5260.0: Wednesday, October 24, 2001: 4:30 PM-6:00 PM

Oral Session

Health Care Utilization Surveys

Recent reports from the 2000 U.S. Census emphasize the increasingly multi-racial and multi-ethnic nature of the U.S. population, as well as continuing aging of the population as the baby boom generation moves into later middle age. In the context of these demographic changes, the increasing health care needs associated with aging, the varying health care perspectives and practices of population subgroups, and disparities in the availability of health care to different socio-economic groups have enormous implications for future demands on the medical care and public health systems. The papers in this session address statistical issues in the design and interpretation of federal surveys that collect data on health care utilization that can provide the information needed to understand these implications, and prepare for the consequences of demographic change. Issues to be considered are the impact of changes in categorization of race and ethnicity on subgroup-specific estimates of immigration coverage; adjustment for progressive non-random drop-out from the Medical Expenditure Panel Survey; alternative sampling designs for estimating the number of institutionalized and community-dwelling persons receiving long-term care; and differences in methodology and interpretation of five federal surveys that compile information on national ambulatory care use.
See individual abstracts for presenting author's disclosure statement.
Learning Objectives: At the conclusion of the session, the participant should be able to: 1. Describe how changes in measurement of racial/ethnic categorization affect estimates of national vaccine coverage. 2. Recognize critical statistical issues arising in longitudinal analyses using data from the Medical Expenditure Panel Survey, and appropriate statistical techniques for dealing with time-dependent data from clustered longitudinal survey designs. 3. Delineate different definitions of the long-term care population and alternative sampling methodologies for estimating population size, with their advantages and disadvantages. 4. Identify five distinct surveys conducted by the Department of Health and Human Services to obtain information on ambulatory care use, and relevant methodological issues in their interpretation.
Presider(s):Deborah D. Ingram, PhD
4:30 PMClassification of race and ethnicity in the NIS using the revised OMB standards
Meena Khare, MS, Michael P. Battaglia, MS, Jacqueline Lucas, MPH, Robert A. Wright
4:50 PMEstimation Strategies to Support Longitudinal Analyses of Data from the Medical Expenditure Panel Survey
Steven B. Cohen, PhD, William Yu, Janet Greenblatt
5:10 PMMeasuring the institutionalized and community dwelling long-term care population in national health care surveys
D.E.B. Potter, MS, William D. Spector, PhD
5:30 PMMeasuring ambulatory care use in the United States: A comparison across selected federal surveys
Steven R. Machlin, Frances Chevarley, Joshua Thorpe, Janet L. Valluzzi, MBA, OTR/L
5:50 PMDiscussion
Sponsor:Statistics
CE Credits:CME, Health Education (CHES), Nursing, Pharmacy, Social Work

The 129th Annual Meeting of APHA