certification status, AMA membership, school and year of graduation, Medical College Admission Test scores, primary undergraduate institution, most recent grade point averages, place of birth, number of acceptances to United States medical schools, parents' occupations, preferred medical speciality, and preferred practice setting. Part 2 comprises responses from the AMA's Socioeconomic Monitoring System (SMS), a semiannual survey of nonfederal physicians that collected data on topics similar to those in the YPS, such as practice ownership, hours spent seeing patients in various settings, income, expenses, and opinions on practice procedures. The SMS data can be used for comparative analyses of young, prime, and senior physicians. Parts 3 and 4 contain additional data that can be linked to cases in Part 1. Part 3, ZIP Code Data, contains estimates of the composition of the population residing in the ZIP code area of the YPS respondents' main practice. Also included in the ZIP code file are estimates of household characteristics and estimates of the composition of the physician population. Part 4, Verbatim Responses to Open-Ended Questions, contains answers to questions asked in the YPS in machine-readable ASCII text format.
 
Subject Term(s):African Americans, age groups, career choice, certification, children, demographic characteristics, disabled persons, education, educational costs, emergency services, family background, graduation, group medical practice, health care, health care facilities, health care services, health insurance, Health Maintenance Organizations, household composition, medical education, medical practice, medical school, medical specialization, medical students, occupations, outpatient care, ownership, parents, patient care, physician practice, physicians, population characteristics, test scores, undergraduate programs, zip code areas
 
Geographic Coverage:United States
 
Time Period:April 9, 1987 - November 21, 1987
 
Date(s) of Collection:April 9, 1987 - November 21, 1987
 
Universe:YPS: Physicians under 40 in their second through sixth year of practice. SMS: Nonfederal patient care physicians, except resident physicians.
 
Data Type:survey data and machine-readable text
 
Data Collection Notes:(1) Parts 3 and 4 are restricted from general dissemination. Users interested in obtaining them should contact User Support at ICPSR. (2) The codebook for Parts 1 and 2 is provided as an ASCII text file and as a Portable Document Format (PDF) file. The codebooks for Parts 3 and 4 are provided only as 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 through the ICPSR Website on the Internet.
 

Methodology

Sample:Both YPS and SMS used the AMA Physician Masterfile as their sampling frame. YPS: Simple random sample. Blacks and Hispanics were oversampled. SMS: Stratified random sample with the strata defined by medical specialty and geographic region.
 
Data Source:personal interviews and administrative records
 

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:To preserve respondent confidentiality, certain identifying variables are restricted from general dissemination. Aggregations of this information for statistical purposes that preserve the confidentiality of individual respondents can be obtained from ICPSR in accordance with existing servicing policies.
 
Original ICPSR Release:1990-03-02
 
Version History:The last update of this study occurred on 1998-06-12.
 
  1998-06-12 - Part 3, ZIP Code Data, and Part 4, Verbatim Responses to Open-Ended Questions, have been added to the collection, along with PDF codebooks. These data files are restricted from general dissemination, and users interested in obtaining them should contact User Support at ICPSR. Also, the codebook for Parts 1 and 2 is now available as a PDF file.
 
Dataset(s):
  • DS1: Young Physicians Survey
  • DS2: Socioeconomic Monitoring System Study
  • DS3: ZIP Code Data
  • DS4: Verbatim Responses to Open-Ended Questions
 


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