Data Cart

Your data extract

0 variables
0 samples
View Cart
A planned IPUMS system update is scheduled for Monday, December 9. The maintenance window is 10am to 1pm CST. Within that window, each site will have a brief outage of 10 or fewer minutes. This notice will be removed as soon as the update is complete.



mc

[p. 67]

MEDICAL CARE PAGE (SAMPLE PERSONS ONLY)

Person number ____


1. Is there ONE particular doctor or place , usually goes to when he is sick or when you need advice about his health?

1 [] Y
2 [] N (11)


2a. Where do you go for this care or advice for, to a clinic, hospital, doctor's office, or some other place?

If Hospital: Is this an outpatient clinic or the emergency room?
If Clinic: Is this a hospital outpatient clinic, a company clinic, or some other kind of clinic?

1 [] Private doctor's office (5)
2 [] Home (5)
3 [] Doctor's clinic (2b)
4 [] Group practice (3)
5 [] Hospital Outpatient Clinic (3)
6 [] Hospital Emergency Room (3)
7 [] Company or Industry Clinic (3)
[] Other (Specify) ____ (3)

b. Is this a group practice clinic , that is, does it consist of three or more doctors who share the same equipment?

1 [] Y
2 [] N
9 [] DK


3a. What is the name of this (place)? ____

b. During the past 12 months, that is, since (date) a year ago, how many times did you see or talk to a doctor at this place about ,?

Visits ____
000 [] None

c. If something bothered you about ,'s health, would you first go to (name of place), or would you try to determine what was wrong and go to the type of place most appropriate for this kind of trouble?

1 [] Go to regular place first
2 [] Select most appropriate place
[] Other (Specify) ____

4a. Is there a PARTICULAR doctor , usually sees at (name of place)?

1 [] Y
2 [] N (M1)

b. Is this doctor a general practitioner or a specialist?

01 [] General practitioner (M1)
[] Specialist - What kind of specialist is he? ____ (M1)

5a. What is the name of this doctor? ____

[] 2+ Doctors (2b)

b. During the past 12 months, that is, since (date) a year ago, how many times did you see or talk to (name of doctor) about ,?

Visits ____
000 [] None

c. Is this doctor part of a group practice , that is, does he work with two or more other doctors and share the same equipment?

1 [] Y
2 [] N
9 [] DK


6. Is this doctor a general practitioner or a specialist?

01 [] General practitioner
[] Specialist - What kind of specialist is he? ____


[p. 68]
7. If something bothered you about ,'s health, would you first go to (name of doctor), or would you try to determine what was wrong and select the most appropriate specialist?

1 [] Go to regular doctor first
2 [] Select most appropriate specialist
[] Other (Specify) ____

M1


Refer to "12 Mo. DV" box at top of person's column and mark as appropriate:

1 [] 12-month DV (8)
2 [] No 12-month DV (17)


[MK Note: End section M1]


8a. (Besides (name of doctor)) During the past 12 months has , seen a (any other) doctor at a private doctor's office?

1 [] Y
2 [] N (9)


b. During that period, how many (other) doctors has , seen at a private doctor's office?

1 [] One
Doctors ____ (8d)


c. Did (name of doctor/place) EVER refer , to this doctor?

1 [] Y (9)
2 [] N (9)

d. Did (name of doctor/place) EVER refer , to ANY of these other doctors?

1 [] Y
2 [] N (9)

e. Did (name of doctor/place) refer , to ALL of these other doctors?

1 [] Y
2 [] N


9. During the past 12 months has , seen a doctor at (any of the following places) ,


a. (A/any other) hospital emergency room?
1 [] Y (Col. 1)
2 [] N (9b)


b. (A/any other) hospital outpatient clinic?
1 [] Y (Col. 1)
2 [] N (9c)


c. (A/any other) company or industry clinic?
1 [] Y (Col. 1)
2 [] N (9d)


d. (A/any other) public health clinic?
1 [] Y (Col. 1)
2 [] N (9e)


e. (A/any other) neighborhood health center?
1 [] Y (Col. 1)
2 [] N (10)



[MK Note: The following question is part of question 9 that is asked if the respondent answers "Yes" to 9a-e. There are 5 separate rows for responses that correspond to each of the five locations contained in question 9.]

1. Did (name of doctor/place) refer him to this place?
1 [] Y
2 [] N


10a. During the past 12 months has , seen a doctor at any other type of place? (Do not include doctors seen while a patient in a hospital.)

1 [] Y
2 [] N (14)

b. What type of place was this? ____


[MK Note: Question 10b has two rows for responses that contain the same information.]

Type of place ____ (Col. 1)

1. Did (name of doctor/place) refer him to this place?
1 [] Y (Reask 10a)
2 [] N (Reask 10a)

[p. 69]


11. Many people do not have ONE particular doctor. (Hand Card D) Which of those statements best describes why you don't have one particular doctor or place for medical care for ,?

CARD D
1. Haven't needed a doctor.
2. Haven't been able to find the right doctor.
3. Go to a number of different doctors depending upon what is wrong.
4. Other reason.
[] 1
[] 2
[] 3
[] Other (Specify) ____

M2

Refer to "12 Mo. DV" box at top of person's column and mark as appropriate:

1 [] 12 Month DV (12)
2 [] No 12 Month DV (17)

[MK Note: End section M2]

12. During the past 12 months, has , seen a doctor at any of the following places -

a. A private doctor's office?
1 [] Y
2 [] N

b. A hospital outpatient clinic?
1 [] Y
2 [] N

c. A hospital outpatient clinic?
1 [] Y
2 [] N

d. A company or industry clinic?
1 [] Y
2 [] N

e. A public health clinic?
1 [] Y
2 [] N

f. A neighborhood health center?
1 [] Y
2 [] N

13a. During the past 12 months, has , seen a doctor at any other type of place? (Do not include doctors seen while a patient in a hospital.)

1 [] Y
2 [] N (14)

b. What type of place was this?

Type of place ____ (Reask 13a)


[Response repeated 1x]


14. During the past 12 months did you get medical advice for , from ANY doctor over the telephone?

1 [] Y
2 [] N


15. During the past 12 months has ANY doctor come to your home to give , medical care?

1 [] Y
2 [] N


Hand Card H

CARD H

1. Self or family.
2. Social Security Medicare.
3. Health Insurance.
4. Workmen's Compensation
5. Accident insurance carried by family or someone outside the family.
6. Armed Forces Dependent Care (CHAMPUS).
7. Veteran's benefits.
8. Medicaid.
9. Welfare.
10. Professional courtesy.
11. Other source.

16a. During the past 12 months, which of those sources paid any part of ,'s doctor bills?

[] 1
[] 2
[] 3
[] 4
[] 5
[] 6
[] 7
[] 8
[] 9
[] 10
[] Other (Specify) ____

b. During that period, did any other source pay any part of his doctor bills?

[] Y (Reask 16a)
[] N

If "1" is circled in 16a, go to 17; otherwise ask:

c. During the past 12 months, did you or your family pay any part of ,'s doctor bills?

1 [] Y
2 [] N

[p. 70]


17. During the past 12 months, have you had any problems getting medical care for , (for any of the following reasons) ,


a. Because no doctor was available when you needed one?
1 [] Y (Col. 1)
2 [] N (17b)


b. Because of how much it cost?
1 [] Y (Col. 1)
2 [] N (17c)


c. Because you didn't know where to go?
1 [] Y (Col. 1)
2 [] N (17d)


d. Because you didn't have a way to get to the doctor?
1 [] Y (Col. 1)
2 [] N (17e)


e. Because the office hours weren't convenient?
1 [] Y (Col. 1)
2 [] N (18)



[MK Note: The following question accompanies questions 17a-e and has 5 separate rows for responses that correspond to questions 17a-e; only one response row is represented here. This question is only asked if the response is "Yes" in questions 17a-e.]

1. During the past 12 months, did this problem ever DELAY you in getting medical care for ,?
1 [] Y
2 [] N

[MK Note: The following question accompanies questions 17a-e and has 5 separate rows for responses that correspond to questions 17a-e; only one response row is represented here.]
2. During the past 12 months, did this problem ever PREVENT you from getting medical care for ,?
1 [] Y
2 [] N


18. During the past 12 months, have you had any problem getting an appointment for , as soon as you felt he needed one?

1 [] Y (Col. 1)
2 [] N (19)
1. During the past 12 months, did this problem ever DELAY you in getting medical care for ,?
1 [] Y
2 [] N
2. During the past 12 months, did this problem ever PREVENT you from getting medical care for ,?
1 [] Y
2 [] N


19a. During the past 12 months, have you had any other problem getting medical care for ,?

1 [] Y
2 [] N (20)

[MK Note: Question 19b has two rows for responses; only one response row is represented here since they contain identical information.]

b. What problem did you have? ________ (Col. 1)

1. During the past 12 months, did this problem ever DELAY you in getting medical care for ,?
1 [] Y
2 [] N
2. During the past 12 months, did this problem ever PREVENT you from getting medical care for ,?
1 [] Y (Reask 19a)
2 [] N (Reask 19a)


20a. In general do you feel , is getting as much medical care as he needs?

1 [] Y (21)
2 [] N


Hand Card M

b. Which of those statements describes why , isn't getting enough medical care? Any other reason?

CARD M
1 [] Health care is too expensive.
2 [] Have problems getting to and from the doctor.
3 [] Can't get appointments when wanted.
4 [] Office hours are inconvenient.
5 [] Doctors never spend enough time with me when I see them.
6 [] Other reason. (Specify) ____

Circle all reasons given


21. During the past 12 months, has , received any services from any of the following persons ,


a. A chiropractor?
1 [] Y
2 [] N


b. An optometrist?
1 [] Y
2 [] N


c. A podiatrist or chiropodist?
1 [] Y
2 [] N


d. A physical therapist?
1 [] Y
2 [] N


RM
RESPONDENT

Show who responded for the Hypertension and Medical Care Pages.

1 [] Responded for self
Person ____ was respondent

If other than self respondent, give reason for accepting proxy.

0 [] Under 17
1 [] Mentally incompetent
2 [] Physically incompetent