Tabla de Contenidos:
  • 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 REFORMOTHER 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 UnitsPatient 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: 1992â€?1995""; ""Phase II: 1995""; ""Phase III: 1994â€?1997""; ""Phase IV: 1997â€?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. BACKGROUNDA. 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