Toward a national health care survey : a data system for the 21st century / Gooloo S. Wunderlich, editor.

Format:

Book

Contributor:

Wunderlich, Gooloo S.

National Center for Health Statistics (U.S.). Panel on the National Health Care Survey.

National Research Council (U.S.). Committee on National Statistics.

Institute of Medicine (U.S.). Division of Health Care Services.

Language:

English

Subjects (All):

National Health Care Survey (U.S.).

Medical care surveys--United States.

Medical care surveys.

Medical care--United States--Statistical services.

Medical care.

Physical Description:

1 online resource (204 p.)

Edition:

1st ed.

Place of Publication:

Washington, DC : National Academy Press, 1992.

Language Note:

English

Summary:

The nation's health care system has changed dramatically and the country is debating further significant changes. Comprehensive information is needed to guide policymakers in understanding and evaluating the current problems and in formulating federal health care policy. This book contains an evaluation of the plan developed by the National Center for Health Statistics for restructuring its existing provider surveys. It identifies current and future data needed by researchers and policymakers to assess the effect of changes in financing, organization, and delivery of health care on access, quality, costs, and outcomes of care and determines the extent to which the design and content of the proposed survey can meet these data needs. The book goes beyond a simple review and recommends a design framework to develop a coordinated and integrated data system to gather information about people and their illness over time and to link this information to costs and health care outcomes.

Contents:

""Toward A NATIONAL HEALTH CARE SURVEY""; ""Copyright""; ""Acknowledgments""; ""Contents""; ""Executive Summary""; ""FINDINGS AND CONCLUSIONS""; ""NCHS Plan for a National Health Care Survey""; ""Design Framework for a National Health Care Data System""; ""Coordination and Resource Considerations""; ""RECOMMENDATIONS""; ""1 Introduction""; ""PANEL'S CHARGE AND ITS APPROACH""; ""ORGANIZATION OF THE REPORT""; ""2 Data Needs for a Changing Health Care Delivery System""; ""THREE CRITICAL ISSUES IN HEALTH CARE""; ""Costs and Expenditures""; ""Access to Care""; ""Quality of Care""

""HEALTH CARE REFORM""""OTHER FACTORS INFLUENCING HEALTH CARE POLICY AND DATA NEEDS""; ""Demographics and Socioeconomic Factors""; ""Health and Disease""; ""Changing Values and Expectations""; ""Technology, Innovation, and Biomedical Advance""; ""Human Resources""; ""USERS OF HEALTH CARE DATA""; ""IMPLICATIONS FOR DATA SOURCES AND SYSTEMS""; ""3 Review of the NCHS Plan for the National Health Care Survey""; ""OVERVIEW""; ""PERIODICITY""; ""SCOPE AND COVERAGE""; ""DATA COLLECTED""; ""DESIGN FEATURES""; ""Cluster Survey Design""; ""Use of NHIS Primary Sampling Units""

""Definition of Primary Sampling Units""""Patient Follow-up Component""; ""Unresolved Issues""; ""Limitation of Event-based Follow-up Design""; ""CONCLUSION""; ""4 Design for a National Health Care Data System""; ""STATEMENT OF OBJECTIVES""; ""DESIGN CONSIDERATIONS""; ""A FRAMEWORK FOR A NATIONAL HEALTH CARE DATA SYSTEM""; ""NHIS-Based Sampling of Providers""; ""NHIS-Based Surveying of Cohorts of Individuals""; ""NNHS-Based Surveying of Cohorts of Residents""; ""NHIS-NNHS-Based Surveying of Episodes of Illness""; ""Effectiveness and Efficiency""; ""Relation to the NHIS Redesign""

""POTENTIAL BENEFITS OF THE PROPOSED DESIGN FRAMEWORK""""IMPLEMENTATION STRATEGY""; ""Suggested Implementation Schedule""; ""Phase I: 1992�1995""; ""Phase II: 1995""; ""Phase III: 1994�1997""; ""Phase IV: 1997�2000""; ""5 Coordination and Resource Considerations""; ""ADVISORY STRUCTURE FOR THE NATIONAL HEALTH CARE DATA SYSTEM""; ""IMPROVING DEPARTMENTAL COORDINATION""; ""ENHANCING THE CENTER'S ANALYTIC CAPABILITY""; ""RESOURCE REQUIREMENTS""; ""APPENDIX A The NCHS Plan for a National Health Care Survey""; ""THE NATIONAL HEALTH CARE SURVEY""; ""EXECUTIVE SUMMARY""; ""TABLE OF CONTENTS""

""I. BACKGROUND""""A. Dynamics of the Health Care Delivery System""; ""B. Impact on the Health Care Delivery System""; ""C. NCHS Data Systems""; ""D. Implications for Health Care Data""; ""II. A NATIONAL HEALTH CARE SURVEY""; ""A. Components""; ""B. Coverage""; ""C. Content""; ""D. Features""; ""E. Flexibility""; ""F. Integrated Survey Design""; ""G. Current Status and Schedule""; ""Ambulatory Care""; ""Hospital and Surgical Care""; ""Long-Term Care""; ""Health Provider Inventory""; ""Patient Follow-up""; ""APPENDIX B Survey of Users of National Health Care Statistics""; ""INTRODUCTION""

""METHOD OF DATA COLLECTION""

Notes:

"Panel on the National Health Care Survey, Edward B. Perrin and William C. Richardson, cochairs; Committee on National Statistics, Commission on Behavioral and Social Sciences and Education, National Research Council; Division of Health Care Services, Institute of Medicine."

Includes bibliographical references (p. 175-190).

ISBN:

9786610203147

9781280203145

1280203145

9780309572576

0309572576

9780585153551

0585153558

OCLC:

923265073