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.

本数据集由社区追踪研究（Community Tracking Study，简称CTS）的两个组成部分构成，包括家庭调查和回溯调查。社区追踪研究由罗伯特·伍德·约翰逊基金会赞助，是一项旨在追踪医疗保健体系变化及其对医疗服务提供和个人影响的全国性研究。社区追踪研究的设计核心在于其社区导向。六十个站点（包括五十一座大都市地区和九个非都市地区）被随机选取，以构成CTS的核心并代表整个国家。家庭调查在这些六十个CTS站点以及补充的全国性家庭样本中实施。在每个访谈开始时，会确定一名家庭信息员，并对其家庭构成进行调查。基于此信息，家庭中的个人被划分为家庭保险单位（Family Insurance Unit，简称FIU）。FIU反映了保险公司在分组时通常使用的家庭结构，包括一名成年家庭成员、其配偶（如有）以及0-17岁（或若为全日制学生，则为18-22岁）的任何受抚养子女。从每个家庭中的FIU中选出的家庭信息员提供了有关FIU中所有人员的健康保险覆盖范围、医疗保健使用、常规护理来源和整体健康状况的信息。这些信息员还提供了有关家庭收入和医疗保健自付费用、就业、种族和西班牙裔起源的信息，涵盖了所有成年FIU成员。家庭中的每位成年成员，包括FIU信息员，都通过自我回答模块回答了关于未满足的医疗保健需求、患者信任、对医生选择的满意度、日常活动限制、吸烟行为以及最后一次就诊的问题。在拥有一个以上18岁以下儿童的FIU中，只随机选择一名儿童参与调查。家庭信息员代表该儿童回答了关于未满足需求和医生选择满意度的问题。将此儿童带到其最后一次就诊的成年家庭成员回答了有关就诊的问题。回溯调查旨在获取家庭调查中报告的私人健康保险覆盖范围的详细信息。它针对在六十个CTS站点提供或管理涵盖家庭调查受访者的全面私人健康保险政策的健康计划和其他组织进行实施。回溯调查收集的私人健康保险政策信息包括产品类型、守门人制度、消费者分担成本、提供者支付方式以及心理健康和/或物质滥用服务的覆盖范围。