Description & Citation--Study No. 6225

Bibliographic Description
Scope of Study
Methodology
Access and Availability

Bibliographic Description

ICPSR Study No.:

6225

Persistent URL:

http://dx.doi.org/10.3886/ICPSR06225

Title:

National Medical Expenditure Survey, 1987: Survey of American Indians and Alaska Natives, Preliminary Prescribed Medicine Data [Public Use Tape 23.1P]

Principal Investigator(s):

United States Department of Health and Human Services. Agency for Health Care Policy and Research

Series:

National Medical Expenditure Survey Series

Bibliographic Citation:

U.S. Dept. of Health and Human Services, Agency for Health Care Policy and Research. NATIONAL MEDICAL EXPENDITURE SURVEY, 1987: SURVEY OF AMERICAN INDIANS AND ALASKA NATIVES, PRELIMINARY PRESCRIBED MEDICINE DATA [PUBLIC USE TAPE 23.1P] [Computer file]. Rockville, MD: U.S. Dept. of Health and Human Services, Agency for Health Care Policy and Research [producer], 1993. Ann Arbor, MI: Inter-university Consortium for Political and Social Research [distributor], 1994.

Scope of Study

Summary:

The National Medical Expenditure Survey (NMES) series provides information on health expenditures by or on behalf of families and individuals, the financing of these expenditures, and each person's use of services. The Survey of American Indians and Alaska Natives (SAIAN) was designed in collaboration with the Indian Health Service (IHS), and used the same data collection instruments, interview procedures, and time frame as the NMES Household Survey component. However, the SAIAN differed from the Household Survey in several respects. The SAIAN sample was interviewed only three times and was not given the supplements on long-term care, caregiving, and care-receiving. Also, SAIAN respondents were asked additional questions on topics such as use of IHS facilities and traditional medicine, and were given a modified self-administered questionnaire with separate versions for adults and children. Interviewers for the SAIAN were mainly American Indians or Alaska Natives, and about 20 percent of the interviews were not conducted entirely in English. Of these, approximately 40 percent were conducted entirely in the native language of the respondent. Public Use Tape 23.1P contains information on the dates medication was last taken, the name of the medication prescribed and taken, the number of medication purchases made during the year, and the health condition of the respondent.

Subject Term(s):

Alaskan Natives, health care costs, health care services, health expenditures, health insurance, health services utilization, insurance coverage, medical care, medications, Native Americans, payment methods, prescription drugs, traditional medicine

Geographic Coverage:

United States

Time Period:

January 1, 1987 - December 31, 1987

Date(s) of Collection:

1987

Universe:

Civilian, noninstitutionalized American Indians and Alaska Natives, living on or near federal reservations, who were eligible to receive care provided or supported by the Indian Health Service, and who used prescribed medicines for one or more reference periods during calendar year 1987.

Data Type:

survey data

Data Collection Notes:

The principal investigator notes that the data in Public Use Tape 23.1P are preliminary in nature and are being released prior to final cleaning and editing, in order to provide access to information from the SAIAN. Records in these files can be linked to other public use datasets from the SAIAN using the person identifier (PIDX). The file also contains, for each person, basic demographic characteristics as established in the SAIAN. This collection is superseded by NATIONAL MEDICAL EXPENDITURE SURVEY, 1987: SURVEY OF AMERICAN INDIANS AND ALASKA NATIVES, POPULATION DATA, DATA FROM THE HEALTH STATUS QUESTIONNAIRE AND ACCESS TO CARE SUPPLEMENT, AND EXPENDITURES AND SOURCES OF PAYMENT DATA [PUBLIC USE TAPE 37] (ICPSR 6490).

Methodology

Sample:

The sample is a stratified area probability design with three stages of sample selection: (1) selection of primary sampling units (PSUs), which are counties or groups of contiguous counties (in Alaska, the county equivalents developed by the state of Alaska and the Census Bureau for statistical purposes were employed), (2) selection of segments within PSUs, (3) selection and screening of dwelling units within segments. Based on the results of the screening, all dwelling units including persons eligible for IHS services were selected in the SAIAN. The sample frame included all counties in the United States including or adjacent to reservations of federally-recognized tribes or Alaska Native villages. For cost considerations, the sample frame was truncated to remove counties with the lowest concentrations of eligible persons, and disproportionate sampling was applied to remaining counties with low concentrations of American Indians.

Data Source:

personal 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.

Original ICPSR Release:

1994-03-10

Dataset(s):

DS1: Main Data File
DS2: Technical and Programming Information and Data Dictionary
DS3: SAS Control Cards