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[p. 242]

SECTION III- FAMILY RESOURCES

PART A - ACCESS TO CARE

(The next questions are about medical care)

1a. Is there a particular person or place that -- USUALLY goes to when [he/she] is sick or needs advice about [his/her] health?

[] 1 Yes (5 on page 6)
[] 2 No (2)
[] 3 There is more than one (1b)
[] 9 DK (4 on page 4)

b. Is there one of those places that -- goes to MOST OFTEN when [he/she] is sick or needs advice about [his/her]health?

[] 1 Yes (5 on page 6)
[] 2 No (2)
[] 9 DK (2)

HAND CARD FA1: Read categories if telephone interview.
CARD FA1

1. Two or more usual doctors/places
2. Doesn't need a doctor
3. Doesn't like/trust/believe in doctors
4. Doesn't know where to go
5. Previous doctor is not available/moved
6. No insurance/Can't afford it
7. Speak a different language
8. 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 (A1)
[] 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 A1
Refer to question 1a above.

[] 1 "No" in 1a (3)
[] 2 "There is more than one" in 1a (A2)

3. Is there one of those places that -- goes to MOST OFTEN when [he/she] is sick or needs advice about [his/her] health?

[] 1 Yes (5 on page 6)
[] 2 No (A2)
[] 9 DK (A2)

ITEM A2
Refer to age.

[] 1 Under age 18 (11 on page 10)
[] 2 18 or older (12 on page 10)

[p. 243]

Part A -- ACCESS TO CARE -- Continued

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

[] 1 Yes (4b)
[] 2 No (1a for NP or 13 on page 10)
[] 9 DK (1a for NP or 13 on page 10)

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 [he/she] go to that (place in 4b)?

[] 1 Yes (12 on page 10)
[] 2 No (4d)
[] 9 DK (12 on page 10)

HAND CARD FA2. Read Categories if telephone interview.
CARD FA2

1. Changed residence/moved
2. Changed jobs
3. Employer changed insurance coverage
4. Former usual source left area
5. Owed money to former usual source
6. Dissatisfied with former source/liked new source better
7. Medical care needs changed
8. 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 (12 on page 10)
[] 02 Changed jobs (12 on page 10)
[] 03 Employer changed insurance coverage (12 on page 10)
[] 04 Former usual source left area (12 on page 10)
[] 05 Owed money to former usual source (12 on page 10)
[] 06 Dissatisfied with former source/liked new source better (12 on page 10)
[] 07 Medical care needs changed (12 on page 10)
[] 08 Former usual source stopped taking insurance/coverage (12 on page 10)
[] 98 Other (Specify) ____ (12 on page 10)
[] 99 DK (12 on page 10)

[p. 244]

Part A -- 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 [he/she] goes there?

[] 1 Yes (6)
[] 2 No (7)
[] 9 DK (7)

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

[] 1 Doctor (8b)
[] 2 Nurse (7)
[] 3 Nurse Practitioner (7)
[] 4 Physician's assistant (7)
[] 5 Chiropractor (7)
[] 6 Other (Specify) ____ (7)
[] 9 DK (7)

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

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 care).

[] 1 Less than 3 months ago (A3)
[] 2 At least 3 months, but less than 6 months ago (A4)
[] 3 At least 6 months, but less than 1 year ago (A4)
[] 4 At least 1 year, but less than 2 years ago (A4)
[] 5 Two or more years ago (A4)
[] 9 DK (A4)

ITEM A3
Refer to age

[] 1 Under age 18 (8 on page 8)
[] 2 18 or older (12 on page 10)

ITEM A4
Refer to age

[] 1 Under age 18 (9 on page 8)
[] 2 18 or older (12 on page 10)

[p. 245]

Part A -- 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 [he/she] needed?

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

e. The overall care -- received?

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

9. Is the (place in 5a) the person -- usually sees when [he/she] needs routine or preventive medical care? (This is the (place in 5a) that [he/she] usually goes to for medical care).

[] 1 Yes (10)
[] 2 No (11 on page 10)
[] 9 DK (12 on page 10)

10. Is that (place in 5a) --

a. Able to provide for most of -- needs when [he/she] 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 [he/she] is sick?

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

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

[] 1 Yes (12 on page 10)
[] 2 No (12 on page 10)
[] 9 DK (12 on page 10)

[p. 246]

Part A -- ACCESS TO CARE -- Continued

11. Is there a particular person or place that -- USUALLY goes to when [he/she] needs routine or preventive medical care?

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

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

[] 0 None (1a on page 2 for NP, or 13)
[] 1 Once or twice (1a on page 2 for NP, or 13)
[] 2 3-9 times (1a on page 2 for NP, or 13)
[] 3 10 times or more (1a on page 2 for NP, or 13)
[] 9 DK (1a on page 2 for NP, or 13)

13a. 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 (13b)
[] 2 No (14 on page 12)
[] 9 DK (14 on page 12)

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

[] 1 Changed usual source

c. Anyone else?

[] Yes (Reask 13b and c)
[] No

HAND CARD FA2. Read categories if telephone interview.
CARD FA2

Ask for each person marked in 13b.
d. The LAST time this happened, what was the main reason -- changed [his/her] 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. 247]

Part A -- ACCESS TO CARE -- Continued

14a. 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 (14b)
[] 2 No (15)
[] 9 DK (15)

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 14b and c)
[] No

Ask 14d and e for each person marked in 14b.
d. The LAST time -- did not get the care [he/she] needed, what was the MAIN reason [he/she] didn't get care?
Mark (X) only one.

[] 01 Could not afford it (14d for NP with 14b marked or 15)
[] 02 No insurance (14d for NP with 14b marked or 15)
[] 03 Doctor did not accept Medicaid/insurance plan (14d for NP with 14b marked or 15)
[] 04 Insurance didn't cover (14d for NP with 14b marked or 15)
[] 05 Not serious enough (14e)
[] 06 Wait too long in clinic/office (14e)
[] 07 Difficulty getting an appointment (14e)
[] 08 Doesn't like/trust/believe in doctors (14e)
[] 09 No doctor available (14e)
[] 10 Didn't know where to go (14e)
[] 11 No way to get there (14e)
[] 12 Hours not convenient (14e)
[] 13 Speak a different language (14e)
[] 14 Health of another family member interfered (14e)
[] 15 Clinic/office not accessible (14e)
[] 98 Other (Specify) ____ (14e)
[] 99 DK (14e)

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

[] 1 Yes (14d for NP with 14b, or 15)
[] 2 No (14d for NP with 14b, or 15)
[] 9 DK (14d for NP with 14b, or 15)

15a. During the past 12 months, has anyone in the family delayed seeking medical care because of worry about the cost?

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

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 15b and c)
[] No

16a. During the past 12 months, was there any time when someone in the family needed dental care but could not get it?

[] 1 Yes (16b)
[] 2 No (17 on page 14)
[] 9 DK (17 on page 14)

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 16b and c)
[] No

[p. 248]

Part A -- ACCESS TO CARE -- Continued

17a. During the past 12 months, was there any time when someone in the family needed prescription medicines but could not get them?

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

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 17b and c)
[] No

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

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

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 18b and c)
[] No

19a. 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 (19b)
[] 2 No (Item A5)
[] 9 DK (Item A5)

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 19b and c)
[] No (Item A5)

ITEM A5
About how often did the respondent appear to answer the questions in Part A accurately?

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

ITEM A6
About how often did the respondent appear to answer the questions in Part A honestly?

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

ITEM A7

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 PART B.

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