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National Ambulatory Medical Care Survey, 1990

Version
v0
Resource Type
Dataset : survey data
Creator
  • United States Department of Health and Human Services. National Center for Health Statistics
Other Title
  • Archival Version (Subtitle)
Collective Title
  • National Ambulatory Medical Care Survey Series
Publication Date
1993-02-12
Language
English
Free Keywords
ambulatory care; doctor visits; health care services; medical care; medical evaluation; medical records; medications; patient care; patients; physicians; prescription drugs; treatment
Description
  • Abstract

    The National Ambulatory Medical Care Surveys (NAMCS) supply data on ambulatory medical care provided in physicians' offices. The 1990 survey contains information from 43,469 patient visits to 1,684 physicians. Data are available on the patient's reason for the visit, the physician's diagnosis, and the kinds of diagnostic and therapeutic services rendered. Information is included on the physician's specialization and geographical location. Demographic information on patients, such as age, sex, race, and ethnicity, was also collected.
  • Table of Contents

    Datasets:

    • DS1: Dataset
Temporal Coverage
  • Time period: 1990
  • 1990 / 1991
    Collection date: 1990--1991
Geographic Coverage
  • United States
Sampled Universe
Office visits made within the United States by patients of nonfederally employed physicians who were primarily involved in office-based patient care activities, but not engaged in the specialties of radiology, pathology, or anesthesiology.
Sampling
The 1990 NAMCS utilized a multistage probability sample design. Primary sampling units were selected in the first stage, physician practices within PSUs in the second stage, and patient visits to selected physicians in the third stage.
Collection Mode
  • Per agreement with NCHS, ICPSR distributes the data file(s) and technical documentation in this collection in their original form as prepared by NCHS.

Availability
Delivery
This version of the study is no longer available on the web. If you need to acquire this version of the data, you have to contact ICPSR User Support (help@icpsr.umich.edu).
Alternative Identifiers
  • 9831 (Type: ICPSR Study Number)
Relations
  • Is previous version of
    DOI: 10.3886/ICPSR09831.v1
Publications
  • Akamine, K.L., Gustafson, C.J., Davis, S.A., Levender, M.M., Feldman, S.R.. Trends in sunscreen recommendation among US physicians. JAMA Dermatology.2013.
    • ID: 10.1001/jamadermatol.2013.4741 (DOI)
  • Bradford, W. David, Lastrapes, William D.. A prescription for unemployment? Recessions and the demand for mental health drugs. Health Economics.2013.
    • ID: 10.1002/hec.2983 (DOI)
  • Davis, Scott A., Feldman, Steven R.. Combination therapy for psoriasis in the United States. Journal of Drugs in Dermatology.12, (5), 5462013.
  • Davis, Scott A., Feldman, Steven R., McMichael, Amy J.. Management of Keloids in the United States, 1990-2009: An analysis of the National Ambulatory Medical Care Survey. Dermatologic Surgery.39, (7), 988-994.2013.
    • ID: 10.1111/dsu.12182 (DOI)
  • Davis, Scott A., Yentzer, Brad A., Feldman, Steven R.. Acitretin prescribing patterns in women of childbearing potential. Journal of Drugs in Dermatology.12, (7), 7992013.
  • Ji, Andrew L., Baze, Michael R., Davis, Scott A., Feldman, Steven R., Fleischer, Alan B.. Ambulatory melanoma care patterns in the United States. Journal of Skin Cancer.Article ID 6892612013.
    • ID: 10.1155/2013/689261 (DOI)
  • Altman, Kenneth W., Stephens, Robbin M., Lyttle, Christopher S., Weiss, Kevin B.. Changing Impact of Gastroesophageal Reflux in Medical and Otolaryngology Practice. Laryngoscope.115, (7), 1145-1153.2005.
    • ID: 10.1097/01.MLG.0000165464.75164.E5 (DOI)
  • Fiscella, Kevin, Franks, Peter. Is patient HMO insurance or physician HMO participation related to racial disparities in primary care?. American Journal of Managed Care.11, (6), 397-402.2005.
  • Fleischer, A.B., Jr., Gardner, E.F., Feldman, S.R.. Are patients' chief complaints generally specific to one organ system?. American Journal of Managed Care.7, (3), 299-305.2001.
  • Mechanic, D., McAlpine, D.D., Rosenthal, M.. Are patients' office visits with physicians getting shorter?. New England Journal of Medicine.344, (3), 198-204.2001.
    • ID: 10.1056/NEJM200101183440307 (DOI)
  • Wang, T.J., Stafford, R.S., Ausiello, J.C., Chaisson, C.E.. Randomized clinical trials and recent patterns in the use of statins. American Heart Journal.141, (6), 957-963.2001.
    • ID: 10.1067/mhj.2001.115587 (DOI)
  • Feldman, S.R., Fleischer, A.B., Jr., Cooper, J.Z.. New topical treatments change the pattern of treatment of psoriasis: dermatologists remain the primary providers of this care. International Journal of Dermatology.39, (1), 41-44.2000.
    • ID: 10.1046/j.1365-4362.2000.00878.x (DOI)
  • Fleischer, A.B., Jr., Herbert, C.R., Feldman, S.R., O'Brien, F.. Diagnosis of skin disease by nondermatologists. American Journal of Managed Care.6, (10), 1149-1156.2000.
  • Henderson, R.L., Jr., Fleischer, A.B., Jr., Feldman, S.R.. Allergists and dermatologists have far more expertise in caring for patients with urticaria than other specialists. Journal of the American Academy of Dermatology.43, (6), 1084-1091.2000.
    • ID: 10.1067/mjd.2000.109305 (DOI)
  • Hotard, R.S., Feldman, S.R., Fleischer, A.B., Jr.. Sex-specific differences in the treatment of severe psoriasis. Journal of the American Academy of Dermatology.42, (4), 620-623.2000.
    • ID: 10.1016/S0190-9622(00)90174-9 (DOI)
  • Lipsky, Martin S., Waters, Teresa, Sharp, Lisa K.. Impact of vaginal antifungal products on utilization of health care services: evidence from physician visits. Journal of the American Board of Family Practice.13, (3), 178-182.2000.
  • Shaffer, Matthew P., Feldman, Steven R., Fleischer, Alan B.. Use of clotrimazole/betamethasone diproprionate by family physicians. Family Medicine.32, (8), 561-591.2000.
  • Skaer, Tracy L., Robison, Linda M., Sclar, David A., Galin, Richard S.. Treatment of depressive illness among children and adolescents in the United States. Current Therapeutic Research.61, (10), 692-705.2000.
    • ID: 10.1016/S0011-393X(00)80049-1 (DOI)
  • Ward, Daniel B., Fleischer, Alan B., Jr., Feldman, Steven R., Krowchuk, Daniel P.. Characterization of diaper dermatitis in the United States. Archives of Pediatrics and Adolescent Medicine.154, (9), 943-946.2000.
  • Armstrong, Gregory L., Pinner, Robert W.. Outpatient visits for infectious diseases in the United States, 1980 through 1996. Archives of Internal Medicine.159, (21), 2531-2536.1999.
    • ID: 10.1001/archinte.159.21.2531 (DOI)
  • Feldman, S.R., Fleischer, A.B., Jr., Chen, J.G.. The gatekeeper model is inefficient for the delivery of dermatologic services. Journal of the American Academy of Dermatology.40, (3), 426-432.1999.
    • ID: 10.1016/S0190-9622(99)70492-5 (DOI)
  • Feldman, S.R., Fleischer, A.B., Jr., Young, A.C., Williford, P.M.. Time-efficiency of nondermatologists compared with dermatologists in the care of skin disease. Journal of the American Academy of Dermatology.40, (2 Pt. 1), 194-199.1999.
    • ID: 10.1016/S0190-9622(99)70187-8 (DOI)
  • Fleischer, A.B., Jr., Feldman, S.R.. Prescription of high-potency corticosteroid agents and clotrimazole-betamethasone dipropionate by pediatricians. Clinical Therapeutics.21, (10), 1725-1731.1999.
    • ID: 10.1016/S0149-2918(99)80051-4 (DOI)
  • Pradel, F.G., Hartzema, A.G., Mutran, E.J., Hanson-Divers, C.. Physician over-the-counter drug prescribing patterns: an analysis of the National Ambulatory Medical Care Survey. Annals of Pharmacotherapy.33, (4), 400-405.1999.
    • ID: 10.1345/aph.18247 (DOI)
  • Robison, L.M., Sclar, D.A., Skaer, T.L., Galin, R.S.. National trends in the prevalence of attention-deficit/hyperactivity disorder and the prescribing of methylphenidate among school-age children: 1990-1995. Clinical Pediatrics.38, (4), 209-217.1999.
    • ID: 10.1177/000992289903800402 (DOI)
  • Feldman, Steven R., Fleischer, Alan B., Jr., McConnell, R. Carol. Most common dermatologic problems identified by internists, 1990-1994. Archives of Internal Medicine.158, (7), 726-730.1998.
    • ID: 10.1001/archinte.158.7.726 (DOI)
  • Jacobs, Jennifer, Chapman, Edward H., Crothers, Dean. Patient characteristics and practice patterns of physicians using homeopathy. Archives of Family Medicine.7, (6), 537-540.1998.
    • ID: 10.1001/archfami.7.6.537 (DOI)
  • Mannino, D.M., Homa, D.M., Pertowski, C.A., Ashizawa, A., Nixon, L.L., Johnson, C.A., Ball, L.B., Jack, E., Kang, D.S.. Surveillance for asthma--United States, 1960-1995. Morbidity and Mortality Weekly Report.47, (1), 1-27.1998.
  • McConnell, R.C., Fleischer, A.B., Jr., Williford, P.M., Feldman, S.R.. Most topical tretinoin treatment is for acne vulgaris through the age of 44 years: an analysis of the National Ambulatory Medical Care Survey, 1990-1994. Journal of the American Academy of Dermatology.38, (2 Pt. 1), 221-226.1998.
    • ID: 10.1016/S0190-9622(98)70598-5 (DOI)
  • Metlay, Joshua P., Stafford, Randall S., Singer, Daniel E.. National trends in the use of antibiotics by primary care physicians for adult patients with cough. Archives of Internal Medicine.158, (16), 1813-1818.1998.
    • ID: 10.1001/archinte.158.16.1813 (DOI)
  • Sclar, D.A., Robinson, L.M., Skaer, T.L., Galin, R.S.. Trends in the prescribing of antidepressant pharmacotherapy: office-based visits, 1990-1995. Clinical Therapeutics.20, (4), 871-874.1998.
    • ID: 10.1016/S0149-2918(98)80148-3 (DOI)
  • Smith, E.S., Fleischer, A.B., Jr., Feldman, S.R.. Nondermatologists are more likely than dermatologists to prescribe antifungal/corticosteroid products: an analysis of office visits for cutaneous fungal infections, 1990-1994. Journal of the American Academy of Dermatology.39, (1), 43-47.1998.
    • ID: 10.1016/S0190-9622(98)70400-1 (DOI)
  • Feldman, S.R., Fleischer, A.B., Jr., Williford, P.M., White, R., Byington, R.. Increasing utilization of dermatologists by managed care: an analysis of the National Ambulatory Medical Care Survey, 1990-1994. Journal of the American Academy of Dermatology.37, (5 Pt. 1), 784-788.1997.
    • ID: 10.1016/S0190-9622(97)70118-X (DOI)
  • Fleischer, A.B., Jr., Feldman, S.R., McConnell, R.C.. The most common dermatologic problems identified by family physicians, 1990-1994. Family Medicine.29, (9), 648-652.1997.
  • Franks, Peter, Clancy, Carolyn M., Nutting, Paul A.. Defining primary care. Empirical analysis of the National Ambulatory Medical Care Survey. Medical Care.35, (7), 655-668.1997.
    • ID: 10.1097/00005650-199707000-00001 (DOI)
  • Glied, S.. The treatment of women with mental health disorders under HMO and fee-for-service insurance. Women and Health.26, (2), 1-16.1997.
  • Learman, L.A., Grimes, D.A.. Rapid hospital discharge following laparoscopy for ectopic pregnancy. A promise unfulfilled?. Western Journal of Medicine.167, (3), 145-148.1997.
  • Feldman, S.R., Williford, P.M., Fleischer, A.B., Jr.. Lower utilization of dermatologists in managed care: despite growth in managed care, visits to dermatologists did not decrease: an analysis of National Ambulatory Medical Care Survey data, 1990-1992. Journal of Investigative Dermatology.107, (6), 860-864.1996.
    • ID: 10.1111/1523-1747.ep12331162 (DOI)
  • Landry, D.J., Forrest, J.D.. Private physicians' provision of contraceptive services. Family Planning Perspectives.28, (5), 203-209.1996.
    • ID: http://www.jstor.org/stable/2135839 (URL)
  • Salive, M.E., Guralnik, J.M., Brock, D.. Preventive services for breast and cervical cancer in U.S. office-based practices. Preventive Medicine.25, (5), 561-568.1996.
    • ID: 10.1006/pmed.1996.0090 (DOI)
  • Stern, R.S.. The pattern of topical corticosteroid prescribing in the United States, 1989-1991. Journal of the American Academy of Dermatology.35, (2 Pt. 1), 183-186.1996.
    • ID: 10.1016/S0190-9622(96)90319-9 (DOI)
  • Stern, Robert S.. Acne therapy. Medication use and sources of care in office-based practice. Archives of Dermatology.132, (7), 776-780.1996.
    • ID: 10.1001/archderm.132.7.776 (DOI)
  • Chiang, Y.P., Wang, F., Javitt, J.C.. Office visits to ophthalmologists and other physicians for eye care among the U.S. population, 1990. Public Health Reports.110, (2), 147-153.1995.
  • Hart, L.G., Deyo, R.A., Cherkin, D.C.. Physician office visits for low back pain. Frequency, clinical evaluation, and treatment patterns from a U.S. national survey. Spine.20, (1), 11-19.1995.
    • ID: 10.1097/00007632-199501000-00003 (DOI)
  • National Diabetes Data Group. Diabetes in America, 2nd Edition. Bethesda, MD: National Institutes of Health. 1995.
  • Rosenblatt, Roger A., Hart, L. Gary, Gamliel, Sandy, Goldstein, Brian, McClendon, B. Jerald. Identifying primary care disciplines by analyzing the diagnostic content of ambulatory care. Journal of the American Board of Family Practice.8, (1), 34-45.1995.
  • Russell, Cheryl. The Official Guide to the American Marketplace, 2nd Edition. Ithaca: New Strategist Publications. 1995.
  • Fleischer, A.B., Jr., Feldman, S.R., Bradham, D.D.. Office-based physician services provided by dermatologists in the United States in 1990. Journal of Investigative Dermatology.102, (1), 93-97.1994.
    • ID: 10.1111/1523-1747.ep12371739 (DOI)
  • Krowchuk, D.P., Bradham, D.D., Fleischer, A.B., Jr.. Dermatologic services provided to children and adolescents by primary care and other physicians in the United States. Pediatric Dermatology.11, (3), 199-203.1994.
    • ID: 10.1111/j.1525-1470.1994.tb00586.x (DOI)
  • Nelson, Cheryl. Office visits to dermatologists: National Ambulatory Medical Care Survey, United States, 1989-90. Advance Data from Vital and Health Statistics.240, Hyattsville, MD: National Center for Health Statistics. 1994.
    • ID: http://www.cdc.gov/nchs/data/ad/ad240.pdf (URL)
  • Gilchrist, V., Miller, R.S., Gillanders, W.R., Scheid, D.C., Logue, E.E., Iverson, D.C., Oprandi, A.M., Weldy, D.L., Krell, M.A.. Does family practice at residency teaching sites reflect community practice?. Journal of Family Practice.37, (6), 555-563.1993.
  • Nelson, Cheryl R.. Drug utilization in office practice. National Ambulatory Medical Care Survey, 1990. Advance Data from Vital and Health Statistics.232, Hyattsville, MD: National Center for Health Statistics. 1993.
    • ID: http://www.cdc.gov/nchs/data/ad/ad232.pdf (URL)
  • Radecki, S.E., Brunton, S.A.. Management of insomnia in office-based practice. National prevalence and therapeutic patterns. Archives of Family Medicine.2, (11), 1129-1134.1993.
    • ID: 10.1001/archfami.2.11.1129 (DOI)
  • Woodwell, David A.. Office visits to general surgeons 1989-90, National Ambulatory Medical Care Survey. Advance Data from Vital and Health Statistics.228, Hyattsville, MD: National Center for Health Statistics. 1993.
    • ID: http://www.cdc.gov/nchs/data/ad/ad228.pdf (URL)
  • Schappert, Susan M.. National Ambulatory Medical Care Survey: 1990 summary. Advance Data from Vital and Health Statistics.213, Hyattsville, MD: National Center for Health Statistics. 1992.
    • ID: http://www.cdc.gov/nchs/data/ad/ad213.pdf (URL)
  • Schappert, Susan M.. Office visits for otitis media: United States, 1975-90. Advance Data from Vital and Health Statistics.214, Hyattsville, MD: National Center for Vital Statistics. 1992.
    • ID: http://www.cdc.gov/nchs/data/ad/ad214.pdf (URL)
  • Woodwell, David A.. Office visits to otolaryngologists 1989-90, National Ambulatory Medical Care Survey. Advance Data from Vital and Health Statistics.222, Hyattsville, MD: National Center for Health Statistics. 1992.
    • ID: http://www.cdc.gov/nchs/data/ad/ad222.pdf (URL)

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

United States Department of Health and Human Services. National Center for Health Statistics (1993): National Ambulatory Medical Care Survey, 1990. Archival Version. National Ambulatory Medical Care Survey Series. Version: v0. ICPSR - Interuniversity Consortium for Political and Social Research. Dataset. https://doi.org/10.3886/ICPSR09831