Description
For all persons eligible for the Access to Care section with a usual source of care provider (USUALPL), USCMEDTYP reports whether the person's usual source of care provider is located in an office, a hospital but not the emergency room, or a hospital emergency room.
USCMEDTYP is collected as part of the Access to Care section, which gathers information on usual source of care for all family members, characteristics of usual source of care health providers, and barriers family members have faced in obtaining needed health care. Please see USCPRFAC for all variables pertaining to the characteristics of the respondent's usual source of care and ACCESSELIG for more information about the Access to Care section.
IPUMS MEPS reports the universe for each variable based on a thorough review of the original MEPS documentation. Investigating the data may reveal cases that do not meet the stated universe. Users are encouraged to validate universes for their analyses.
Codes and Frequencies
An 'X' indicates the category is available for that sample
| Code | Label |
22
|
21
|
20
|
19
|
18
|
17
|
16
|
15
|
14
|
13
|
12
|
11
|
10
|
09
|
08
|
07
|
06
|
05
|
04
|
03
|
02
|
01
|
00
|
99
|
98
|
Code | Label |
97
|
96
|
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 0 | NIU | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | 0 | NIU | X | X |
| 1 | Office | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | 1 | Office | X | X |
| 2 | Hospital, not emergency room | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | 2 | Hospital, not emergency room | X | X |
| 3 | Hospital, emergency room | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | 3 | Hospital, emergency room | X | X |
| 7 | Unknown - refused | · | · | · | X | · | · | X | · | · | X | X | X | X | · | · | · | X | · | · | X | X | · | · | · | · | 7 | Unknown - refused | · | · |
| 8 | Unknown - not ascertained | · | · | · | · | · | · | X | · | · | X | X | · | X | X | X | X | X | X | X | X | X | X | X | X | X | 8 | Unknown - not ascertained | X | X |
| 9 | Unknown - don't know | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | 9 | Unknown - don't know | X | X |
Can't find the category you are looking for? Try the Detailed codes
Comparability
Users may note a significant increase in the frequency of "Unknown - don't know" beginning in 2018. According to the 2018 MEPS documentation, this is "due to the design change of CAPI and the functionality of the provider look-up" (C-70, C-71). Users should also note that the Access to Care variables are not designed to yield full-year estimates in 1997, as the section is only administered in Round 2 instead of Rounds 2 and 4. The 1997 AHRQ documentation advises that "The 1997 Access to Care variables cannot be used to make full-year estimates, but can be useful in such analyses as trend analyses, or for enhancing subgroup analyses. These variables may be of particular interest because of the 1997 oversample of populations (such as poverty, children with activity limitations, adults with functional limitations, high medical expenditure cases, and the elderly) where access issues are particularly relevant" (C-16). Because USCMEDTYP is only collected in Round 2 in 1997 instead of Rounds 2 and 4, USCMEDTYP cannot be used to make a full-year estimate in 1997. Otherwise, this variable is comparable over time.
Universe
- 1996-2022: All persons eligible for the Access to Care section (ACCESSELIG) who have a usual source of care provider (USUALPL).
Availability
- 1996-2022
Survey Text
| 2022 | 2015 | 2008 | 2001 |
| 2021 | 2014 | 2007 | 2000 |
| 2020 | 2013 | 2006 | 1999 |
| 2019 | 2012 | 2005 | 1998 |
| 2018 | 2011 | 2004 | 1997 |
| 2017 | 2010 | 2003 | 1996 |
| 2016 | 2009 | 2002 |
2018
Survey form
view entire document:
text
image
AC06
====
====
[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF MEDICAL CARE PROVIDER......]
ASK IF NOT OBVIOUS.
[Is (PROVIDER)/Does (PROVIDER) work at] a clinic in a hospital, a hospital outpatient department, an emergency room at a hospital, or some other kind of place?
ASK IF NOT OBVIOUS.
[Is (PROVIDER)/Does (PROVIDER) work at] a clinic in a hospital, a hospital outpatient department, an emergency room at a hospital, or some other kind of place?
HOSPITAL CLINIC OR OUTPATIENT DEPARTMENT ............................ 1
HOSPITAL EMERGENCY ROOM ................. 2 [BOX_03]
OTHER KIND OF PLACE ..................... 3 [BOX_03]
REF ..................................... -7 [BOX_03]
DK ...................................... -8 [BOX_03]
[Code One]
PRESS F1 FOR DEFINITIONS OF ANSWER CATEGORIES.
----------------------------------------------------
DISPLAY 'Is (PROVIDER)' IF USC PROVIDER IS FLAGGED AS 'FACILITY-TYPE-PROVIDER'. DISPLAY 'Does (PROVIDER) work at' IF USC PROVIDER IS FLAGGED AS 'PERSON-IN-FACILITY-PROVIDER'.
----------------------------------------------------
----------------------------------------------------
IF CODED '2' (HOSPITAL EMERGENCY ROOM), FLAG THIS USC PROVIDER AS 'HOSPITAL BASED'.
----------------------------------------------------
----------------------------------------------------
NOTE: FOR QUESTIONS AC06 - AC12, THE CONTEXT HEADER WILL DISPLAY THE PERSON-PROVIDER NAME IF THE USC PROVIDER BEING ASKED ABOUT IS FLAGGED AS 'PERSON-TYPE-PROVIDER' OR 'PERSON-IN-FACILITY- PROVIDER'. IF THE USC PROVIDER BEING ASKED ABOUT IS FLAGGED AS 'FACILITY-TYPE-PROVIDER', THE CONTEXT HEADER WILL DISPLAY THE FACILITY-PROVIDER NAME.
----------------------------------------------------
HOSPITAL EMERGENCY ROOM ................. 2 [BOX_03]
OTHER KIND OF PLACE ..................... 3 [BOX_03]
REF ..................................... -7 [BOX_03]
DK ...................................... -8 [BOX_03]
[Code One]
PRESS F1 FOR DEFINITIONS OF ANSWER CATEGORIES.
----------------------------------------------------
DISPLAY 'Is (PROVIDER)' IF USC PROVIDER IS FLAGGED AS 'FACILITY-TYPE-PROVIDER'. DISPLAY 'Does (PROVIDER) work at' IF USC PROVIDER IS FLAGGED AS 'PERSON-IN-FACILITY-PROVIDER'.
----------------------------------------------------
----------------------------------------------------
IF CODED '2' (HOSPITAL EMERGENCY ROOM), FLAG THIS USC PROVIDER AS 'HOSPITAL BASED'.
----------------------------------------------------
----------------------------------------------------
NOTE: FOR QUESTIONS AC06 - AC12, THE CONTEXT HEADER WILL DISPLAY THE PERSON-PROVIDER NAME IF THE USC PROVIDER BEING ASKED ABOUT IS FLAGGED AS 'PERSON-TYPE-PROVIDER' OR 'PERSON-IN-FACILITY- PROVIDER'. IF THE USC PROVIDER BEING ASKED ABOUT IS FLAGGED AS 'FACILITY-TYPE-PROVIDER', THE CONTEXT HEADER WILL DISPLAY THE FACILITY-PROVIDER NAME.
----------------------------------------------------
2017
Survey form
view entire document:
text
image
AC06
====
====
[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF MEDICAL CARE PROVIDER......]
ASK IF NOT OBVIOUS.
[Is (PROVIDER)/Does (PROVIDER) work at] a clinic in a hospital, a hospital outpatient department, an emergency room at a hospital, or some other kind of place?
ASK IF NOT OBVIOUS.
[Is (PROVIDER)/Does (PROVIDER) work at] a clinic in a hospital, a hospital outpatient department, an emergency room at a hospital, or some other kind of place?
HOSPITAL CLINIC OR OUTPATIENT DEPARTMENT ............................ 1
HOSPITAL EMERGENCY ROOM ................. 2 [BOX_03]
OTHER KIND OF PLACE ..................... 3 [BOX_03]
REF ..................................... -7 [BOX_03]
DK ...................................... -8 [BOX_03]
[Code One]
PRESS F1 FOR DEFINITIONS OF ANSWER CATEGORIES.
----------------------------------------------------
DISPLAY 'Is (PROVIDER)' IF USC PROVIDER IS FLAGGED AS 'FACILITY-TYPE-PROVIDER'. DISPLAY 'Does (PROVIDER) work at' IF USC PROVIDER IS FLAGGED AS 'PERSON-IN-FACILITY-PROVIDER'.
----------------------------------------------------
----------------------------------------------------
IF CODED '2' (HOSPITAL EMERGENCY ROOM), FLAG THIS USC PROVIDER AS 'HOSPITAL BASED'.
----------------------------------------------------
----------------------------------------------------
NOTE: FOR QUESTIONS AC06 - AC12, THE CONTEXT HEADER WILL DISPLAY THE PERSON-PROVIDER NAME IF THE USC PROVIDER BEING ASKED ABOUT IS FLAGGED AS 'PERSON-TYPE-PROVIDER' OR 'PERSON-IN-FACILITY- PROVIDER'. IF THE USC PROVIDER BEING ASKED ABOUT IS FLAGGED AS 'FACILITY-TYPE-PROVIDER', THE CONTEXT HEADER WILL DISPLAY THE FACILITY-PROVIDER NAME.
----------------------------------------------------
HOSPITAL EMERGENCY ROOM ................. 2 [BOX_03]
OTHER KIND OF PLACE ..................... 3 [BOX_03]
REF ..................................... -7 [BOX_03]
DK ...................................... -8 [BOX_03]
[Code One]
PRESS F1 FOR DEFINITIONS OF ANSWER CATEGORIES.
----------------------------------------------------
DISPLAY 'Is (PROVIDER)' IF USC PROVIDER IS FLAGGED AS 'FACILITY-TYPE-PROVIDER'. DISPLAY 'Does (PROVIDER) work at' IF USC PROVIDER IS FLAGGED AS 'PERSON-IN-FACILITY-PROVIDER'.
----------------------------------------------------
----------------------------------------------------
IF CODED '2' (HOSPITAL EMERGENCY ROOM), FLAG THIS USC PROVIDER AS 'HOSPITAL BASED'.
----------------------------------------------------
----------------------------------------------------
NOTE: FOR QUESTIONS AC06 - AC12, THE CONTEXT HEADER WILL DISPLAY THE PERSON-PROVIDER NAME IF THE USC PROVIDER BEING ASKED ABOUT IS FLAGGED AS 'PERSON-TYPE-PROVIDER' OR 'PERSON-IN-FACILITY- PROVIDER'. IF THE USC PROVIDER BEING ASKED ABOUT IS FLAGGED AS 'FACILITY-TYPE-PROVIDER', THE CONTEXT HEADER WILL DISPLAY THE FACILITY-PROVIDER NAME.
----------------------------------------------------
2016
Survey form
view entire document:
text
image
AC06
====
====
[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF MEDICAL CARE PROVIDER......]
ASK IF NOT OBVIOUS.
[Is (PROVIDER)/Does (PROVIDER) work at] a clinic in a hospital, a hospital outpatient department, an emergency room at a hospital, or some other kind of place?
ASK IF NOT OBVIOUS.
[Is (PROVIDER)/Does (PROVIDER) work at] a clinic in a hospital, a hospital outpatient department, an emergency room at a hospital, or some other kind of place?
HOSPITAL CLINIC OR OUTPATIENT DEPARTMENT ............................ 1
HOSPITAL EMERGENCY ROOM ................. 2 [BOX_03]
OTHER KIND OF PLACE ..................... 3 [BOX_03]
REF ..................................... -7 [BOX_03]
DK ...................................... -8 [BOX_03]
[Code One]
PRESS F1 FOR DEFINITIONS OF ANSWER CATEGORIES.
----------------------------------------------------
DISPLAY 'Is (PROVIDER)' IF USC PROVIDER IS FLAGGED AS 'FACILITY-TYPE-PROVIDER'. DISPLAY 'Does (PROVIDER) work at' IF USC PROVIDER IS FLAGGED AS 'PERSON-IN-FACILITY-PROVIDER'.
----------------------------------------------------
----------------------------------------------------
IF CODED '2' (HOSPITAL EMERGENCY ROOM), FLAG THIS USC PROVIDER AS 'HOSPITAL BASED'.
----------------------------------------------------
----------------------------------------------------
NOTE: FOR QUESTIONS AC06 - AC12, THE CONTEXT HEADER WILL DISPLAY THE PERSON-PROVIDER NAME IF THE USC PROVIDER BEING ASKED ABOUT IS FLAGGED AS 'PERSON-TYPE-PROVIDER' OR 'PERSON-IN-FACILITY- PROVIDER'. IF THE USC PROVIDER BEING ASKED ABOUT IS FLAGGED AS 'FACILITY-TYPE-PROVIDER', THE CONTEXT HEADER WILL DISPLAY THE FACILITY-PROVIDER NAME.
----------------------------------------------------
HOSPITAL EMERGENCY ROOM ................. 2 [BOX_03]
OTHER KIND OF PLACE ..................... 3 [BOX_03]
REF ..................................... -7 [BOX_03]
DK ...................................... -8 [BOX_03]
[Code One]
PRESS F1 FOR DEFINITIONS OF ANSWER CATEGORIES.
----------------------------------------------------
DISPLAY 'Is (PROVIDER)' IF USC PROVIDER IS FLAGGED AS 'FACILITY-TYPE-PROVIDER'. DISPLAY 'Does (PROVIDER) work at' IF USC PROVIDER IS FLAGGED AS 'PERSON-IN-FACILITY-PROVIDER'.
----------------------------------------------------
----------------------------------------------------
IF CODED '2' (HOSPITAL EMERGENCY ROOM), FLAG THIS USC PROVIDER AS 'HOSPITAL BASED'.
----------------------------------------------------
----------------------------------------------------
NOTE: FOR QUESTIONS AC06 - AC12, THE CONTEXT HEADER WILL DISPLAY THE PERSON-PROVIDER NAME IF THE USC PROVIDER BEING ASKED ABOUT IS FLAGGED AS 'PERSON-TYPE-PROVIDER' OR 'PERSON-IN-FACILITY- PROVIDER'. IF THE USC PROVIDER BEING ASKED ABOUT IS FLAGGED AS 'FACILITY-TYPE-PROVIDER', THE CONTEXT HEADER WILL DISPLAY THE FACILITY-PROVIDER NAME.
----------------------------------------------------
2015
Survey form
view entire document:
text
image
AC06
====
====
[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF MEDICAL CARE PROVIDER......]
ASK IF NOT OBVIOUS.
[Is (PROVIDER)/Does (PROVIDER) work at] a clinic in a hospital, a hospital outpatient department, an emergency room at a hospital, or some other kind of place?
ASK IF NOT OBVIOUS.
[Is (PROVIDER)/Does (PROVIDER) work at] a clinic in a hospital, a hospital outpatient department, an emergency room at a hospital, or some other kind of place?
HOSPITAL CLINIC OR OUTPATIENT DEPARTMENT ............................ 1
HOSPITAL EMERGENCY ROOM ................. 2 [BOX_03]
OTHER KIND OF PLACE ..................... 3 [BOX_03]
REF ..................................... -7 [BOX_03]
DK ...................................... -8 [BOX_03]
[Code One]
PRESS F1 FOR DEFINITIONS OF ANSWER CATEGORIES.
----------------------------------------------------
DISPLAY 'Is (PROVIDER)' IF USC PROVIDER IS FLAGGED AS 'FACILITY-TYPE-PROVIDER'. DISPLAY 'Does (PROVIDER) work at' IF USC PROVIDER IS FLAGGED AS 'PERSON-IN-FACILITY-PROVIDER'.
----------------------------------------------------
----------------------------------------------------
IF CODED '2' (HOSPITAL EMERGENCY ROOM), FLAG THIS USC PROVIDER AS 'HOSPITAL BASED'.
----------------------------------------------------
----------------------------------------------------
NOTE: FOR QUESTIONS AC06 - AC12, THE CONTEXT HEADER WILL DISPLAY THE PERSON-PROVIDER NAME IF THE USC PROVIDER BEING ASKED ABOUT IS FLAGGED AS 'PERSON-TYPE-PROVIDER' OR 'PERSON-IN-FACILITY- PROVIDER'. IF THE USC PROVIDER BEING ASKED ABOUT IS FLAGGED AS 'FACILITY-TYPE-PROVIDER', THE CONTEXT HEADER WILL DISPLAY THE FACILITY-PROVIDER NAME.
----------------------------------------------------
HOSPITAL EMERGENCY ROOM ................. 2 [BOX_03]
OTHER KIND OF PLACE ..................... 3 [BOX_03]
REF ..................................... -7 [BOX_03]
DK ...................................... -8 [BOX_03]
[Code One]
PRESS F1 FOR DEFINITIONS OF ANSWER CATEGORIES.
----------------------------------------------------
DISPLAY 'Is (PROVIDER)' IF USC PROVIDER IS FLAGGED AS 'FACILITY-TYPE-PROVIDER'. DISPLAY 'Does (PROVIDER) work at' IF USC PROVIDER IS FLAGGED AS 'PERSON-IN-FACILITY-PROVIDER'.
----------------------------------------------------
----------------------------------------------------
IF CODED '2' (HOSPITAL EMERGENCY ROOM), FLAG THIS USC PROVIDER AS 'HOSPITAL BASED'.
----------------------------------------------------
----------------------------------------------------
NOTE: FOR QUESTIONS AC06 - AC12, THE CONTEXT HEADER WILL DISPLAY THE PERSON-PROVIDER NAME IF THE USC PROVIDER BEING ASKED ABOUT IS FLAGGED AS 'PERSON-TYPE-PROVIDER' OR 'PERSON-IN-FACILITY- PROVIDER'. IF THE USC PROVIDER BEING ASKED ABOUT IS FLAGGED AS 'FACILITY-TYPE-PROVIDER', THE CONTEXT HEADER WILL DISPLAY THE FACILITY-PROVIDER NAME.
----------------------------------------------------
2014
Survey form
view entire document:
text
image
AC06
====
====
[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF MEDICAL CARE PROVIDER......]
ASK IF NOT OBVIOUS.
[Is (PROVIDER)/Does (PROVIDER) work at] a clinic in a hospital, a hospital outpatient department, an emergency room at a hospital, or some other kind of place?
ASK IF NOT OBVIOUS.
[Is (PROVIDER)/Does (PROVIDER) work at] a clinic in a hospital, a hospital outpatient department, an emergency room at a hospital, or some other kind of place?
HOSPITAL CLINIC OR OUTPATIENT DEPARTMENT ............................ 1
HOSPITAL EMERGENCY ROOM ................. 2 [BOX_03]
OTHER KIND OF PLACE ..................... 3 [BOX_03]
REF ..................................... -7 [BOX_03]
DK ...................................... -8 [BOX_03]
[Code One]
PRESS F1 FOR DEFINITIONS OF ANSWER CATEGORIES.
----------------------------------------------------
DISPLAY 'Is (PROVIDER)' IF USC PROVIDER IS FLAGGED AS 'FACILITY-TYPE-PROVIDER'. DISPLAY 'Does (PROVIDER) work at' IF USC PROVIDER IS FLAGGED AS 'PERSON-IN-FACILITY-PROVIDER'.
----------------------------------------------------
----------------------------------------------------
IF CODED '2' (HOSPITAL EMERGENCY ROOM), FLAG THIS USC PROVIDER AS 'HOSPITAL BASED'.
----------------------------------------------------
----------------------------------------------------
NOTE: FOR QUESTIONS AC06 - AC12, THE CONTEXT HEADER WILL DISPLAY THE PERSON-PROVIDER NAME IF THE USC PROVIDER BEING ASKED ABOUT IS FLAGGED AS 'PERSON-TYPE-PROVIDER' OR 'PERSON-IN-FACILITY- PROVIDER'. IF THE USC PROVIDER BEING ASKED ABOUT IS FLAGGED AS 'FACILITY-TYPE-PROVIDER', THE CONTEXT HEADER WILL DISPLAY THE FACILITY-PROVIDER NAME.
----------------------------------------------------
HOSPITAL EMERGENCY ROOM ................. 2 [BOX_03]
OTHER KIND OF PLACE ..................... 3 [BOX_03]
REF ..................................... -7 [BOX_03]
DK ...................................... -8 [BOX_03]
[Code One]
PRESS F1 FOR DEFINITIONS OF ANSWER CATEGORIES.
----------------------------------------------------
DISPLAY 'Is (PROVIDER)' IF USC PROVIDER IS FLAGGED AS 'FACILITY-TYPE-PROVIDER'. DISPLAY 'Does (PROVIDER) work at' IF USC PROVIDER IS FLAGGED AS 'PERSON-IN-FACILITY-PROVIDER'.
----------------------------------------------------
----------------------------------------------------
IF CODED '2' (HOSPITAL EMERGENCY ROOM), FLAG THIS USC PROVIDER AS 'HOSPITAL BASED'.
----------------------------------------------------
----------------------------------------------------
NOTE: FOR QUESTIONS AC06 - AC12, THE CONTEXT HEADER WILL DISPLAY THE PERSON-PROVIDER NAME IF THE USC PROVIDER BEING ASKED ABOUT IS FLAGGED AS 'PERSON-TYPE-PROVIDER' OR 'PERSON-IN-FACILITY- PROVIDER'. IF THE USC PROVIDER BEING ASKED ABOUT IS FLAGGED AS 'FACILITY-TYPE-PROVIDER', THE CONTEXT HEADER WILL DISPLAY THE FACILITY-PROVIDER NAME.
----------------------------------------------------
2013
Survey form
view entire document:
text
image
AC06
====
====
[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF MEDICAL CARE PROVIDER......]
ASK IF NOT OBVIOUS.
[Is (PROVIDER)/Does (PROVIDER) work at] a clinic in a hospital, a hospital outpatient department, an emergency room at a hospital, or some other kind of place?
ASK IF NOT OBVIOUS.
[Is (PROVIDER)/Does (PROVIDER) work at] a clinic in a hospital, a hospital outpatient department, an emergency room at a hospital, or some other kind of place?
HOSPITAL CLINIC OR OUTPATIENT DEPARTMENT ............................ 1
HOSPITAL EMERGENCY ROOM ................. 2 [BOX_03]
OTHER KIND OF PLACE ..................... 3 [BOX_03]
REF ..................................... -7 [BOX_03]
DK ...................................... -8 [BOX_03]
[Code One]
PRESS F1 FOR DEFINITIONS OF ANSWER CATEGORIES.
----------------------------------------------------
DISPLAY 'Is (PROVIDER)' IF USC PROVIDER IS FLAGGED AS 'FACILITY-TYPE-PROVIDER'. DISPLAY 'Does (PROVIDER) work at' IF USC PROVIDER IS FLAGGED AS 'PERSON-IN-FACILITY-PROVIDER'.
----------------------------------------------------
----------------------------------------------------
IF CODED '2' (HOSPITAL EMERGENCY ROOM), FLAG THIS USC PROVIDER AS 'HOSPITAL BASED'.
----------------------------------------------------
----------------------------------------------------
NOTE: FOR QUESTIONS AC06 - AC12, THE CONTEXT HEADER WILL DISPLAY THE PERSON-PROVIDER NAME IF THE USC PROVIDER BEING ASKED ABOUT IS FLAGGED AS 'PERSON-TYPE-PROVIDER' OR 'PERSON-IN-FACILITY- PROVIDER'. IF THE USC PROVIDER BEING ASKED ABOUT IS FLAGGED AS 'FACILITY-TYPE-PROVIDER', THE CONTEXT HEADER WILL DISPLAY THE FACILITY-PROVIDER NAME.
----------------------------------------------------
HOSPITAL EMERGENCY ROOM ................. 2 [BOX_03]
OTHER KIND OF PLACE ..................... 3 [BOX_03]
REF ..................................... -7 [BOX_03]
DK ...................................... -8 [BOX_03]
[Code One]
PRESS F1 FOR DEFINITIONS OF ANSWER CATEGORIES.
----------------------------------------------------
DISPLAY 'Is (PROVIDER)' IF USC PROVIDER IS FLAGGED AS 'FACILITY-TYPE-PROVIDER'. DISPLAY 'Does (PROVIDER) work at' IF USC PROVIDER IS FLAGGED AS 'PERSON-IN-FACILITY-PROVIDER'.
----------------------------------------------------
----------------------------------------------------
IF CODED '2' (HOSPITAL EMERGENCY ROOM), FLAG THIS USC PROVIDER AS 'HOSPITAL BASED'.
----------------------------------------------------
----------------------------------------------------
NOTE: FOR QUESTIONS AC06 - AC12, THE CONTEXT HEADER WILL DISPLAY THE PERSON-PROVIDER NAME IF THE USC PROVIDER BEING ASKED ABOUT IS FLAGGED AS 'PERSON-TYPE-PROVIDER' OR 'PERSON-IN-FACILITY- PROVIDER'. IF THE USC PROVIDER BEING ASKED ABOUT IS FLAGGED AS 'FACILITY-TYPE-PROVIDER', THE CONTEXT HEADER WILL DISPLAY THE FACILITY-PROVIDER NAME.
----------------------------------------------------
2012
Survey form
view entire document:
text
image
AC06
====
====
[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF MEDICAL CARE PROVIDER......]
ASK IF NOT OBVIOUS.
[Is (PROVIDER)/Does (PROVIDER) work at] a clinic in a hospital, a hospital outpatient department, an emergency room at a hospital, or some other kind of place?
ASK IF NOT OBVIOUS.
[Is (PROVIDER)/Does (PROVIDER) work at] a clinic in a hospital, a hospital outpatient department, an emergency room at a hospital, or some other kind of place?
HOSPITAL CLINIC OR OUTPATIENT DEPARTMENT ............................ 1
HOSPITAL EMERGENCY ROOM ................. 2 [BOX_03]
OTHER KIND OF PLACE ..................... 3 [BOX_03]
REF ..................................... -7 [BOX_03]
DK ...................................... -8 [BOX_03]
[Code One]
PRESS F1 FOR DEFINITIONS OF ANSWER CATEGORIES.
----------------------------------------------------
DISPLAY 'Is (PROVIDER)' IF USC PROVIDER IS FLAGGED AS 'FACILITY-TYPE-PROVIDER'. DISPLAY 'Does (PROVIDER) work at' IF USC PROVIDER IS FLAGGED AS 'PERSON-IN-FACILITY-PROVIDER'.
----------------------------------------------------
----------------------------------------------------
IF CODED '2' (HOSPITAL EMERGENCY ROOM), FLAG THIS USC PROVIDER AS 'HOSPITAL BASED'.
----------------------------------------------------
----------------------------------------------------
NOTE: FOR QUESTIONS AC06 - AC12, THE CONTEXT HEADER WILL DISPLAY THE PERSON-PROVIDER NAME IF THE USC PROVIDER BEING ASKED ABOUT IS FLAGGED AS 'PERSON-TYPE-PROVIDER' OR 'PERSON-IN-FACILITY- PROVIDER'. IF THE USC PROVIDER BEING ASKED ABOUT IS FLAGGED AS 'FACILITY-TYPE-PROVIDER', THE CONTEXT HEADER WILL DISPLAY THE FACILITY-PROVIDER NAME.
----------------------------------------------------
HOSPITAL EMERGENCY ROOM ................. 2 [BOX_03]
OTHER KIND OF PLACE ..................... 3 [BOX_03]
REF ..................................... -7 [BOX_03]
DK ...................................... -8 [BOX_03]
[Code One]
PRESS F1 FOR DEFINITIONS OF ANSWER CATEGORIES.
----------------------------------------------------
DISPLAY 'Is (PROVIDER)' IF USC PROVIDER IS FLAGGED AS 'FACILITY-TYPE-PROVIDER'. DISPLAY 'Does (PROVIDER) work at' IF USC PROVIDER IS FLAGGED AS 'PERSON-IN-FACILITY-PROVIDER'.
----------------------------------------------------
----------------------------------------------------
IF CODED '2' (HOSPITAL EMERGENCY ROOM), FLAG THIS USC PROVIDER AS 'HOSPITAL BASED'.
----------------------------------------------------
----------------------------------------------------
NOTE: FOR QUESTIONS AC06 - AC12, THE CONTEXT HEADER WILL DISPLAY THE PERSON-PROVIDER NAME IF THE USC PROVIDER BEING ASKED ABOUT IS FLAGGED AS 'PERSON-TYPE-PROVIDER' OR 'PERSON-IN-FACILITY- PROVIDER'. IF THE USC PROVIDER BEING ASKED ABOUT IS FLAGGED AS 'FACILITY-TYPE-PROVIDER', THE CONTEXT HEADER WILL DISPLAY THE FACILITY-PROVIDER NAME.
----------------------------------------------------
2011
Survey form
view entire document:
text
image
AC06
====
====
[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF MEDICAL CARE PROVIDER......]
ASK IF NOT OBVIOUS.
[Is (PROVIDER)/Does (PROVIDER) work at] a clinic in a hospital, a hospital outpatient department, an emergency room at a hospital, or some other kind of place?
ASK IF NOT OBVIOUS.
[Is (PROVIDER)/Does (PROVIDER) work at] a clinic in a hospital, a hospital outpatient department, an emergency room at a hospital, or some other kind of place?
HOSPITAL CLINIC OR OUTPATIENT DEPARTMENT ............................ 1
HOSPITAL EMERGENCY ROOM ................. 2 [BOX_03]
OTHER KIND OF PLACE ..................... 3 [BOX_03]
REF ..................................... -7 [BOX_03]
DK ...................................... -8 [BOX_03]
[Code One]
PRESS F1 FOR DEFINITIONS OF ANSWER CATEGORIES.
----------------------------------------------------
DISPLAY 'Is (PROVIDER)' IF USC PROVIDER IS FLAGGED AS 'FACILITY-TYPE-PROVIDER'. DISPLAY 'Does (PROVIDER) work at' IF USC PROVIDER IS FLAGGED AS 'PERSON-IN-FACILITY-PROVIDER'.
----------------------------------------------------
----------------------------------------------------
IF CODED '2' (HOSPITAL EMERGENCY ROOM), FLAG THIS USC PROVIDER AS 'HOSPITAL BASED'.
----------------------------------------------------
----------------------------------------------------
NOTE: FOR QUESTIONS AC06 - AC12, THE CONTEXT HEADER WILL DISPLAY THE PERSON-PROVIDER NAME IF THE USC PROVIDER BEING ASKED ABOUT IS FLAGGED AS 'PERSON-TYPE-PROVIDER' OR 'PERSON-IN-FACILITY- PROVIDER'. IF THE USC PROVIDER BEING ASKED ABOUT IS FLAGGED AS 'FACILITY-TYPE-PROVIDER', THE CONTEXT HEADER WILL DISPLAY THE FACILITY-PROVIDER NAME.
----------------------------------------------------
HOSPITAL EMERGENCY ROOM ................. 2 [BOX_03]
OTHER KIND OF PLACE ..................... 3 [BOX_03]
REF ..................................... -7 [BOX_03]
DK ...................................... -8 [BOX_03]
[Code One]
PRESS F1 FOR DEFINITIONS OF ANSWER CATEGORIES.
----------------------------------------------------
DISPLAY 'Is (PROVIDER)' IF USC PROVIDER IS FLAGGED AS 'FACILITY-TYPE-PROVIDER'. DISPLAY 'Does (PROVIDER) work at' IF USC PROVIDER IS FLAGGED AS 'PERSON-IN-FACILITY-PROVIDER'.
----------------------------------------------------
----------------------------------------------------
IF CODED '2' (HOSPITAL EMERGENCY ROOM), FLAG THIS USC PROVIDER AS 'HOSPITAL BASED'.
----------------------------------------------------
----------------------------------------------------
NOTE: FOR QUESTIONS AC06 - AC12, THE CONTEXT HEADER WILL DISPLAY THE PERSON-PROVIDER NAME IF THE USC PROVIDER BEING ASKED ABOUT IS FLAGGED AS 'PERSON-TYPE-PROVIDER' OR 'PERSON-IN-FACILITY- PROVIDER'. IF THE USC PROVIDER BEING ASKED ABOUT IS FLAGGED AS 'FACILITY-TYPE-PROVIDER', THE CONTEXT HEADER WILL DISPLAY THE FACILITY-PROVIDER NAME.
----------------------------------------------------
2010
Survey form
view entire document:
text
image
AC06
====
====
[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF MEDICAL CARE PROVIDER......]
ASK IF NOT OBVIOUS.
[Is (PROVIDER)/Does (PROVIDER) work at] a clinic in a hospital, a hospital outpatient department, an emergency room at a hospital, or some other kind of place?
ASK IF NOT OBVIOUS.
[Is (PROVIDER)/Does (PROVIDER) work at] a clinic in a hospital, a hospital outpatient department, an emergency room at a hospital, or some other kind of place?
HOSPITAL CLINIC OR OUTPATIENT DEPARTMENT ............................ 1
HOSPITAL EMERGENCY ROOM ................. 2 [BOX_03]
OTHER KIND OF PLACE ..................... 3 [BOX_03]
REF ..................................... -7 [BOX_03]
DK ...................................... -8 [BOX_03]
[Code One]
PRESS F1 FOR DEFINITIONS OF ANSWER CATEGORIES.
----------------------------------------------------
DISPLAY 'Is (PROVIDER)' IF USC PROVIDER IS FLAGGED AS 'FACILITY-TYPE-PROVIDER'. DISPLAY 'Does (PROVIDER) work at' IF USC PROVIDER IS FLAGGED AS 'PERSON-IN-FACILITY-PROVIDER'.
----------------------------------------------------
----------------------------------------------------
IF CODED '2' (HOSPITAL EMERGENCY ROOM), FLAG THIS USC PROVIDER AS 'HOSPITAL BASED'.
----------------------------------------------------
----------------------------------------------------
NOTE: FOR QUESTIONS AC06 - AC12, THE CONTEXT HEADER WILL DISPLAY THE PERSON-PROVIDER NAME IF THE USC PROVIDER BEING ASKED ABOUT IS FLAGGED AS 'PERSON-TYPE-PROVIDER' OR 'PERSON-IN-FACILITY- PROVIDER'. IF THE USC PROVIDER BEING ASKED ABOUT IS FLAGGED AS 'FACILITY-TYPE-PROVIDER', THE CONTEXT HEADER WILL DISPLAY THE FACILITY-PROVIDER NAME.
----------------------------------------------------
HOSPITAL EMERGENCY ROOM ................. 2 [BOX_03]
OTHER KIND OF PLACE ..................... 3 [BOX_03]
REF ..................................... -7 [BOX_03]
DK ...................................... -8 [BOX_03]
[Code One]
PRESS F1 FOR DEFINITIONS OF ANSWER CATEGORIES.
----------------------------------------------------
DISPLAY 'Is (PROVIDER)' IF USC PROVIDER IS FLAGGED AS 'FACILITY-TYPE-PROVIDER'. DISPLAY 'Does (PROVIDER) work at' IF USC PROVIDER IS FLAGGED AS 'PERSON-IN-FACILITY-PROVIDER'.
----------------------------------------------------
----------------------------------------------------
IF CODED '2' (HOSPITAL EMERGENCY ROOM), FLAG THIS USC PROVIDER AS 'HOSPITAL BASED'.
----------------------------------------------------
----------------------------------------------------
NOTE: FOR QUESTIONS AC06 - AC12, THE CONTEXT HEADER WILL DISPLAY THE PERSON-PROVIDER NAME IF THE USC PROVIDER BEING ASKED ABOUT IS FLAGGED AS 'PERSON-TYPE-PROVIDER' OR 'PERSON-IN-FACILITY- PROVIDER'. IF THE USC PROVIDER BEING ASKED ABOUT IS FLAGGED AS 'FACILITY-TYPE-PROVIDER', THE CONTEXT HEADER WILL DISPLAY THE FACILITY-PROVIDER NAME.
----------------------------------------------------
2009
Survey form
view entire document:
text
image
AC06
====
====
[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF MEDICAL CARE PROVIDER......]
ASK IF NOT OBVIOUS.
[Is (PROVIDER)/Does (PROVIDER) work at] a clinic in a hospital, a hospital outpatient department, an emergency room at a hospital, or some other kind of place?
ASK IF NOT OBVIOUS.
[Is (PROVIDER)/Does (PROVIDER) work at] a clinic in a hospital, a hospital outpatient department, an emergency room at a hospital, or some other kind of place?
HOSPITAL CLINIC OR OUTPATIENT DEPARTMENT ............................ 1
HOSPITAL EMERGENCY ROOM ................. 2 [BOX_03]
OTHER KIND OF PLACE ..................... 3 [BOX_03]
REF ..................................... -7 [BOX_03]
DK ...................................... -8 [BOX_03]
[Code One]
PRESS F1 FOR DEFINITIONS OF ANSWER CATEGORIES.
----------------------------------------------------
DISPLAY 'Is (PROVIDER)' IF USC PROVIDER IS FLAGGED AS 'FACILITY-TYPE-PROVIDER'. DISPLAY 'Does (PROVIDER) work at' IF USC PROVIDER IS FLAGGED AS 'PERSON-IN-FACILITY-PROVIDER'.
----------------------------------------------------
----------------------------------------------------
IF CODED '2' (HOSPITAL EMERGENCY ROOM), FLAG THIS USC PROVIDER AS 'HOSPITAL BASED'.
----------------------------------------------------
----------------------------------------------------
NOTE: FOR QUESTIONS AC06 - AC12, THE CONTEXT HEADER WILL DISPLAY THE PERSON-PROVIDER NAME IF THE USC PROVIDER BEING ASKED ABOUT IS FLAGGED AS 'PERSON-TYPE-PROVIDER' OR 'PERSON-IN-FACILITY- PROVIDER'. IF THE USC PROVIDER BEING ASKED ABOUT IS FLAGGED AS 'FACILITY-TYPE-PROVIDER', THE CONTEXT HEADER WILL DISPLAY THE FACILITY-PROVIDER NAME.
----------------------------------------------------
HOSPITAL EMERGENCY ROOM ................. 2 [BOX_03]
OTHER KIND OF PLACE ..................... 3 [BOX_03]
REF ..................................... -7 [BOX_03]
DK ...................................... -8 [BOX_03]
[Code One]
PRESS F1 FOR DEFINITIONS OF ANSWER CATEGORIES.
----------------------------------------------------
DISPLAY 'Is (PROVIDER)' IF USC PROVIDER IS FLAGGED AS 'FACILITY-TYPE-PROVIDER'. DISPLAY 'Does (PROVIDER) work at' IF USC PROVIDER IS FLAGGED AS 'PERSON-IN-FACILITY-PROVIDER'.
----------------------------------------------------
----------------------------------------------------
IF CODED '2' (HOSPITAL EMERGENCY ROOM), FLAG THIS USC PROVIDER AS 'HOSPITAL BASED'.
----------------------------------------------------
----------------------------------------------------
NOTE: FOR QUESTIONS AC06 - AC12, THE CONTEXT HEADER WILL DISPLAY THE PERSON-PROVIDER NAME IF THE USC PROVIDER BEING ASKED ABOUT IS FLAGGED AS 'PERSON-TYPE-PROVIDER' OR 'PERSON-IN-FACILITY- PROVIDER'. IF THE USC PROVIDER BEING ASKED ABOUT IS FLAGGED AS 'FACILITY-TYPE-PROVIDER', THE CONTEXT HEADER WILL DISPLAY THE FACILITY-PROVIDER NAME.
----------------------------------------------------
2008
Survey form
view entire document:
text
image
AC06
====
====
[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF MEDICAL CARE PROVIDER......]
ASK IF NOT OBVIOUS.
[Is (PROVIDER)/Does (PROVIDER) work at] a clinic in a hospital, a hospital outpatient department, an emergency room at a hospital, or some other kind of place?
ASK IF NOT OBVIOUS.
[Is (PROVIDER)/Does (PROVIDER) work at] a clinic in a hospital, a hospital outpatient department, an emergency room at a hospital, or some other kind of place?
HOSPITAL CLINIC OR OUTPATIENT DEPARTMENT ............................ 1
HOSPITAL EMERGENCY ROOM ................. 2 [BOX_03]
OTHER KIND OF PLACE ..................... 3 [BOX_03]
REF ..................................... -7 [BOX_03]
DK ...................................... -8 [BOX_03]
[Code One]
PRESS F1 FOR DEFINITIONS OF ANSWER CATEGORIES.
----------------------------------------------------
DISPLAY 'Is (PROVIDER)' IF USC PROVIDER IS FLAGGED AS 'FACILITY-TYPE-PROVIDER'. DISPLAY 'Does (PROVIDER) work at' IF USC PROVIDER IS FLAGGED AS 'PERSON-IN-FACILITY-PROVIDER'.
----------------------------------------------------
----------------------------------------------------
IF CODED '2' (HOSPITAL EMERGENCY ROOM), FLAG THIS USC PROVIDER AS 'HOSPITAL BASED'.
----------------------------------------------------
----------------------------------------------------
NOTE: FOR QUESTIONS AC06 - AC12, THE CONTEXT HEADER WILL DISPLAY THE PERSON-PROVIDER NAME IF THE USC PROVIDER BEING ASKED ABOUT IS FLAGGED AS 'PERSON-TYPE-PROVIDER' OR 'PERSON-IN-FACILITY- PROVIDER'. IF THE USC PROVIDER BEING ASKED ABOUT IS FLAGGED AS 'FACILITY-TYPE-PROVIDER', THE CONTEXT HEADER WILL DISPLAY THE FACILITY-PROVIDER NAME.
----------------------------------------------------
HOSPITAL EMERGENCY ROOM ................. 2 [BOX_03]
OTHER KIND OF PLACE ..................... 3 [BOX_03]
REF ..................................... -7 [BOX_03]
DK ...................................... -8 [BOX_03]
[Code One]
PRESS F1 FOR DEFINITIONS OF ANSWER CATEGORIES.
----------------------------------------------------
DISPLAY 'Is (PROVIDER)' IF USC PROVIDER IS FLAGGED AS 'FACILITY-TYPE-PROVIDER'. DISPLAY 'Does (PROVIDER) work at' IF USC PROVIDER IS FLAGGED AS 'PERSON-IN-FACILITY-PROVIDER'.
----------------------------------------------------
----------------------------------------------------
IF CODED '2' (HOSPITAL EMERGENCY ROOM), FLAG THIS USC PROVIDER AS 'HOSPITAL BASED'.
----------------------------------------------------
----------------------------------------------------
NOTE: FOR QUESTIONS AC06 - AC12, THE CONTEXT HEADER WILL DISPLAY THE PERSON-PROVIDER NAME IF THE USC PROVIDER BEING ASKED ABOUT IS FLAGGED AS 'PERSON-TYPE-PROVIDER' OR 'PERSON-IN-FACILITY- PROVIDER'. IF THE USC PROVIDER BEING ASKED ABOUT IS FLAGGED AS 'FACILITY-TYPE-PROVIDER', THE CONTEXT HEADER WILL DISPLAY THE FACILITY-PROVIDER NAME.
----------------------------------------------------
2007
Survey form
view entire document:
text
image
AC06
====
====
[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF MEDICAL CARE PROVIDER......]
ASK IF NOT OBVIOUS.
[Is (PROVIDER)/Does (PROVIDER) work at] a clinic in a hospital, a hospital outpatient department, an emergency room at a hospital, or some other kind of place?
ASK IF NOT OBVIOUS.
[Is (PROVIDER)/Does (PROVIDER) work at] a clinic in a hospital, a hospital outpatient department, an emergency room at a hospital, or some other kind of place?
HOSPITAL CLINIC OR OUTPATIENT DEPARTMENT ............................ 1
HOSPITAL EMERGENCY ROOM ................. 2 [BOX_03]
OTHER KIND OF PLACE ..................... 3 [BOX_03]
REF ..................................... -7 [BOX_03]
DK ...................................... -8 [BOX_03]
[Code One]
PRESS F1 FOR DEFINITIONS OF ANSWER CATEGORIES.
----------------------------------------------------
DISPLAY 'Is (PROVIDER)' IF USC PROVIDER IS FLAGGED AS 'FACILITY-TYPE-PROVIDER'. DISPLAY 'Does (PROVIDER) work at' IF USC PROVIDER IS FLAGGED AS 'PERSON-IN-FACILITY-PROVIDER'.
----------------------------------------------------
----------------------------------------------------
IF CODED '2' (HOSPITAL EMERGENCY ROOM), FLAG THIS USC PROVIDER AS 'HOSPITAL BASED'.
----------------------------------------------------
----------------------------------------------------
NOTE: FOR QUESTIONS AC06 - AC12, THE CONTEXT HEADER WILL DISPLAY THE PERSON-PROVIDER NAME IF THE USC PROVIDER BEING ASKED ABOUT IS FLAGGED AS 'PERSON-TYPE-PROVIDER' OR 'PERSON-IN-FACILITY- PROVIDER'. IF THE USC PROVIDER BEING ASKED ABOUT IS FLAGGED AS 'FACILITY-TYPE-PROVIDER', THE CONTEXT HEADER WILL DISPLAY THE FACILITY-PROVIDER NAME.
----------------------------------------------------
HOSPITAL EMERGENCY ROOM ................. 2 [BOX_03]
OTHER KIND OF PLACE ..................... 3 [BOX_03]
REF ..................................... -7 [BOX_03]
DK ...................................... -8 [BOX_03]
[Code One]
PRESS F1 FOR DEFINITIONS OF ANSWER CATEGORIES.
----------------------------------------------------
DISPLAY 'Is (PROVIDER)' IF USC PROVIDER IS FLAGGED AS 'FACILITY-TYPE-PROVIDER'. DISPLAY 'Does (PROVIDER) work at' IF USC PROVIDER IS FLAGGED AS 'PERSON-IN-FACILITY-PROVIDER'.
----------------------------------------------------
----------------------------------------------------
IF CODED '2' (HOSPITAL EMERGENCY ROOM), FLAG THIS USC PROVIDER AS 'HOSPITAL BASED'.
----------------------------------------------------
----------------------------------------------------
NOTE: FOR QUESTIONS AC06 - AC12, THE CONTEXT HEADER WILL DISPLAY THE PERSON-PROVIDER NAME IF THE USC PROVIDER BEING ASKED ABOUT IS FLAGGED AS 'PERSON-TYPE-PROVIDER' OR 'PERSON-IN-FACILITY- PROVIDER'. IF THE USC PROVIDER BEING ASKED ABOUT IS FLAGGED AS 'FACILITY-TYPE-PROVIDER', THE CONTEXT HEADER WILL DISPLAY THE FACILITY-PROVIDER NAME.
----------------------------------------------------
2006
Survey form
view entire document:
text
image
AC06
====
====
[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF MEDICAL CARE PROVIDER......]
ASK IF NOT OBVIOUS.
[Is (PROVIDER)/Does (PROVIDER) work at] a clinic in a hospital, a hospital outpatient department, an emergency room at a hospital, or some other kind of place?
ASK IF NOT OBVIOUS.
[Is (PROVIDER)/Does (PROVIDER) work at] a clinic in a hospital, a hospital outpatient department, an emergency room at a hospital, or some other kind of place?
HOSPITAL CLINIC OR OUTPATIENT DEPARTMENT ............................ 1
HOSPITAL EMERGENCY ROOM ................. 2 [BOX_03]
OTHER KIND OF PLACE ..................... 3 [BOX_03]
REF ..................................... -7 [BOX_03]
DK ...................................... -8 [BOX_03]
[Code One]
PRESS F1 FOR DEFINITIONS OF ANSWER CATEGORIES.
----------------------------------------------------
DISPLAY 'Is (PROVIDER)' IF USC PROVIDER IS FLAGGED AS 'FACILITY-TYPE-PROVIDER'. DISPLAY 'Does (PROVIDER) work at' IF USC PROVIDER IS FLAGGED AS 'PERSON-IN-FACILITY-PROVIDER'.
----------------------------------------------------
----------------------------------------------------
IF CODED '2' (HOSPITAL EMERGENCY ROOM), FLAG THIS USC PROVIDER AS 'HOSPITAL BASED'.
----------------------------------------------------
----------------------------------------------------
NOTE: FOR QUESTIONS AC06 - AC12, THE CONTEXT HEADER WILL DISPLAY THE PERSON-PROVIDER NAME IF THE USC PROVIDER BEING ASKED ABOUT IS FLAGGED AS 'PERSON-TYPE-PROVIDER' OR 'PERSON-IN-FACILITY- PROVIDER'. IF THE USC PROVIDER BEING ASKED ABOUT IS FLAGGED AS 'FACILITY-TYPE-PROVIDER', THE CONTEXT HEADER WILL DISPLAY THE FACILITY-PROVIDER NAME.
----------------------------------------------------
HOSPITAL EMERGENCY ROOM ................. 2 [BOX_03]
OTHER KIND OF PLACE ..................... 3 [BOX_03]
REF ..................................... -7 [BOX_03]
DK ...................................... -8 [BOX_03]
[Code One]
PRESS F1 FOR DEFINITIONS OF ANSWER CATEGORIES.
----------------------------------------------------
DISPLAY 'Is (PROVIDER)' IF USC PROVIDER IS FLAGGED AS 'FACILITY-TYPE-PROVIDER'. DISPLAY 'Does (PROVIDER) work at' IF USC PROVIDER IS FLAGGED AS 'PERSON-IN-FACILITY-PROVIDER'.
----------------------------------------------------
----------------------------------------------------
IF CODED '2' (HOSPITAL EMERGENCY ROOM), FLAG THIS USC PROVIDER AS 'HOSPITAL BASED'.
----------------------------------------------------
----------------------------------------------------
NOTE: FOR QUESTIONS AC06 - AC12, THE CONTEXT HEADER WILL DISPLAY THE PERSON-PROVIDER NAME IF THE USC PROVIDER BEING ASKED ABOUT IS FLAGGED AS 'PERSON-TYPE-PROVIDER' OR 'PERSON-IN-FACILITY- PROVIDER'. IF THE USC PROVIDER BEING ASKED ABOUT IS FLAGGED AS 'FACILITY-TYPE-PROVIDER', THE CONTEXT HEADER WILL DISPLAY THE FACILITY-PROVIDER NAME.
----------------------------------------------------
2005
Survey form
view entire document:
text
image
AC06
====
====
[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF MEDICAL CARE PROVIDER......]
ASK IF NOT OBVIOUS.
[Is (PROVIDER)/Does (PROVIDER) work at] a clinic in a hospital, a hospital outpatient department, an emergency room at a hospital, or some other kind of place?
ASK IF NOT OBVIOUS.
[Is (PROVIDER)/Does (PROVIDER) work at] a clinic in a hospital, a hospital outpatient department, an emergency room at a hospital, or some other kind of place?
HOSPITAL CLINIC OR OUTPATIENT DEPARTMENT ............................ 1
HOSPITAL EMERGENCY ROOM ................. 2 [BOX_03]
OTHER KIND OF PLACE ..................... 3 [BOX_03]
REF ..................................... -7 [BOX_03]
DK ...................................... -8 [BOX_03]
[Code One]
PRESS F1 FOR DEFINITIONS OF ANSWER CATEGORIES.
----------------------------------------------------
DISPLAY 'Is (PROVIDER)' IF USC PROVIDER IS FLAGGED AS 'FACILITY-TYPE-PROVIDER'. DISPLAY 'Does (PROVIDER) work at' IF USC PROVIDER IS FLAGGED AS 'PERSON-IN-FACILITY-PROVIDER'.
----------------------------------------------------
----------------------------------------------------
IF CODED '2' (HOSPITAL EMERGENCY ROOM), FLAG THIS USC PROVIDER AS 'HOSPITAL BASED'.
----------------------------------------------------
----------------------------------------------------
NOTE: FOR QUESTIONS AC06 - AC12, THE CONTEXT HEADER WILL DISPLAY THE PERSON-PROVIDER NAME IF THE USC PROVIDER BEING ASKED ABOUT IS FLAGGED AS 'PERSON-TYPE-PROVIDER' OR 'PERSON-IN-FACILITY- PROVIDER'. IF THE USC PROVIDER BEING ASKED ABOUT IS FLAGGED AS 'FACILITY-TYPE-PROVIDER', THE CONTEXT HEADER WILL DISPLAY THE FACILITY-PROVIDER NAME.
----------------------------------------------------
HOSPITAL EMERGENCY ROOM ................. 2 [BOX_03]
OTHER KIND OF PLACE ..................... 3 [BOX_03]
REF ..................................... -7 [BOX_03]
DK ...................................... -8 [BOX_03]
[Code One]
PRESS F1 FOR DEFINITIONS OF ANSWER CATEGORIES.
----------------------------------------------------
DISPLAY 'Is (PROVIDER)' IF USC PROVIDER IS FLAGGED AS 'FACILITY-TYPE-PROVIDER'. DISPLAY 'Does (PROVIDER) work at' IF USC PROVIDER IS FLAGGED AS 'PERSON-IN-FACILITY-PROVIDER'.
----------------------------------------------------
----------------------------------------------------
IF CODED '2' (HOSPITAL EMERGENCY ROOM), FLAG THIS USC PROVIDER AS 'HOSPITAL BASED'.
----------------------------------------------------
----------------------------------------------------
NOTE: FOR QUESTIONS AC06 - AC12, THE CONTEXT HEADER WILL DISPLAY THE PERSON-PROVIDER NAME IF THE USC PROVIDER BEING ASKED ABOUT IS FLAGGED AS 'PERSON-TYPE-PROVIDER' OR 'PERSON-IN-FACILITY- PROVIDER'. IF THE USC PROVIDER BEING ASKED ABOUT IS FLAGGED AS 'FACILITY-TYPE-PROVIDER', THE CONTEXT HEADER WILL DISPLAY THE FACILITY-PROVIDER NAME.
----------------------------------------------------
2004
Survey form
view entire document:
text
image
AC06
====
====
[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF MEDICAL CARE PROVIDER......]
ASK IF NOT OBVIOUS.
[Is (PROVIDER)/Does (PROVIDER) work at] a clinic in a hospital, a hospital outpatient department, an emergency room at a hospital, or some other kind of place?
ASK IF NOT OBVIOUS.
[Is (PROVIDER)/Does (PROVIDER) work at] a clinic in a hospital, a hospital outpatient department, an emergency room at a hospital, or some other kind of place?
HOSPITAL CLINIC OR OUTPATIENT DEPARTMENT ............................ 1
HOSPITAL EMERGENCY ROOM ................. 2 [BOX_03]
OTHER KIND OF PLACE ..................... 3 [BOX_03]
REF ..................................... -7 [BOX_03]
DK ...................................... -8 [BOX_03]
[Code One]
PRESS F1 FOR DEFINITIONS OF ANSWER CATEGORIES.
----------------------------------------------------
DISPLAY 'Is (PROVIDER)' IF USC PROVIDER IS FLAGGED AS 'FACILITY-TYPE-PROVIDER'. DISPLAY 'Does (PROVIDER) work at' IF USC PROVIDER IS FLAGGED AS 'PERSON-IN-FACILITY-PROVIDER'.
----------------------------------------------------
----------------------------------------------------
IF CODED '2' (HOSPITAL EMERGENCY ROOM), FLAG THIS USC PROVIDER AS 'HOSPITAL BASED'.
----------------------------------------------------
----------------------------------------------------
NOTE: FOR QUESTIONS AC06 - AC12, THE CONTEXT HEADER WILL DISPLAY THE PERSON-PROVIDER NAME IF THE USC PROVIDER BEING ASKED ABOUT IS FLAGGED AS 'PERSON-TYPE-PROVIDER' OR 'PERSON-IN-FACILITY- PROVIDER'. IF THE USC PROVIDER BEING ASKED ABOUT IS FLAGGED AS 'FACILITY-TYPE-PROVIDER', THE CONTEXT HEADER WILL DISPLAY THE FACILITY-PROVIDER NAME.
----------------------------------------------------
HOSPITAL EMERGENCY ROOM ................. 2 [BOX_03]
OTHER KIND OF PLACE ..................... 3 [BOX_03]
REF ..................................... -7 [BOX_03]
DK ...................................... -8 [BOX_03]
[Code One]
PRESS F1 FOR DEFINITIONS OF ANSWER CATEGORIES.
----------------------------------------------------
DISPLAY 'Is (PROVIDER)' IF USC PROVIDER IS FLAGGED AS 'FACILITY-TYPE-PROVIDER'. DISPLAY 'Does (PROVIDER) work at' IF USC PROVIDER IS FLAGGED AS 'PERSON-IN-FACILITY-PROVIDER'.
----------------------------------------------------
----------------------------------------------------
IF CODED '2' (HOSPITAL EMERGENCY ROOM), FLAG THIS USC PROVIDER AS 'HOSPITAL BASED'.
----------------------------------------------------
----------------------------------------------------
NOTE: FOR QUESTIONS AC06 - AC12, THE CONTEXT HEADER WILL DISPLAY THE PERSON-PROVIDER NAME IF THE USC PROVIDER BEING ASKED ABOUT IS FLAGGED AS 'PERSON-TYPE-PROVIDER' OR 'PERSON-IN-FACILITY- PROVIDER'. IF THE USC PROVIDER BEING ASKED ABOUT IS FLAGGED AS 'FACILITY-TYPE-PROVIDER', THE CONTEXT HEADER WILL DISPLAY THE FACILITY-PROVIDER NAME.
----------------------------------------------------
2003
Survey form
view entire document:
text
image
AC06
====
====
[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF MEDICAL CARE PROVIDER......]
ASK IF NOT OBVIOUS.
[Is (PROVIDER)/Does (PROVIDER) work at] a clinic in a hospital, a hospital outpatient department, an emergency room at a hospital, or some other kind of place?
ASK IF NOT OBVIOUS.
[Is (PROVIDER)/Does (PROVIDER) work at] a clinic in a hospital, a hospital outpatient department, an emergency room at a hospital, or some other kind of place?
HOSPITAL CLINIC OR OUTPATIENT DEPARTMENT ............................ 1
HOSPITAL EMERGENCY ROOM ................. 2 [BOX_03]
OTHER KIND OF PLACE ..................... 3 [BOX_03]
REF ..................................... -7 [BOX_03]
DK ...................................... -8 [BOX_03]
[Code One]
PRESS F1 FOR DEFINITIONS OF ANSWER CATEGORIES.
----------------------------------------------------
DISPLAY 'Is (PROVIDER)' IF USC PROVIDER IS FLAGGED AS 'FACILITY-TYPE-PROVIDER'. DISPLAY 'Does (PROVIDER) work at' IF USC PROVIDER IS FLAGGED AS 'PERSON-IN-FACILITY-PROVIDER'.
----------------------------------------------------
----------------------------------------------------
IF CODED '2' (HOSPITAL EMERGENCY ROOM), FLAG THIS USC PROVIDER AS 'HOSPITAL BASED'.
----------------------------------------------------
----------------------------------------------------
NOTE: FOR QUESTIONS AC06 - AC12, THE CONTEXT HEADER WILL DISPLAY THE PERSON-PROVIDER NAME IF THE USC PROVIDER BEING ASKED ABOUT IS FLAGGED AS 'PERSON-TYPE-PROVIDER' OR 'PERSON-IN-FACILITY- PROVIDER'. IF THE USC PROVIDER BEING ASKED ABOUT IS FLAGGED AS 'FACILITY-TYPE-PROVIDER', THE CONTEXT HEADER WILL DISPLAY THE FACILITY-PROVIDER NAME.
----------------------------------------------------
HOSPITAL EMERGENCY ROOM ................. 2 [BOX_03]
OTHER KIND OF PLACE ..................... 3 [BOX_03]
REF ..................................... -7 [BOX_03]
DK ...................................... -8 [BOX_03]
[Code One]
PRESS F1 FOR DEFINITIONS OF ANSWER CATEGORIES.
----------------------------------------------------
DISPLAY 'Is (PROVIDER)' IF USC PROVIDER IS FLAGGED AS 'FACILITY-TYPE-PROVIDER'. DISPLAY 'Does (PROVIDER) work at' IF USC PROVIDER IS FLAGGED AS 'PERSON-IN-FACILITY-PROVIDER'.
----------------------------------------------------
----------------------------------------------------
IF CODED '2' (HOSPITAL EMERGENCY ROOM), FLAG THIS USC PROVIDER AS 'HOSPITAL BASED'.
----------------------------------------------------
----------------------------------------------------
NOTE: FOR QUESTIONS AC06 - AC12, THE CONTEXT HEADER WILL DISPLAY THE PERSON-PROVIDER NAME IF THE USC PROVIDER BEING ASKED ABOUT IS FLAGGED AS 'PERSON-TYPE-PROVIDER' OR 'PERSON-IN-FACILITY- PROVIDER'. IF THE USC PROVIDER BEING ASKED ABOUT IS FLAGGED AS 'FACILITY-TYPE-PROVIDER', THE CONTEXT HEADER WILL DISPLAY THE FACILITY-PROVIDER NAME.
----------------------------------------------------
2002
Survey form
view entire document:
text
image
AC06
====
====
[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF MEDICAL CARE PROVIDER......]
ASK IF NOT OBVIOUS.
[Is (PROVIDER)/Does (PROVIDER) work at] a clinic in a hospital, a hospital outpatient department, an emergency room at a hospital, or some other kind of place?
ASK IF NOT OBVIOUS.
[Is (PROVIDER)/Does (PROVIDER) work at] a clinic in a hospital, a hospital outpatient department, an emergency room at a hospital, or some other kind of place?
HOSPITAL CLINIC OR OUTPATIENT DEPARTMENT ............................ 1
HOSPITAL EMERGENCY ROOM ................. 2 [BOX_03]
OTHER KIND OF PLACE ..................... 3 [BOX_03]
REF ..................................... -7 [BOX_03]
DK ...................................... -8 [BOX_03]
[Code One]
PRESS F1 FOR DEFINITIONS OF ANSWER CATEGORIES.
----------------------------------------------------
DISPLAY 'Is (PROVIDER)' IF USC PROVIDER IS FLAGGED AS 'FACILITY-TYPE-PROVIDER'. DISPLAY 'Does (PROVIDER) work at' IF USC PROVIDER IS FLAGGED AS 'PERSON-IN-FACILITY-PROVIDER'.
----------------------------------------------------
----------------------------------------------------
IF CODED '2' (HOSPITAL EMERGENCY ROOM), FLAG THIS USC PROVIDER AS 'HOSPITAL BASED'.
----------------------------------------------------
----------------------------------------------------
NOTE: FOR QUESTIONS AC06 - AC12, THE CONTEXT HEADER WILL DISPLAY THE PERSON-PROVIDER NAME IF THE USC PROVIDER BEING ASKED ABOUT IS FLAGGED AS 'PERSON-TYPE-PROVIDER' OR 'PERSON-IN-FACILITY- PROVIDER'. IF THE USC PROVIDER BEING ASKED ABOUT IS FLAGGED AS 'FACILITY-TYPE-PROVIDER', THE CONTEXT HEADER WILL DISPLAY THE FACILITY-PROVIDER NAME.
----------------------------------------------------
HOSPITAL EMERGENCY ROOM ................. 2 [BOX_03]
OTHER KIND OF PLACE ..................... 3 [BOX_03]
REF ..................................... -7 [BOX_03]
DK ...................................... -8 [BOX_03]
[Code One]
PRESS F1 FOR DEFINITIONS OF ANSWER CATEGORIES.
----------------------------------------------------
DISPLAY 'Is (PROVIDER)' IF USC PROVIDER IS FLAGGED AS 'FACILITY-TYPE-PROVIDER'. DISPLAY 'Does (PROVIDER) work at' IF USC PROVIDER IS FLAGGED AS 'PERSON-IN-FACILITY-PROVIDER'.
----------------------------------------------------
----------------------------------------------------
IF CODED '2' (HOSPITAL EMERGENCY ROOM), FLAG THIS USC PROVIDER AS 'HOSPITAL BASED'.
----------------------------------------------------
----------------------------------------------------
NOTE: FOR QUESTIONS AC06 - AC12, THE CONTEXT HEADER WILL DISPLAY THE PERSON-PROVIDER NAME IF THE USC PROVIDER BEING ASKED ABOUT IS FLAGGED AS 'PERSON-TYPE-PROVIDER' OR 'PERSON-IN-FACILITY- PROVIDER'. IF THE USC PROVIDER BEING ASKED ABOUT IS FLAGGED AS 'FACILITY-TYPE-PROVIDER', THE CONTEXT HEADER WILL DISPLAY THE FACILITY-PROVIDER NAME.
----------------------------------------------------
2001
Survey form
view entire document:
text
image
AC06
====
====
====
[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF MEDICAL CARE PROVIDER......]
ASK IF NOT OBVIOUS.
[Is (PROVIDER)/Does (PROVIDER) work at] a clinic in a hospital, a hospital outpatient department, an emergency room at a hospital, or some other kind of place?
ASK IF NOT OBVIOUS.
[Is (PROVIDER)/Does (PROVIDER) work at] a clinic in a hospital, a hospital outpatient department, an emergency room at a hospital, or some other kind of place?
HOSPITAL CLINIC OR OUTPATIENT DEPARTMENT ............................ 1
HOSPITAL EMERGENCY ROOM ................. 2 [BOX_03]
OTHER KIND OF PLACE ..................... 3 [BOX_03]
REF ..................................... -7 [BOX_03]
DK ...................................... -8 [BOX_03]
[Code One]
PRESS F1 FOR DEFINITIONS OF ANSWER CATEGORIES.
----------------------------------------------------
DISPLAY 'Is (PROVIDER)' IF USC PROVIDER IS FLAGGED AS 'FACILITY-TYPE-PROVIDER'. DISPLAY 'Does (PROVIDER) work at' IF USC PROVIDER IS FLAGGED AS 'PERSON-IN-FACILITY-PROVIDER'.
----------------------------------------------------
----------------------------------------------------
IF CODED '2' (HOSPITAL EMERGENCY ROOM), FLAG THIS USC PROVIDER AS 'HOSPITAL BASED'.
----------------------------------------------------
----------------------------------------------------
NOTE: FOR QUESTIONS AC06 - AC12, THE CONTEXT HEADER WILL DISPLAY THE PERSON-PROVIDER NAME IF THE USC PROVIDER BEING ASKED ABOUT IS FLAGGED AS 'PERSON-TYPE-PROVIDER' OR 'PERSON-IN-FACILITY- PROVIDER'. IF THE USC PROVIDER BEING ASKED ABOUT IS FLAGGED AS 'FACILITY-TYPE-PROVIDER', THE CONTEXT HEADER WILL DISPLAY THE FACILITY-PROVIDER NAME.
----------------------------------------------------
AC07
HOSPITAL EMERGENCY ROOM ................. 2 [BOX_03]
OTHER KIND OF PLACE ..................... 3 [BOX_03]
REF ..................................... -7 [BOX_03]
DK ...................................... -8 [BOX_03]
[Code One]
PRESS F1 FOR DEFINITIONS OF ANSWER CATEGORIES.
----------------------------------------------------
DISPLAY 'Is (PROVIDER)' IF USC PROVIDER IS FLAGGED AS 'FACILITY-TYPE-PROVIDER'. DISPLAY 'Does (PROVIDER) work at' IF USC PROVIDER IS FLAGGED AS 'PERSON-IN-FACILITY-PROVIDER'.
----------------------------------------------------
----------------------------------------------------
IF CODED '2' (HOSPITAL EMERGENCY ROOM), FLAG THIS USC PROVIDER AS 'HOSPITAL BASED'.
----------------------------------------------------
----------------------------------------------------
NOTE: FOR QUESTIONS AC06 - AC12, THE CONTEXT HEADER WILL DISPLAY THE PERSON-PROVIDER NAME IF THE USC PROVIDER BEING ASKED ABOUT IS FLAGGED AS 'PERSON-TYPE-PROVIDER' OR 'PERSON-IN-FACILITY- PROVIDER'. IF THE USC PROVIDER BEING ASKED ABOUT IS FLAGGED AS 'FACILITY-TYPE-PROVIDER', THE CONTEXT HEADER WILL DISPLAY THE FACILITY-PROVIDER NAME.
----------------------------------------------------
====
[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF MEDICAL CARE PROVIDER......]
Is this clinic or outpatient department owned and operated by the hospital or is this a private doctor's office located at the hospital?
Is this clinic or outpatient department owned and operated by the hospital or is this a private doctor's office located at the hospital?
OWNED AND OPERATED BY HOSPITAL .......... 1
PRIVATE DOCTOR'S OFFICE ................. 2
REF ..................................... -7
DK ...................................... -8
[Code One]
----------------------------------------------------
IF CODED '1' (OWNED AND OPERATED BY HOSPITAL) OR '-8' (DON'T KNOW), FLAG THIS USC PROVIDER AS 'HOSPITAL BASED'.
----------------------------------------------------
PRIVATE DOCTOR'S OFFICE ................. 2
REF ..................................... -7
DK ...................................... -8
[Code One]
----------------------------------------------------
IF CODED '1' (OWNED AND OPERATED BY HOSPITAL) OR '-8' (DON'T KNOW), FLAG THIS USC PROVIDER AS 'HOSPITAL BASED'.
----------------------------------------------------
2000
Survey form
view entire document:
text
image
AC06
====
====
====
[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF MEDICAL CARE PROVIDER......]
ASK IF NOT OBVIOUS.
[Is (PROVIDER)/Does (PROVIDER) work at] a clinic in a hospital, a hospital outpatient department, an emergency room at a hospital, or some other kind of place?
ASK IF NOT OBVIOUS.
[Is (PROVIDER)/Does (PROVIDER) work at] a clinic in a hospital, a hospital outpatient department, an emergency room at a hospital, or some other kind of place?
HOSPITAL CLINIC OR OUTPATIENT DEPARTMENT ............................ 1
HOSPITAL EMERGENCY ROOM ................. 2 [BOX_03]
OTHER KIND OF PLACE ..................... 3 [BOX_03]
REF ..................................... -7 [BOX_03]
DK ...................................... -8 [BOX_03]
[Code One]
PRESS F1 FOR DEFINITIONS OF ANSWER CATEGORIES.
----------------------------------------------------
DISPLAY 'Is (PROVIDER)' IF USC PROVIDER IS FLAGGED AS 'FACILITY-TYPE-PROVIDER'. DISPLAY 'Does (PROVIDER) work at' IF USC PROVIDER IS FLAGGED AS 'PERSON-IN-FACILITY-PROVIDER'.
----------------------------------------------------
----------------------------------------------------
IF CODED '2' (HOSPITAL EMERGENCY ROOM), FLAG THIS USC PROVIDER AS 'HOSPITAL BASED'.
----------------------------------------------------
----------------------------------------------------
NOTE: FOR QUESTIONS AC06 - AC12, THE CONTEXT HEADER WILL DISPLAY THE PERSON-PROVIDER NAME IF THE USC PROVIDER BEING ASKED ABOUT IS FLAGGED AS 'PERSON-TYPE-PROVIDER' OR 'PERSON-IN-FACILITY- PROVIDER'. IF THE USC PROVIDER BEING ASKED ABOUT IS FLAGGED AS 'FACILITY-TYPE-PROVIDER', THE CONTEXT HEADER WILL DISPLAY THE FACILITY-PROVIDER NAME.
----------------------------------------------------
AC07
HOSPITAL EMERGENCY ROOM ................. 2 [BOX_03]
OTHER KIND OF PLACE ..................... 3 [BOX_03]
REF ..................................... -7 [BOX_03]
DK ...................................... -8 [BOX_03]
[Code One]
PRESS F1 FOR DEFINITIONS OF ANSWER CATEGORIES.
----------------------------------------------------
DISPLAY 'Is (PROVIDER)' IF USC PROVIDER IS FLAGGED AS 'FACILITY-TYPE-PROVIDER'. DISPLAY 'Does (PROVIDER) work at' IF USC PROVIDER IS FLAGGED AS 'PERSON-IN-FACILITY-PROVIDER'.
----------------------------------------------------
----------------------------------------------------
IF CODED '2' (HOSPITAL EMERGENCY ROOM), FLAG THIS USC PROVIDER AS 'HOSPITAL BASED'.
----------------------------------------------------
----------------------------------------------------
NOTE: FOR QUESTIONS AC06 - AC12, THE CONTEXT HEADER WILL DISPLAY THE PERSON-PROVIDER NAME IF THE USC PROVIDER BEING ASKED ABOUT IS FLAGGED AS 'PERSON-TYPE-PROVIDER' OR 'PERSON-IN-FACILITY- PROVIDER'. IF THE USC PROVIDER BEING ASKED ABOUT IS FLAGGED AS 'FACILITY-TYPE-PROVIDER', THE CONTEXT HEADER WILL DISPLAY THE FACILITY-PROVIDER NAME.
----------------------------------------------------
====
[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF MEDICAL CARE PROVIDER......]
Is this clinic or outpatient department owned and operated by the hospital or is this a private doctor's office located at the hospital?
Is this clinic or outpatient department owned and operated by the hospital or is this a private doctor's office located at the hospital?
OWNED AND OPERATED BY HOSPITAL .......... 1
PRIVATE DOCTOR'S OFFICE ................. 2
REF ..................................... -7
DK ...................................... -8
[Code One]
----------------------------------------------------
IF CODED '1' (OWNED AND OPERATED BY HOSPITAL) OR '-8' (DON'T KNOW), FLAG THIS USC PROVIDER AS 'HOSPITAL BASED'.
----------------------------------------------------
PRIVATE DOCTOR'S OFFICE ................. 2
REF ..................................... -7
DK ...................................... -8
[Code One]
----------------------------------------------------
IF CODED '1' (OWNED AND OPERATED BY HOSPITAL) OR '-8' (DON'T KNOW), FLAG THIS USC PROVIDER AS 'HOSPITAL BASED'.
----------------------------------------------------
1999
Survey form
view entire document:
text
image
AC06
====
====
====
[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF MEDICAL CARE PROVIDER......]
ASK IF NOT OBVIOUS.
[Is (PROVIDER)/Does (PROVIDER) work at] a clinic in a hospital, a hospital outpatient department, an emergency room at a hospital, or some other kind of place?
ASK IF NOT OBVIOUS.
[Is (PROVIDER)/Does (PROVIDER) work at] a clinic in a hospital, a hospital outpatient department, an emergency room at a hospital, or some other kind of place?
HOSPITAL CLINIC OR OUTPATIENT DEPARTMENT ............................ 1
HOSPITAL EMERGENCY ROOM ................. 2 [BOX_03]
OTHER KIND OF PLACE ..................... 3 [BOX_03]
REF ..................................... -7 [BOX_03]
DK ...................................... -8 [BOX_03]
[Code One]
PRESS F1 FOR DEFINITIONS OF ANSWER CATEGORIES.
----------------------------------------------------
DISPLAY 'Is (PROVIDER)' IF USC PROVIDER IS FLAGGED AS 'FACILITY-TYPE-PROVIDER'. DISPLAY 'Does (PROVIDER) work at' IF USC PROVIDER IS FLAGGED AS 'PERSON-IN-FACILITY-PROVIDER'.
----------------------------------------------------
----------------------------------------------------
IF CODED '2' (HOSPITAL EMERGENCY ROOM), FLAG THIS USC PROVIDER AS 'HOSPITAL BASED'.
----------------------------------------------------
----------------------------------------------------
NOTE: FOR QUESTIONS AC06 - AC12, THE CONTEXT HEADER WILL DISPLAY THE PERSON-PROVIDER NAME IF THE USC PROVIDER BEING ASKED ABOUT IS FLAGGED AS 'PERSON-TYPE-PROVIDER' OR 'PERSON-IN-FACILITY- PROVIDER'. IF THE USC PROVIDER BEING ASKED ABOUT IS FLAGGED AS 'FACILITY-TYPE-PROVIDER', THE CONTEXT HEADER WILL DISPLAY THE FACILITY-PROVIDER NAME.
----------------------------------------------------
AC07
HOSPITAL EMERGENCY ROOM ................. 2 [BOX_03]
OTHER KIND OF PLACE ..................... 3 [BOX_03]
REF ..................................... -7 [BOX_03]
DK ...................................... -8 [BOX_03]
[Code One]
PRESS F1 FOR DEFINITIONS OF ANSWER CATEGORIES.
----------------------------------------------------
DISPLAY 'Is (PROVIDER)' IF USC PROVIDER IS FLAGGED AS 'FACILITY-TYPE-PROVIDER'. DISPLAY 'Does (PROVIDER) work at' IF USC PROVIDER IS FLAGGED AS 'PERSON-IN-FACILITY-PROVIDER'.
----------------------------------------------------
----------------------------------------------------
IF CODED '2' (HOSPITAL EMERGENCY ROOM), FLAG THIS USC PROVIDER AS 'HOSPITAL BASED'.
----------------------------------------------------
----------------------------------------------------
NOTE: FOR QUESTIONS AC06 - AC12, THE CONTEXT HEADER WILL DISPLAY THE PERSON-PROVIDER NAME IF THE USC PROVIDER BEING ASKED ABOUT IS FLAGGED AS 'PERSON-TYPE-PROVIDER' OR 'PERSON-IN-FACILITY- PROVIDER'. IF THE USC PROVIDER BEING ASKED ABOUT IS FLAGGED AS 'FACILITY-TYPE-PROVIDER', THE CONTEXT HEADER WILL DISPLAY THE FACILITY-PROVIDER NAME.
----------------------------------------------------
====
[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF MEDICAL CARE PROVIDER......]
Is this clinic or outpatient department owned and operated by the hospital or is this a private doctor's office located at the hospital?
Is this clinic or outpatient department owned and operated by the hospital or is this a private doctor's office located at the hospital?
OWNED AND OPERATED BY HOSPITAL .......... 1
PRIVATE DOCTOR'S OFFICE ................. 2
REF ..................................... -7
DK ...................................... -8
[Code One]
----------------------------------------------------
IF CODED '1' (OWNED AND OPERATED BY HOSPITAL) OR '-8' (DON'T KNOW), FLAG THIS USC PROVIDER AS 'HOSPITAL BASED'.
----------------------------------------------------
PRIVATE DOCTOR'S OFFICE ................. 2
REF ..................................... -7
DK ...................................... -8
[Code One]
----------------------------------------------------
IF CODED '1' (OWNED AND OPERATED BY HOSPITAL) OR '-8' (DON'T KNOW), FLAG THIS USC PROVIDER AS 'HOSPITAL BASED'.
----------------------------------------------------
Weights
- 1996-2022 : PERWEIGHT