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Community Tracking Study Physician Survey, 1998-1999: [United States]

Version
v2
Resource Type
Dataset : survey data
Creator
  • Center for Studying Health System Change
Other Title
  • Version 2 (Subtitle)
Collective Title
  • Community Tracking Study Series
Publication Date
2001-10-22
Funding Reference
  • Robert Wood Johnson Foundation
Language
English
Free Keywords
career expectations; career goals; communities; counties; health care delivery; health care facilities; health care services; medical specializations; patient care; physician practice; physicians
Description
  • Abstract

    This study comprises the second round of the physician survey component of the Community Tracking Study (CTS) sponsored by the Robert Wood Johnson Foundation. The CTS is a national study designed to track changes in the American health care system and the effects of the changes on care delivery and on 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. As in the first round of the physician survey (COMMUNITY TRACKING STUDY PHYSICIAN SURVEY, 1996-1997: [UNITED STATES] (ICPSR 2597)), the second round was administered to physicians in the 60 CTS sites and to a supplemental national sample of physicians. The survey instrument collected information on physician supply and specialty distribution, practice arrangements and physician ownership of practices, physician time allocation, sources of practice revenue, level and determinants of physician compensation, provision of charity care, career satisfaction, physicians' perceptions of their ability to deliver care, views on care management strategies, and various other aspects of physicians' practice of medicine. In addition, primary care physicians (PCPs) were asked to recommend courses of action in response to some vignettes of clinical presentations for which there was no prescribed method of treatment. Dataset 3, the Site and County Crosswalk Data File, identifies the counties that constitute each CTS site. Dataset 4, the Physician Survey Summary File, contains site-level estimates and standard errors of the estimates for selected physician characteristics, e.g., the percentage of physicians who were foreign medical school graduates, the mean age of physicians, and the mean percentage of patient care practice revenue from Medicaid.
  • Methods

    ICPSR data undergo a confidentiality review and are altered when necessary to limit the risk of disclosure. ICPSR also routinely creates ready-to-go data files along with setups in the major statistical software formats as well as standard codebooks to accompany the data. In addition to these procedures, ICPSR performed the following processing steps for this data collection: Checked for undocumented or out-of-range codes..
  • Table of Contents

    Datasets:

    • DS0: Study-Level Files
    • DS1: Public-Use Version of the Main Data File
    • DS2: Restricted-Use Version of the Main Data File
    • DS3: Site and County Crosswalk Data File
    • DS4: Physician Survey Summary File
Temporal Coverage
  • 1998 / 1999
    Time period: 1998--1999
  • 1998 / 1999
    Collection date: 1998--1999
Geographic Coverage
  • United States
Sampled Universe
Physicians practicing in the 48 states of the contiguous United States who provided direct patient care for at least 20 hours per week and were not federal employees, specialists in fields in which the primary focus was not direct patient care, or graduates of foreign medical schools who were only temporarily licensed to practice in the United States. Residents, interns, and fellows were excluded.
Sampling
The CTS sites were selected using stratified sampling with probability proportional to population size. The supplemental sample, which was selected using stratified random sampling, was included in the survey in order to increase the precision of national estimates. The sample frame was developed by combining lists of physicians from the American Medical Association and the American Osteopathic Association. For both the site and supplemental samples, the sampling design involved randomly selecting physicians who were part of the Round 1 survey and physicians who were not covered by Round 1. Thus, about 58 percent of the Round 2 respondents also participated in Round 1. PCPs were oversampled in the site sample.
Collection Mode
  • computer-assisted telephone interview (CATI)

    For additional information about this study see the Web site of the Center for Studying Health System Change.

Note
2009-02-02 Stata setups produced by ICPSR were added to the collection.2004-02-24 The user guide for the restricted-use version of the main data file has been revised. As noted on the "What's New" page in the guide, there are minor changes to the text related to the recommended SUDAAN parameters.2002-03-01 The user guides for the public- and restricted-use versions of the main data file have been revised. A discussion was added about how to pool data from Round 1 and Round 2 in order to increase sample size. In addition, the data definition statements have been enhanced. Funding insitution(s): Robert Wood Johnson Foundation (29275).
Availability
Download
One or more files in this study are not available for download due to special restrictions; consult the study documentation to learn more on how to obtain the data.
Alternative Identifiers
  • 3267 (Type: ICPSR Study Number)
Relations
  • Is new version of
    DOI: 10.3886/ICPSR03267.v1
Publications
  • Lin, Katherine Y.. Physicians' perceptions of autonomy across practice types: Is autonomy in solo practice a myth?. Social Science and Medicine.100, 21-29.2014.
    • ID: 10.1016/j.socscimed.2013.10.033 (DOI)
  • Fang He, White, Chapin. The effect of the Children's Health Insurance Program on pediatricians' work hours. Medicare and Medicaid Research Review.3, (1), E1-E32.2013.
    • ID: 10.5600/mmrr.003.01.a01 (DOI)
  • Ly, Dan P., Glied, Sherry A.. The impact of managed care contracting on physicians. Journal of General Internal Medicine.2013.
    • ID: 10.1007/s11606-013-2589-8 (DOI)
  • Sabik, Lindsay M., Gandhi, Sabina Ohri. Impact of changes in Medicaid coverage on physician provision of safety net care. Medical Care.51, (11), 978-984.2013.
    • ID: 10.1097/MLR.0b013e3182a50305 (DOI)
  • Esteves-Sorensona, Constanca, Snyder, Jason. The gender earnings gap for physicians and its increase over time. Economics Letters.116, (1), 37-41.2012.
    • ID: 10.1016/j.econlet.2011.12.133 (DOI)
  • McInerney, Melissa, Mellor, Jennifer M.. Recessions and seniors' health, health behaviors, and healthcare use: Analysis of the Medicare Current Beneficiary Survey. Journal of Health Economics.31, (5), 744-751.2012.
    • ID: 10.1016/j.jhealeco.2012.06.002 (DOI)
  • Garthwaite, Craig L.. The Doctor Might See You Now: The Supply Side Effects of Public Health Insurance Expansions. NBER Working Paper.No. 17070, Cambridge, MA: National Bureau of Economic Research. 2011.
    • ID: http://www.nber.org/papers/w17070 (URL)
  • Keane, Christopher. Managerialism and medical charity: How employing and pre-paying doctors affects the provision of free care in the United States. Health Sociology Review.20, (3), 281-293.2011.
    • ID: 10.5172/hesr.2011.20.3.281 (DOI)
  • Rebitzer, James B., Votruba, Mark E.. Organizational Economics and Physician Practices. NBER Working Paper Series.No. 17535, Cambridge, MA: National Bureau of Economic Research. 2011.
    • ID: http://www.nber.org/papers/w17535 (URL)
  • Chung, Kyusuk, Yang, Duckhye, Lee, Jun Hyup. Determinants of primary care physicians' referral pattern: A structural equation model approach. International Journal of Public Policy.5, (2-3), 259-271.2010.
    • ID: 10.1504/IJPP.2010.030607 (DOI)
  • Katerndahl, David, Parchman, Michael, Wood, Robert. Trends in the perceived complexity of primary health care: A secondary analysis. Journal of Evaluation in Clinical Practice.16, (5), 1002-1008.2010.
    • ID: 10.1111/j.1365-2753.2010.01532.x (DOI)
  • Wang, Bill B.L., Wan, Thomas T.H., Shi, Shufeng, Lin, Blossom Yen-Ju, . Has managed care affected physicians' income?. International Journal of Public Policy.6, (3/4), 237-246.2010.
    • ID: 10.1504/IJPP.2010.035127 (DOI)
  • Wright, D.B.. Time is money: Opportunity cost and physicians' provision of charity care 1996-2005. Health Services Research.45, (6), 1670-1692.2010.
    • ID: 10.1111/j.1475-6773.2010.01139.x (DOI)
  • Katerndahl, David, Parchman, Michael, Wood, Robert. Perceived complexity of care, perceived autonomy, and career satisfaction among primary care physicians. Journal of the American Board of Family Medicine.22, (1), 24-33.2009.
    • ID: 10.3122/jabfm.2009.01.080027 (DOI)
  • Weeks, William B., Wallace, Tanner, Wallace, Amy E.. How do race and sex affect the earnings of primary care physicians?. Health Affairs.28, (2), 557-566.2009.
    • ID: 10.1377/hlthaff.28.2.557 (DOI)
  • Adams, E Kathleen, Herring, Bradley. Medicaid HMO penetration and its mix: Did increased penetration affect physician participation in urban markets?. Health Services Research.43, (1p2), 363-383.2008.
    • ID: 10.1111/j.1475-6773.2007.00763.x (DOI)
  • Cunningham, Peter J, Hadley, Jack. Effects of changes in incomes and practice circumstances on physicians' decisions to treat charity and medicaid patients. Milbank Quarterly.86, (1), 91-123.2008.
    • ID: 10.1111/j.1468-0009.2007.00514.x (DOI)
  • Guerra, Carmen E., Gimotty, Phyllis A., Shea, Judy A., Pagan, Jose A., Schwartz, J. Sanford, Armstrong, Katrina. Effect of guidelines on primary care physician use of PSA screening: Results from the Community Tracking Study Physician Survey. Medical Decision Making.28, (5), 681-689.2008.
    • ID: 10.1177/0272989X08315243 (DOI)
  • Shasky, Charles. Physician Practice Alignment and Performance: Multivariate Modeling with Panel Data. Dissertation, Virginia Commonwealth University. 2008.
  • Shiotani, Lori M, Parkerton, Patricia H, Wenger, Neil S, Needleman, Jack. Internal medicine work hours: Trends, associations, and implications for the future. American Journal of Medicine.121, (1), 80-85.2008.
    • ID: 10.1016/j.amjmed.2007.10.003 (DOI)
  • Baek, Jong-Deuk. The Effect of Individual, Organizational, and Health Care System Factors on Physicians' Information Technology Use. Dissertation, University of South Carolina. 2007.
  • Brown, Timothy T., Scheffler, Richard M., Tom, Sarah E., Schulman, Kevin A.. Does the market value racial and ethnic concordance in physician-patient relationships?(Quality and satisfaction). Health Services Research.42, (2), 706-726.2007.
    • ID: 10.1111/j.1475-6773.2006.00634.x (DOI)
  • Corey, C., Grossman M.J.. Clinical information technology adoption varies across physician specialties. Data Bulletin: Results from HSC Research.34, 1-2.2007.
  • DeVoe, Jennifer, Fryer, George E., Jr., Straub, Alton, McCann, Jessica, Fairbrother, Gerry. Congruent satisfaction: Is there geographic correlation between patient and physician satisfaction?. Medical Care.45, (1), 88-94.2007.
    • ID: 10.1097/01.mlr.0000241048.85215.8b (DOI)
  • Lewis, Katharine Kranz. State Tort Reforms: Impact on Physician Satisfaction, 1996--2001. Dissertation, Brandeis University. 2007.
  • O’Malley, Ann S., Pham, Hoangmai H., Reschovsky, James D.. Predictors of the growing influence of clinical practice guidelines. Journal of General Internal Medicine.22, (6), 742-748.2007.
    • ID: 10.1007/s11606-007-0155-y (DOI)
  • Sloan, Frank A., Rattliff, John R., Hall, Mark A.. Effects of state managed care patient protection laws on physician satisfaction. Medical Care Research and Review.64, (5), 585-599.2007.
    • ID: 10.1177/1077558707300715 (DOI)
  • Brigantti, Betsy L.. Managed Care Controls and Physicians' Perception of Their Ability to Deliver Quality Care and Maintain Continuing Relationships with Patients. Dissertation, Johns Hopkins University. 2006.
  • Landon, Bruce E., Reschovsky, James D., Pham, Hoangmai H., Blumenthal, David. Leaving medicine: The consequences of physician dissatisfaction. Medical Care.44, (3), 234-242.2006.
    • ID: 10.1097/01.mlr.0000199848.17133.9b (DOI)
  • Sirovich, Brenda E., Gottlieb, Daniel J., Welch, H. Gilbert, Fisher, Elliott S.. Regional variations in health care intensity and physician perceptions of quality of care. Annals of Internal Medicine.144, (9), 641-649.2006.
  • Cox, Elizabeth D., Smith, Maureen A., Bartell, Jessica M.. Managing febrile infants: Impact of literature recommendations published during a physician's residency. Evaluation and the Health Professions.28, (3), 328-348.2005.
  • Greene, J., Blustein, J., Remler, D.. The impact of Medicaid managed care on primary care physician participation in Medicaid. Medical Care.43, (9), 911-920.2005.
    • ID: 10.1097/01.mlr.0000173598.85217.7f (DOI)
  • Robeznieks, Andis. Treatment varies with area. Modern Healthcare.35, (46), 57 -2005.
  • Sirovich, B.E., Gottlieb, D.J., Welch, H.G., Fisher, E.S.. Variation in the tendency of primary care physicians to intervene. Archives of Internal Medicine.165, (19), 2252-2256.2005.
    • ID: 10.1001/archinte.165.19.2252 (DOI)
  • Werner, Rachel M., Polsky, Daniel. Comparing the supply of pediatric subspecialists and child neurologists. Journal of Pediatrics.146, (1), 20-25.2005.
  • Casalino, Lawrence P., Pham, Hoangmai, Bazzoli, Gloria. Growth of single-specialty medical groups. Health Affairs.23, (2), 82-90.2004.
    • ID: 10.1377/hlthaff.23.2.82 (DOI)
  • Casalino, Lawrence P., Devers, Kelly, Lake, Timothy K., Reed, Marie C., Stoddard, Jeffrey. Benefits of and Barriers to Large Medical Group Practice in the United States. Archives of Internal Medicine.163, (16), 1958-1064.2003.
    • ID: 10.1001/archinte.163.16.1958 (DOI)
  • Hargraves, J. Lee, Pham, Hoangmai H.. Back in the Driver's Seat: Specialists Regaining Autonomy. Tracking Report: Results from the Community Tracking Study.7, Washington, DC: Center for Studying Health System Change. 2003.
    • ID: http://www.hschange.org/CONTENT/512/512.pdf (URL)
  • Kravitz, Richard L., Leigh, J. Paul, Samuels, Steven J., Schembri, Michael, Gilbert, William M.. Tracking career satisfaction and perceptions of quality among US obstetricians and gynecologists. Obstetrics and Gynecology.102, (3), 463-470.2003.
    • ID: 10.1016/S0029-7844(03)00666-5 (DOI)
  • Landon, Bruce E., Reschovsky, James, Blumenthal, David. Changes in career satisfaction among primary care and specialist physicians, 1997-2001. JAMA, The Journal of the American Medical Association.289, (4), 442-449.2003.
    • ID: 10.1001/jama.289.4.442 (DOI)
  • Reed, Marie, Ginsburg, Paul B.. Behind the times: Physician income, 1995-99. Data Bulletin: Results from HSC Research.24, Washington, DC: Center for Studying Health System Change. 2003.
    • ID: http://www.hschange.com/CONTENT/544/544.pdf (URL)
  • Ringel, Steven P., Vickrey, Barbara G., Schembri, Michael, Kravitz, Richard L.. Neurologists' assessment of their ability to provide high quality care. Neurology.61, (5), 612-615.2003.
    • ID: 10.1212/01.WNL.0000087544.78028.39 (DOI)
  • Sandy, Lewis G., Schroeder, Steven A.. Primary care in a new era: Disillusion and dissolution?. Annals of Internal Medicine.138, (3), 262-267.2003.
  • Stoddard, Jeffrey J., Reed, Marie, Hadley, Jack. Financial incentives and physicians' perceptions of conflict of interest and ability to arrange medically necessary services. Journal of Ambulatory Care Management.26, (1), 39-50.2003.
  • Sturm, Roland, Ringel, Jeanne S.. The role of managed care and financing in medical practices: How does psychiatry differ from other medical fields?. Social Psychiatry and Psychiatric Epidemiology.38, (8), 427-435.2003.
    • ID: 10.1007/s00127-003-0657-9 (DOI)
  • Trude, Sally. So Much to Do, So Little Time: Physician Capacity Constraints, 1997-2001. Tracking Report: Results from the Community Tracking Study.8, Washington, DC: Center for Studying Health System Change. 2003.
    • ID: http://www.hschange.org/CONTENT/556/556.pdf (URL)
  • Trude, Sally, Stoddard, Jeffrey J.. Referral Gridlock: Primary Care Physicians and Mental Health Services. Journal of General Internal Medicine.18, (6), 442-449.2003.
    • ID: 10.1046/j.1525-1497.2003.30216.x (DOI)
  • Cunningham, Peter J.. Mounting Pressures: Physicians Serving Medicaid Patients and the Uninsured, 1997-2001. Tracking Report: Results from the Community Tracking Study.6, Washington, DC: Center for Studying Health System Change. 2002.
    • ID: http://www.hschange.org/CONTENT/505/505.pdf (URL)
  • Stoddard, Jeffrey J., Grossman, Joy M., Rudell, Liza S.. Physicians More Likely to Face Quality Incentives Than Incentives That May Restrain Care. Issue Brief: Findings from HSC.48, Washington, DC: Center for Studying Health System Change. 2002.
    • ID: http://www.hschange.org/CONTENT/396/396.pdf (URL)
  • Strunk, Bradley C., Reschovsky, James D.. Kinder and Gentler: Physicians and Managed Care, 1997-2001. Tracking Report: Results from the Community Tracking Study.5, Washington, DC: Center for Health System Change. 2002.
    • ID: http://www.hschange.org/CONTENT/486/486.pdf (URL)
  • Trude, Sally, Ginsburg, Paul B.. Growing Physician Access Problems Complicate Medicare Payment Debate. Issue Brief: Findings from HSC.55, Washington, DC: Center for Studying Health System Change. 2002.
    • ID: http://www.hschange.org/CONTENT/466/466.pdf (URL)
  • Hargraves, J. Lee, Stoddard, Jeffrey, Trude, Sally. Minority physicians' experiences obtaining referrals to specialists and hospital admissions. Medscape General Medicine.3, (4), 10 -2001.
  • Reed, Marie C., Cunningham, Peter J., Stoddard, Jeffrey J.. Physicians Pulling Back from Charity Care. Issue Brief: Findings from HSC.42, Washington, DC: Center for Studying Health System Change. 2001.
    • ID: http://www.hschange.org/CONTENT/356/356.pdf (URL)
  • Stoddard, Jeffrey J., Reschovsky, James D., Hargraves, J. Lee. Managed care in the doctor's office: Has the revolution stalled?. American Journal of Managed Care.7, (11), 1061-1067.2001.
  • (author unknown). An Update on the Community Tracking Study: A Focus on the Changing Health System. Issue Brief.18, Washington, DC: Center for Studying Health System Change. 1999.
    • ID: http://www.hschange.com/CONTENT/63/63.pdf (URL)
  • (author unknown). The Community Tracking Study: A Focus on Change in the Health Care System. Issue Brief.1, Washington, DC: Center for Studying Health System Change. 1996.
    • ID: http://www.hschange.com/CONTENT/80/80.pdf (URL)
  • Kemper, Peter, Blumenthal, David, Corrigan, Janet M., Cunningham, Peter J., Felt, S.M., Grossman, J.M., Kohn, Linda T., Metcalf, Charles E., St. Peter, R.F., Strouse, Richard C., Ginsburg, P.B.. The design of the Community Tracking Study: A longitudinal study of health system change and its effects on people. Inquiry (Rochester): The Journal of Health Care Organization, Provision and Financing.33, (2), 195-206.1996.
  • Metcalf, Charles E., Kemper, Peter, Kohn, Linda T., Pickreign, Jeremy D.. Site Definition and Sample Design for the Community Tracking Study. Technical Publication.1, Washington, DC: Center for Studying Health System Change. 1996.
    • ID: http://www.hschange.com/CONTENT/157/157.pdf (URL)
  • Potter, Frank, et al. Report on Survey Methods for the Community Tracking Study's 1998-1999 Round Two Physician Survey. Washington, DC: Center for Studying Health System Change. .

Update Metadata: 2015-08-05 | Issue Number: 6 | Registration Date: 2015-06-15

Center for Studying Health System Change (2001): Community Tracking Study Physician Survey, 1998-1999: [United States]. Version 2. Community Tracking Study Series. Version: v2. ICPSR - Interuniversity Consortium for Political and Social Research. Dataset. https://doi.org/10.3886/ICPSR03267.v2