Women’s health: Data from the National Ambulatory Medical Care Survey (NAMCS) and the National Hospital Ambulatory Medical Care Survey (NHAMCS) Esther.

Slides:



Advertisements
Similar presentations
CHAPTER 15 Peptic Ulcer Disease Source: Burden of digestive diseases in the United States, NIH Publication No
Advertisements

Using past visit information to enhance analysis of National Ambulatory Medical Care Survey (NAMCS) data Session 25 July 13, :30-noon.
1 Mental Health Data from the NAMCS and NHAMCS Susan M. Schappert, M.A. Ambulatory and Hospital Care Statistics Branch Division of Health Care Statistics.
Results of the 2002 Emergency Pediatric Services and Equipment Supplement (EPSES) to the National Hospital Medical Care Survey (NHAMCS) Centers for Disease.
1 Drug Utilization for Immediate- and Modified Release Opioids in the U.S. Gianna C. Rigoni, Pharm.D., M.S. Epidemiologist Division of Surveillance, Research.
1 Understanding and Using NAMCS and NHAMCS Data Part 1 – Survey Overview and SETS Susan M. Schappert Ambulatory Care Statistics Branch Division of Health.
NCHS Data – Strengths and Weaknesses from the NHLBI Perspective Paul Sorlie, Ph.D. Chief, Epidemiology Branch National Heart, Lung, and Blood Institute.
Stanford Prevention Research Center STANFORD SCHOOL OF MEDICINE National Trends in the Prescribing of Anti-Hypertensive Medications Jun Ma, MD, PhD Research.
Healthy People 2010 Focus Area 17: Medical Product Safety Progress Review October 19, 2007.
Understanding and Using NAMCS and NHAMCS Data: A Hands-On Workshop
Overview of the National Ambulatory Medical Care Survey and the National Hospital Ambulatory Medical Care Survey Farida Bhuiya M.P.H., National Center.
Patient Characteristics and the Use of Health Care Services by Persons with HIV Esther Hing and Christine Lucas, Ambulatory and Hospital Care Statistics.
CHAPTER 9 Primary Liver Cancer Source: Burden of digestive diseases in the United States, NIH Publication No
Overview of the National Health Care Survey Linda K. Demlo, Ph.D. Amy Bernstein, Sc.D. Division of Health Care Statistics National Center for Health Statistics.
Trends in Chronic Diseases by Demographic Variables, Hawaii’s Older Population, Hawaii Health Survey (HHS) K. Kromer Baker 1, A. T. Onaka 1, B. Horiuchi.
Electronic Medical Record Use and the Quality of Care in Physician Offices National Conference on Health Statistics August 17, 2010 Chun-Ju (Janey) Hsiao,
Understanding and Using NAMCS and NHAMCS Data Data Tools and Basic Programming Techniques 2010 National Conference on Health Statistics August 16, 2010.
Which physicians and practices are using electronic medical records? Catharine W. Burt, Ed.D. Chief, Ambulatory Care Statistics Branch July 19, 2006 The.
Adoption of Health Information Technology among U.S. Ambulatory and Long-term Care Providers by Esther Hing, M.P.H., and Anita Bercovitz, Ph.D National.
Lookback Module: What you should know 2012 National Conference on Health Statistics Monitoring Health Care Reform through Provider-based Surveys: New Initiatives.
1 Understanding and Using NAMCS and NHAMCS Data: A Hands-On Workshop Susan M. Schappert Donald K. Cherry.
National Center for Health Statistics DCC CENTERS FOR DISEASE CONTROL AND PREVENTION NAMCS/NHAMCS WORKSHOP Catharine W. Burt Susan M. Schappert Nghi Ly.
1 Linda McCaig and David Woodwell Ambulatory Care Statistics Branch Division of Health Care Statistics Overview of the NAMCS and NHAMCS.
Robin A. Cohen, PhD National Center for Health Statistics National Conference on Health Statistics August 7, 2012 Financial burden of medical care: Looking.
Women’s Health in Massachusetts Highlights from the Massachusetts Behavioral Risk Factor Surveillance System (BRFSS): Health Survey Program Bureau.
TRANSLATING VISITS INTO PATIENTS USING AMBULATORY VISIT DATA (Hypertensive patient case study) by Esther Hing, M.P.H. and Julia Holmes, Ph.D U.S. DEPARTMENT.
1 Using NAMCS and NHAMCS Drug Data: A Hands-On Workshop Susan M. Schappert, M.A. Elizabeth A. Rechtsteiner, M.S. Division of Health Care Statistics.
Adolescent Healthcare Utilization in the U.S. Cynthia Rand, MD, MPH University of Rochester School of Medicine and Dentistry.
The Joint Canada/U.S. Survey of Health (JCUSH) Catherine Simile, PhD, U. S. Project Officer Division of Health Interview Statistics National Center for.
The NHCS Pretest: Incorporating DAWN Rong Cai, Charles Day DAWN, CBHSQ, SAMHSA August 8, 2012.
Increasing the sample: How can state-based estimates help monitor healthcare reform? 2012 National Conference on Health Statistics Monitoring Health Care.
Overview of the National Health Care Survey Thomas McLemore Division of Health Care Statistics October 10, 2003 U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES.
Accessing Aggregated Population Health Data from Select Tools of the NCHS A presentation at the Knowledge 4 Equity Conference James M. Craver November.
Overview of National Center for Health Statistics (NCHS) Data Systems Mary Burgess NCHS Librarian
The Effect of Medicaid Physician Payment Policy on Access to Care Sandra Decker, Ph.D. National Center for Health Statistics N ational.
Analyzing NCHS Drug Data Amy B. Bernstein, Sc.D. Presented at the NCHS Board of Scientific Counselors Meeting January 28, 2005 U.S. DEPARTMENT OF HEALTH.
Deriving practice-level estimates from physician-level surveys Catharine W. Burt, EdD and Esther Hing, MPH. Chief, Ambulatory Care Statistics Branch Session.
U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention National Center for Health Statistics 1 Monitoring Million Hearts.
1 Understanding and Using NAMCS and NHAMCS Data: A Hands-On Workshop Part II-Using Raw Data Files Donald Cherry.
Analyzing data on medications collected in the National Health Care Survey Centers for Disease Control and Prevention National Center for Health Statistics.
National Center for Health Statistics DCC CENTERS FOR DISEASE CONTROL AND PREVENTION Women’s Health Data in the National Survey of Family Growth (NSFG)
Traumatic Brain Injury in the United States Emergency Department Visits, Hospitalizations, and Deaths 1995–2001 National Center for Injury Prevention and.
Sources of Errors in Estimating Community Health Center Physicians Centers for Disease Control and Prevention National Center for Health Statistics Catharine.
Enhancements to the NAMCS and NHAMCS 2012 National Conference on Health Statistics Monitoring Health Care Reform Through Provider-based Surveys: New Initiatives.
National Hospital Discharge Survey: A Hands-On Workshop Using Public-Use Data Files Michelle N. Podgornik, MPH 2006 Data Users Conference July 11, 2006.
Using Data from Across NCHS Sources to Analyze Public Health Issues Diane M. Makuc Annual Meeting of the American Public Health Association 11/4/06 Centers.
National Health Care Surveys Budget Update/Options NCHS Board of Scientific Counselors April 24, 2008 Jane E. Sisk Centers for Disease Control.
1 Using National Hospital Ambulatory Medical Care Survey (NHAMCS) data for injury analysis Linda McCaig Ambulatory Care Statistics Branch Division of Health.
Health IT Policy Committee Meeting March 11, 2014 Data Analytics Update.
CHAPTER 3 Viral Hepatitis Source: Burden of digestive diseases in the United States, NIH Publication No
Introduction to Secondary Data Analysis Young Ik Cho, PhD Research Associate Professor Survey Research Laboratory University of Illinois at Chicago Fall,
The National Hospital Care Survey Linda McCaig, M.P.H. National Center for Health Statistics August 8, 2012.
Understanding and Using NAMCS and NHAMCS Data
On the Health of the US Health Care System… Insights and analyses from the National Health Care Survey Irma E. Arispe, PhD Division of Health Care Statistics.
Medical Expenditure Panel Survey (MEPS), Health Care Expenditures for the Elderly with Chronic Conditions in 2012 Jeffrey Rhoades.
CHAPTER 11 Cancer of the Gallbladder Source: Burden of digestive diseases in the United States, NIH Publication No
Uses of NCHS Data Dan Gaylin National Opinion Research Center National Center for Health Statistics Board of Scientific Counselors April 23, 2004.
CHAPTER 19 Inflammatory Bowel Disease Source: Burden of digestive diseases in the United States, NIH Publication No
Cheryl Meddles-Torres, DNP, RN, FNP-C Shuang Hu
CHAPTER 16 Functional Intestinal Disorders Source: Burden of digestive diseases in the United States, NIH Publication No
1 Understanding and Using NAMCS and NHAMCS Data Part 2 –Using public-use files Eric Nawar Ambulatory Care Statistics Branch Division of Health Care Statistics.
Overview of National Center for Health Statistics (NCHS) Data Systems Mary Burgess
Session5 OVERVIEW OF THE NATIONAL HEALTH CARE SURVEY.
Introduction to NCHS Rob Weinzimer, Special Assistant for Outreach Centers for Disease Control and Prevention National Center for Health Statistics.
National Hospital Care Survey (NHCS). 2 Overview What is the National Center for Health Statistics (NCHS)? What is the National Hospital Care Survey (NHCS)?
Accutane ® Use and Epidemiology John E. La Flore, MD, MSPH Vice President, Drug Safety & Risk Management Hoffmann-La Roche Inc.
U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention National Center for Health Statistics Injury and illness episodes.
Pediatric Emergency Department Visits in the United States,
Copyright © 2007 American Medical Association. All rights reserved.
Department of Health Management and Informatics
Presentation transcript:

Women’s health: Data from the National Ambulatory Medical Care Survey (NAMCS) and the National Hospital Ambulatory Medical Care Survey (NHAMCS) Esther Hing, Ambulatory Care Statistics Branch, Division of Health Care Statistics U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention National Center for Health Statistics

Outline  Provide overview of NAMCS  Provide overview of NHAMCS Emergency Departments (EDs) Emergency Departments (EDs) Outpatient Departments (OPDs) Outpatient Departments (OPDs)  Content of NAMCS and NHAMCS (OPD and ED) Patient Record form (PRF)  Examples research on women’s health using NAMCS and NHAMCS data

Related NAMCS/NHAMCS sessions  Overview of NAMCS/NHAMCS (10)  Using Past Visits information to Enhance NAMCS Data (25)  Hands on NAMCS/NHAMC Workshop (39,44)  Prescription Drug Use (48)

National Ambulatory Medical Care Survey (NAMCS)  Nationally representative survey of patient visits to non-federally employed physicians providing office-based patient care  The NAMCS is a three-stage probability design 112 NHIS PSUs 112 NHIS PSUs 3,000 physicians 3,000 physicians 25,000 visits sampled 25,000 visits sampled 1-week reporting period 1-week reporting period

National Hospital Ambulatory Medical Care Survey (NHAMCS)  Nationally representative survey of visits made to emergency departments (EDs) and outpatient departments (OPDs) of non-Federal, short-stay hospitals  The NHAMCS is a four-stage probability design 112 NHIS PSUs 112 NHIS PSUs 500 hospitals 500 hospitals 400 EDs and 250 OPDs 400 EDs and 250 OPDs 37,000 ED visits and 35,000 OPD visits 37,000 ED visits and 35,000 OPD visits 4-week reporting period. 4-week reporting period.

NAMCS and NHAMCS Data  NAMCS and NHAMCS are record-based surveys  Data abstracted from the patient’s medical record by the physician and/or his staff, hospital staff, or interviewer  Estimates are in terms of visits and not persons  Population-based surveys (NHIS) estimates persons

 NAMCS/NHAMCS provide information from the physician’s perspective Diagnoses and services provided have high validity Diagnoses and services provided have high validity Data less subject to respondent recall Data less subject to respondent recall  Public use files released on the internet include input statements to assist users creating files in SAS, SPSS, and STATA software

Content of NAMCS and NHAMCS  Data collection instrument: Patient Record form (PRF)  PRFs are revised every 2-3 years  Items collected every year include demographics, payment source, reason for visit, diagnoses, services received, medications, providers seen, and disposition  Service and other data items may change with each PRF revision

Content of NAMCS and NHAMCS  Physician diagnoses  Medications prescribed or ordered  Mammography (PO/OPD:1992, 1997-present)  Pap test (PO/OPD:1997 to present)  Breast and pelvic exam (PO/OPD: )  Pregnancy test (ED:1995-present, PO/OPD: )  STD/HIV prevention education (PO/OPD: )  Preventive care visits (PO/OPD:2001 to present)

Previous research on women’s health using NAMCS and NHAMCS data  Preventive services practice patterns in general medical and gynecological examinations  Hormone replacement therapy prescribing patterns  Gender bias in psychotropic drug prescribing patterns  Use of EDs by sexually assaulted females

Annual rate of hospital outpatient department visits for preventive care by sex and patient's age: United States, All agesUnder and over Patient's age in years Number of visits per 100 persons Male Female, non-pregnant Female, pregnant

Services ordered or provided for women aged years during general medical examination or gynecological examination visits: United States, 1997 Source: Tao, Zhang, Qian, Services Provided to Nonpregnant Women During General Medical and Gynecological Examinations in the United States. Am J Prev Med.21(4):

Trends in estrogen/progestin drug mention rates at physician office visits by patient’s age: United States, years and over years Number of drug mentions per 100 females. Increasing trend is significant (p<0.05). NOTE: Rates based on visits made by females.

Summary  The NAMCS/NHAMCS are important tools for policy research on outpatient practice Nationally representative sampling strategies Nationally representative sampling strategies Data based on either physician/hospital self-report or medical record abstraction by interviewers Data based on either physician/hospital self-report or medical record abstraction by interviewers  NAMCS/NHAMCS and women’s health Understand health care practice Understand health care practice Examine quality of care Examine quality of care Track changes in utilization Track changes in utilization