Community Tracking Study Physician Survey, 2004-2005: [United States]

This is the fourth round of the physician survey component of the Community Tracking Study (CTS). The first round was conducted in 1996-1997 (ICPSR 2597), the second round in 1998-1999 (ICPSR 3267), and the third in 2000-2001 (ICPSR 3820). Sponsored by the Robert Wood Johnson Foundation, the CTS is a large-scale investigation of changes in the American health care system and their effects on people. As in the previous rounds, physicians were sampled in the 60 CTS sites: 51 metropolitan and 9 nonmetropolitan areas that were randomly selected to form the core of the CTS and to be representative of the nation as a whole. However, the fourth round lacks an independent supplemental national sample of physicians, which augmented the CTS site sample in the previous rounds. Information collected by the survey includes net income from the practice of medicine, year of birth, sex, race, Hispanic origin, year of graduation from medical school, specialty, board certification status, compensation model, patient mix (e.g., race/Hispanic origin of patients and percent with chronic conditions), career satisfaction, practice type, size, and ownership, percent of practice revenue from Medicare, Medicaid, or managed care, acceptance of new Medicaid and Medicare patients and, if applicable, reasons for not accepting them, use of information technology for care management, number of patient visits and hours worked in medically related activities during the last complete week of work, and the number of hours spent providing charity care in the last month. In addition, the survey elicited views on a number of issues such as patient-physician interactions, competition among practices, the influence of financial incentives on the quantity of services provided to patients, trends in the amount and quality of nursing support, one's ability to provide quality care and obtain needed services for patients, and the importance of various factors that may limit the quality of care. Part 3, the Site and County Crosswalk Data File, identifies the counties that constitute each CTS site. Part 4, Physician Survey Summary File, contains site-level estimates and standard errors for selected physician characteristics, e.g., the average age of physicians, the average percentage of patients with a formulary, and the percentage of physicians who said medical errors in hospitals are a minor problem.

本描述为社区追踪研究（Community Tracking Study，简称CTS）第四轮医师调查部分的内容。首轮调查于1996-1997年（ICPSR 2597）进行，第二轮于1998-1999年（ICPSR 3267）进行，第三轮于2000-2001年（ICPSR 3820）进行。由罗伯特·伍德·约翰逊基金会赞助的CTS是一项大规模调查，旨在探究美国医疗保健体系的变化及其对民众的影响。与前几轮调查相同，医师样本在60个CTS站点中选取：包括51个都市区和9个非都市区，这些区域被随机选取作为CTS的核心，并代表整个国家的整体情况。然而，第四轮调查缺少独立的补充全国医师样本，而在前几轮调查中，这一样本是对CTS站点样本的补充。调查收集的信息包括执业医学的净收入、出生年份、性别、种族、西班牙裔起源、从医学院毕业的年份、专业、执业认证状态、薪酬模式、患者构成（例如，患者的种族/西班牙裔起源和慢性病患者的百分比）、职业满意度、执业类型、规模和所有权、从医疗保险、医疗补助或管理保健中获得的执业收入百分比、接受新医疗保险和医疗补助患者的态度，以及如果适用，不接受他们的原因、用于护理管理的信息技术应用、在最后一周完整工作期间进行的患者访问次数和从事与医疗相关活动的工作小时数，以及在上一个月内提供慈善医疗服务的小时数。此外，调查还征询了关于一系列问题的观点，例如医患互动、实践之间的竞争、财务激励对向患者提供服务数量影响的程度、护理支持和数量与质量的变化趋势、提供高质量护理和为患者获取所需服务的能力，以及可能限制护理质量的各种因素的重要性。第三部分，站点和县交叉数据文件，确定了构成每个CTS站点的县。第四部分，医师调查摘要文件，包含站点层面的估计值和所选医师特征的标准误差，例如医师的平均年龄、具有处方单的患者平均百分比，以及表示医疗错误是次要问题的医师百分比。