acc
[p.168]

Section AC- ACCESS TO CARE

(The next questions are about medical care)

1a. Is there a particular person or place that -- usually goes to when -- is sick or needs advice about -- health?

1 [] Yes (5 on page 10)
2 [] No (2)
3 [] There is more than one (1b)
9 [] DK (4 on page 8)

b. Is there ONE of those places that -- goes to MOST OFTEN when -- is sick or needs advice about -- health?

[] 1 Yes (5 on page 10)
[] 2 No (2)
[] 9 DK (2)

Hand Card FR1. Read categories if telephone interview.
CARD FR1

01. Two or more usual doctors/places
02. Doesn't need a doctor
03. Doesn't like/trust/believe in doctors
04. Doesn't know where to go
05. Previous doctor is not available/moved
06. No insurance/Can't afford it
07. Speak a different language
08. No care available/Care too far away, not convenient
98. Other (Specify)

2. Which of these is the main reason -- does not have a usual source of medical care?
Mark (X) only one.

01 [] Two or more usual doctors/places (AC1)
02 [] Doesn't need a doctor (4)
03 [] Doesn't like/trust/believe in doctors (4)
04 [] Doesn't know where to go (4)
05 [] Previous doctor is not available/moved (4)
06 [] No insurance/Can't afford it (4)
07 [] Speak a different language (4)
08 [] No care available/care too far away, not convenient (4)
98 [] Other -- Specify -- ____ (4)
99 [] DK (4)

ITEM AC1
Refer to question 1a above.

[] 1 "No" in 1a (3)
[] 2 "There is more than one" in 1a (AC2)

3. Is there ONE of those places that -- goes to most often when -- is sick or needs advice about -- health?

1 [] Yes (5 on page 10)
2 [] No (AC2)
9 [] DK (AC2)

ITEM AC2
Refer to age.

1 [] Under age 18 (12 on page 14)
2 [] 18 or older (13 on page 14)

[p. 169]

Section AC -- ACCESS TO CARE -- Continued

PERSON 1

4a. At ANY time in the past 12 months DID -- have a place that -- went to for medical care?

1 [] Yes (4b)
2 [] No (1a for NP or 14 on page 14)
9 [] DK (1a for NP or 14 on page 14)

b. What kind of place was it - a clinic, a health center, a hospital, a doctor's office, or some other place?

01 [] Doctor's office or private clinic
02 [] Company or school health clinic/center
03 [] Community/migrant/rural clinic/center
04 [] County/city/public hospital out patient clinic
05 [] Private/other hospital outpatient clinic
06 [] Hospital emergency room
07 [] HMO (Health Maintenance Organization)/prepaid group
08 [] Psychiatric hospital or clinic
09 [] VA hospital or clinic
10 [] Military health care facility
98 [] Some other place - Specify - ____
99 [] DK

c. If -- needed medical care NOW, would -- go to that (place in 4b)?

1 [] Yes (13 on page 14)
2 [] No (4d)
9 [] DK (13 on page 14)

HAND CARD FR2. Read categories if telephone interview
CARD FR2

01. Changed residence/moved
02. Changed jobs
03. Employer changed insurance coverage
04. Former usual source left area
05. Owed money to former usual source
06. Dissatisfied with former source/liked new source better
07. Medical care needs changed
08. Former usual source stopped taking insurance/coverage
98. Other (Specify)

d. What is the MAIN reason -- would not use that place for medical care NOW?

01 [] Changed residence/moved (13 on page 14)
02 [] Changed jobs (13 on page 14)
03 [] Employer changed insurance coverage (13 on page 14)
04 [] Former usual source left area (13 on page 14)
05 [] Owed money to former usual source (13 on page 14)
06 [] Dissatisfied with former source/liked new source better (13 on page 14)
07 [] Medical care needs changed (13 on page 14)
08 [] Former usual source stopped taking insurance/coverage (13 on page 14)
98 [] Other -- Specify -- ____ (13 on page 14)
99 [] DK (13 on page 14)

[p. 170]

Section AC -- ACCESS TO CARE -- Continued

5a. What kind of place is it - a clinic, a health center, a hospital, a doctor's office, or some other place?

01 [] Doctor's office or private clinic
02 [] Company or school health clinic/center
03 [] Community/migrant/rural clinic/center
04 [] County/city/public/county hospital outpatient clinic
05 [] Private/other hospital outpatient clinic
06 [] Hospital emergency room
07 [] HMO (Health maintenance organization)/Prepaid group
08 [] Psychiatric hospital or clinic
09 [] VA hospital or clinic
10 [] Military health care facility
98 [] Some other place - Specify - ____
99 [] DK

b. Is there a particular person -- usually sees when -- goes there?

1 [] Yes (6)
2 [] No (AC3)
9 [] DK (AC3)

ITEM AC3
Refer to age.

1 [] Under age 18 (8 on page 12)
2 [] 18 or older (13 on page 14)

6a. Is that person a doctor or nurse or some other health professional?
Probe for type of health professional.

1 [] Doctor (6b)
2 [] Nurse (AC4)
3 [] Nurse Practitioner (AC4)
4 [] Physician's assistant (AC4)
5 [] Chiropractor (AC4)
6 [] Other -- Specify -- ____ (AC4)
9 [] DK (AC4)

b. Is this doctor a general practitioner or family doctor who treats a variety of illnesses and gives preventive care or is he or she a specialist who mainly treats just one type of health problem?

1 [] Family doctor/general practitioner/internist/pediatrician
2 [] Obstetrician/gynecologist
3 [] Other specialist
9 [] DK

ITEM AC4

Refer to age.

[] 1 Under age 18 (7)
[] 2 18 or older (13 on page 14)

7. When was the last time -- went to the (place in 5a) for ANY kind of medical care? (This is the (place in 5a) that -- usually goes to for medical are).

1 [] Less than 3 months ago (8 on page 12)
2 [] At least 3 months, but less than 6 months ago (AC5)
3 [] At least 6 months, but less than 1 year ago (AC5)
4 [] At least 1 year, but less than 2 years ago (AC5)
5 [] Two or more years ago (AC5)
9 [] DK (9 on page 12)

[p. 171]

Section AC -- ACCESS TO CARE -- Continued

8. Thinking about the last time -- visited the (place in 5a), were you satisfied with --

a. The waiting time to get an appointment?

1 [] Yes
2 [] No
9 [] DK

b. The waiting time to see the doctor?

1 [] Yes
2 [] No
3 [] Doesn't apply
9 [] DK

c. The way your questions were answered?

1 [] Yes
2 [] No
9 [] DK

d. Your ability to get all the care you thought -- needed?

1 [] Yes
2 [] No
9 [] DK

e. The overall care -- received?

1 [] Yes
2 [] No
9 [] DK

ITEM AC5

Refer to 5b.

1 [] "Yes" in 5b (9a)
2 [] All other (9b)

9a. Is the (person in 6a) the person -- usually sees when -- needs routine or preventive medical care? (This is the (person in 6a) that -- usually goes to for medical care).

1 [] Yes (10)
2 [] No (9b)
9 [] DK (9b)

b. Is the (place in 5a) the place -- usually goes to when -- needs routine or preventive medical care? (This is the (place in 5a) that -- usually goes to for medical care).

1 [] Yes (11)
2 [] No (12 on page 14)
9 [] DK (13 on page 14)

10. Is that (person in 6a) --

a. Able to provide for most of -- needs when -- is sick?

1 [] Yes
2 [] No
9 [] DK

b. Able to make referrals to other health professionals when needed by --?

1 [] Yes
2 [] No
9 [] DK

c. Able to provide care or arrange care for -- on evenings or weekends when -- is sick?

1 [] Yes
2 [] No
9 [] DK

d. Able to provide advice about family concerns, such as stress?

1 [] Yes (13 on page 14)
2 [] No (13 on page 14)
9 [] DK (13 on page 14)

11. Is the (place in 5a) --

a. Able to provide for most of -- needs when -- is sick?

1 [] Yes
2 [] No
9 [] DK

b. Able to make referrals to other health professionals when needed by --?

1 [] Yes
2 [] No
9 [] DK

c. Able to provide care or arrange care for -- on evenings or weekends when -- is sick?

1 [] Yes
2 [] No
9 [] DK

d. Able to provide advice about family concerns, such as stress?

1 [] Yes (13 on page 14)
2 [] No (13 on page 14)
9 [] DK (13 on page 14)

[p. 172]

Section AC -- ACCESS TO CARE -- Continued

12. Is there a particular person or place that -- USUALLY goes to when -- has a minor health problem or needs routine or preventive medical care?

1 [] Yes
2 [] No
9 [] DK

13. During the past 3 months, how many times did -- see ANY doctor or other health professional?

0 [] None (1a for NP or 14)
1 [] Once or twice (1a for NP or 14)
2 [] 3-9 times (1a for NP or 14)
3 [] 10 times or more (1a for NP or 14)
9 [] DK (1a for NP or 14)

14a. At any time in the past 12 months did anyone in the family CHANGE the place to which he or she USUALLY goes for routine medical care?

1 [] Yes (14b)
2 [] No (15 on page 16)
9 [] DK (15 on page 16)

b. Who is this?
Mark (X) "Changed usual source" box in person's column.

1 [] Changed usual source

c. Anyone else?

[] Yes (Reask 14b and c)
[] No

HAND CARD FR2. Read categories if telephone interview.
CARD FR2

Ask for each person marked in 14b.
d. The LAST time this happened, what was the MAIN reason -- changed -- USUAL source of care?
Mark (X) only one.

01 [] Changed residence/moved
02 [] Changed jobs
03 [] Employer changed insurance coverage
04 [] Former usual source left area
05 [] Owed money to former usual source
06 [] Dissatisfied with former source or liked new source better
07 [] Medical care needs changed
08 [] Former usual source stopped taking insurance/coverage
98 [] Other - Specify - ____
99 [] DK

[p. 173]

Section AC -- ACCESS TO CARE -- Continued

PERSON 1

15a. Sometimes people have difficulties in getting medical care when they need it. During the past 12 months, was there any time when someone in the family needed medical care or surgery, but did not get it?

1 [] Yes (15b)
2 [] No (16)
9 [] DK (16)

b. Who didn't get needed care?
Mark (X) "Didn't get care" box in person's column.

1 [] Didn't get care.

c. Anyone else?

[] Yes (Reask 15b and c)
[] No

(Ask 15d and e for each person marked in 15b).

d. The LAST time -- did not get the care -- needed, what was the MAIN reason -- didn't get care?
Mark (X) only one.

01 [] Could not afford it (15d for NP with 15b marked)
02 [] No insurance (15d for NP with 15b marked)
03 [] Doctor did not accept Medicaid/insurance plan (15d for NP with 15b marked)
04 [] Not serious enough (15e)
05 [] Wait too long in clinic/office (15e)
06 [] Difficulty getting an appointment (15e)
07 [] Doesn't like/trust/believe in doctors (15e)
08 [] No doctor available (15e)
09 [] Didn't know where to go (15e)
10 [] No way to get there (15e)
11 [] Hours not convenient (15e)
12 [] Speak a different language (15e)
13 [] Health of another family member interfered (15e)
98 [] Other - Specify - __________ (15e)
99 [] DK (15e)

e. At ANY TIME during the past 12 months was lack of insurance or money A reason why -- did not get the medical care -- needed?

1 [] Yes
2 [] No
9 [] DK

16a. During the past 12 months, has anyone in the family delayed seeking medical care because of worry about the cost?

1 [] Yes (16b)
2 [] No (17)
9 [] DK (17)

b. Who delayed getting needed care?
Mark (X) " Delayed getting care" box in person's column.

1 [] Delayed getting care

c. Anyone else?

[] Yes (Reask 16b and c)
[] No

17a. During the past 12 months, was there any time when someone in the family needed dental care but could not get it?

1 [] Yes (17b)
2 [] No (18 on page 18)
9 [] DK (18 on page 18)

b. Who is this?
Mark (X) " Didn't get dental care" box in person's column)

1 [] Didn't get dental care

c. Anyone else?

[] Yes (Reask 17b and c)
[] No

[p. 174]

Section AC -- ACCESS TO CARE -- Continued

18a. During the past 12 months, was there any time when someone in the family needed prescription medicines but could not get them?

1 [] Yes (18b)
2 [] No (19)
9 [] DK (19)

b. Who is this?
Mark (X) "Didn't get prescription" box in person's column

1 [] Didn't get prescription

c. Anyone else?

[] Yes (Reask 18b and c)
[] No

19a. During the past 12 months, was there any time when someone in the family needed eyeglasses but could not get them?

1 [] Yes (19b)
2 [] No (20)
9 [] DK (20)

b. Who is this?
Mark (X) "Didn't get eyeglasses" box in person's column.

1 [] Didn't get eyeglasses

c. Anyone else?

[] Yes (Reask 19b and c)
[] No

20a. During the past 12 months, was there any time when someone in the family needed mental health care but could not get it?

1 [] Yes (20b)
2 [] No (Item AC6)
9 [] DK (Item AC6)

b. Who is this?
Mark (X) "Didn't get mental health care" box in person's column.

1 [] Didn't get mental health care

c. Anyone else?

[] Yes (Reask 20b and c)
[] No (Item AC6).

ITEM AC6
About how often did the respondent appear to answer the questions in Access to Care accurately?

1 [] All the time
2 [] Most of the time
3 [] Some of the time
4 [] Rarely or never
9 [] DK

ITEM AC7
About how often did the respondent appear to answer the questions in Access to Care honestly?

1 [] All the time
2 [] Most of the time
3 [] Some of the time
4 [] Rarely or never
9 [] DK

ITEM AC8

Enter the person number of the respondent. If more than one, enter the person number of the one who answered the most questions.

____ Person number

CONTINUE WITH SECTION FA

Data Cart

Your data extract

0	variables
0	samples