Community Tracking Study Household Survey, 1996-1997, and Followback Survey, 1997-1998: [United States]

This data collection comprises two components of the Community Tracking Study (CTS), the Household Survey and the Followback Survey. The CTS, sponsored by the Robert Wood Johnson Foundation, is a national study designed to track changes in the health care system and their effects on care delivery and individuals. Central to the design of the CTS is its community focus. Sixty sites (51 metropolitan areas and 9 nonmetropolitan areas) were randomly selected to form the core of the CTS and to be representative of the nation as a whole. The Household Survey was administered to households in the 60 CTS sites and to a supplemental national sample of households. At the beginning of each interview, a household informant was identified and queried about the composition of the household. With this information, individuals in the household were grouped into family insurance units (FIU). An FIU reflects family groupings typically used by insurance carriers. It includes an adult household member, his or her spouse, if any, and any dependent children 0-17 years of age (or 18-22 years of age if a full-time student). Family informants, selected from each FIU in the household, provided information on health insurance coverage, health care use, usual source of care, and the general health of all persons in the FIU. These informants also provided information on family income and out-of-pocket expenses for health care, as well as employment, race, and Hispanic origin for all adult FIU members. Each adult in the household, including the FIU informants, responded through a self-response module to questions regarding unmet health care needs, patient trust, satisfaction with physician choice, limitations in daily activities, smoking behaviors, and last doctor visit. In FIUs with more than one child under 18, only one child was randomly selected for inclusion in the survey. The family informant responded on behalf of the child regarding unmet needs and satisfaction with physician choice. The adult family member who took this child to his or her last doctor visit responded to questions about the visit. The Followback Survey was designed to obtain detailed information on private health insurance coverage reported in the Household Survey. It was administered to health plans and other organizations that offered or administered the comprehensive private health insurance policies covering Household Survey respondents in the 60 CTS sites. Information on private health insurance policies collected by the Followback Survey includes product type, gatekeeping, consumer cost sharing, provider payment methods, and coverage of mental health and/or substance abuse services.

本数据集包含社区追踪研究（Community Tracking Study, CTS）的两个组成部分：家庭调查与回访调查。该研究由罗伯特·伍德·约翰逊基金会资助，是一项全国性研究，旨在追踪医疗保健系统的变革及其对医疗服务提供与个体的影响。社区聚焦是CTS研究设计的核心要义。研究随机选取了60个站点（51个大都市区与9个非大都市区）作为CTS的核心样本，以确保其能够代表全美整体情况。家庭调查的受访对象涵盖60个CTS站点内的家庭，以及补充抽取的全国性家庭样本。每次访谈伊始，研究人员会确定一名家庭知情人，询问其家庭构成情况。基于该信息，家庭内的个体被划分为家庭保险单元（family insurance units, FIU）。家庭保险单元契合保险公司通常采用的家庭分组逻辑，包含一名成年家庭成员、其配偶（若有），以及所有0至17岁的受抚养子女（若为全日制学生则可放宽至18至22岁）。从家庭内每个FIU中选取的家庭知情人，需提供该FIU内所有人员的医疗保险参保情况、医疗服务使用情况、常规医疗服务来源以及整体健康状况等信息。此类知情人还需提供家庭收入、医疗自费支出情况，以及FIU内所有成年成员的就业状况、种族与西班牙裔血统信息。家庭内每名成年成员（包括FIU知情人）需通过自主作答模块，回答有关未满足的医疗需求、患者信任度、对医生选择的满意度、日常活动受限情况、吸烟行为以及末次就诊情况等问题。若某FIU内有多名18岁以下子女，仅随机选取一名子女参与调查。家庭知情人需代表该子女回答有关未满足的医疗需求以及对医生选择的满意度相关问题；而陪同该子女进行末次就诊的成年家庭成员，则需回答与本次就诊相关的问题。回访调查旨在获取家庭调查中上报的私人医疗保险参保情况的详细信息。该调查面向60个CTS站点内为家庭调查受访者提供或管理综合私人医疗保险保单的健康计划机构与其他组织开展。回访调查收集的私人医疗保险保单信息包括产品类型、守门人制度、消费者费用分担比例、医疗服务提供者支付方式，以及精神卫生和/或药物滥用服务的参保覆盖情况。