[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF MEDICAL CARE PROVIDER......]
What is the main reason (PERSON) usually (go/goes) to (PROVIDER), that is, [someone who works at] a [hospital emergency room/hospital clinic or outpatient department], for health care?

PREFERS/LIKES THIS AS A SOURCE OF CARE .. 1 [AC09]
DON'T KNOW WHERE ELSE TO GO ............. 2 [AC09]
CAN'T AFFORD TO GO ELSEWHERE ............ 3 [AC09]
MY DOCTOR HAS AN OFFICE AT THE OUTPATIENT DEPARTMENT/CLINIC ........ ............ 4 [AC09]
ONLY CARE AVAILABLE WHEN (PERSON) HAS TIME TO GO ............................ 5 [AC09]
CONVENIENCE ............................. 6 [AC09]
BEST PLACE TO GET CARE FOR MY HEALTH CONDITION ............................. 7 [AC09]
OTHER REASON ............................ 91
REF ..................................... -7 [AC09A]
DK ...................................... -8 [AC09A]
[Code One]
----------------------------------------------------
DISPLAY 'someone who works at' IF THIS USC PROVIDER IS FLAGGED AS 'PERSON-IN-FACILITY- PROVIDER'. OTHERWISE, USE A NULL DISPLAY.

DISPLAY 'hospital emergency room' IF AC06 WAS CODED '2' (HOSPITAL EMERGENCY ROOM) DURING ANY LOOP FOR THIS USC PROVIDER. DISPLAY 'hospital clinic or outpatient department' IF AC07 WAS CODED '1' (OWNED AND OPERATED BY HOSPITAL) OR '-8' (DON'T KNOW) DURING ANY LOOP FOR THIS USC PROVIDER.
----------------------------------------------------

[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF MEDICAL CARE PROVIDER......]
What is the main reason (PERSON) usually (go/goes) to (PROVIDER), that is, [someone who works at] a [hospital emergency room/hospital clinic or outpatient department], for health care?

PREFERS/LIKES THIS AS A SOURCE OF CARE .. 1 [AC09]
DON'T KNOW WHERE ELSE TO GO ............. 2 [AC09]
CAN'T AFFORD TO GO ELSEWHERE ............ 3 [AC09]
MY DOCTOR HAS AN OFFICE AT THE OUTPATIENT DEPARTMENT/CLINIC ........ ............ 4 [AC09]
ONLY CARE AVAILABLE WHEN (PERSON) HAS TIME TO GO ............................ 5 [AC09]
CONVENIENCE ............................. 6 [AC09]
BEST PLACE TO GET CARE FOR MY HEALTH CONDITION ............................. 7 [AC09]
OTHER REASON ............................ 91
REF ..................................... -7 [AC09A]
DK ...................................... -8 [AC09A]
[Code One]
----------------------------------------------------
DISPLAY 'someone who works at' IF THIS USC PROVIDER IS FLAGGED AS 'PERSON-IN-FACILITY- PROVIDER'. OTHERWISE, USE A NULL DISPLAY.

DISPLAY 'hospital emergency room' IF AC06 WAS CODED '2' (HOSPITAL EMERGENCY ROOM) DURING ANY LOOP FOR THIS USC PROVIDER. DISPLAY 'hospital clinic or outpatient department' IF AC07 WAS CODED '1' (OWNED AND OPERATED BY HOSPITAL) OR '-8' (DON'T KNOW) DURING ANY LOOP FOR THIS USC PROVIDER.
----------------------------------------------------

[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF MEDICAL CARE PROVIDER......]
What is the main reason (PERSON) usually (go/goes) to (PROVIDER), that is, [someone who works at] a [hospital emergency room/hospital clinic or outpatient department], for health care?

PREFERS/LIKES THIS AS A SOURCE OF CARE .. 1 [AC09]
DON'T KNOW WHERE ELSE TO GO ............. 2 [AC09]
CAN'T AFFORD TO GO ELSEWHERE ............ 3 [AC09]
MY DOCTOR HAS AN OFFICE AT THE OUTPATIENT DEPARTMENT/CLINIC ........ ............ 4 [AC09]
ONLY CARE AVAILABLE WHEN (PERSON) HAS TIME TO GO ............................ 5 [AC09]
CONVENIENCE ............................. 6 [AC09]
BEST PLACE TO GET CARE FOR MY HEALTH CONDITION ............................. 7 [AC09]
OTHER REASON ............................ 91
REF ..................................... -7 [AC09A]
DK ...................................... -8 [AC09A]
[Code One]
----------------------------------------------------
DISPLAY 'someone who works at' IF THIS USC PROVIDER IS FLAGGED AS 'PERSON-IN-FACILITY- PROVIDER'. OTHERWISE, USE A NULL DISPLAY.

DISPLAY 'hospital emergency room' IF AC06 WAS CODED '2' (HOSPITAL EMERGENCY ROOM) DURING ANY LOOP FOR THIS USC PROVIDER. DISPLAY 'hospital clinic or outpatient department' IF AC07 WAS CODED '1' (OWNED AND OPERATED BY HOSPITAL) OR '-8' (DON'T KNOW) DURING ANY LOOP FOR THIS USC PROVIDER.
----------------------------------------------------

[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF MEDICAL CARE PROVIDER......]
What are the other reasons (PERSON) usually (go/goes) to (PROVIDER) for health care?
CODE ALL THAT APPLY.

NO OTHER REASONS ........................ 0
PREFERS/LIKES THIS AS A SOURCE OF CARE .. 1
DON'T KNOW WHERE ELSE TO GO ............. 2
CAN'T AFFORD TO GO ELSEWHERE ............ 3
MY DOCTOR HAS AN OFFICE AT THE OUTPATIENT DEPARTMENT/CLINIC ..................... 4
ONLY CARE AVAILABLE WHEN (PERSON) HAS TIME TO GO ............................ 5
CONVENIENCE ............................. 6
BEST PLACE TO GET CARE FOR MY HEALTH CONDITION ............................. 7
OTHER REASON ............................ 91
REF ..................................... -7
DK ...................................... -8
[Code All That Apply]
----------------------------------------------------
IF CODED '91' (OTHER REASON) ALONE OR IN COMBINATION WITH OTHER CODES, CONTINUE WITH AC09OV
----------------------------------------------------
----------------------------------------------------
OTHERWISE, GO TO AC09A
----------------------------------------------------
----------------------------------------------------
EDIT: IF CODED '0' (NO OTHER REASONS), '-7' (REFUSED), OR '-8 (DON'T KNOW) IN THE FIRST FIELD, NO OTHER REASON CATEGORY CAN BE CODED. IF CODED '0' (NO OTHER REASONS), '-7' (REFUSED), OR '-8' (DON'T KNOW), IN A FIELD OTHER THAN THE FIRST FIELD AND A SUBSEQUENT CODE IS ENTERED, DISPLAY THE FOLLOWING MESSAGE: 'INVALID RESPONSE. PRESS ENTER ON A BLANK FIELD.'
----------------------------------------------------

[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF MEDICAL CARE PROVIDER......]
What is the main reason (PERSON) usually (go/goes) to (PROVIDER), that is, [someone who works at] a [hospital emergency room/hospital clinic or outpatient department], for health care?

PREFERS/LIKES THIS AS A SOURCE OF CARE .. 1 [AC09]
DON'T KNOW WHERE ELSE TO GO ............. 2 [AC09]
CAN'T AFFORD TO GO ELSEWHERE ............ 3 [AC09]
MY DOCTOR HAS AN OFFICE AT THE OUTPATIENT DEPARTMENT/CLINIC ........ ............ 4 [AC09]
ONLY CARE AVAILABLE WHEN (PERSON) HAS TIME TO GO ............................ 5 [AC09]
CONVENIENCE ............................. 6 [AC09]
BEST PLACE TO GET CARE FOR MY HEALTH CONDITION ............................. 7 [AC09]
OTHER REASON ............................ 91
REF ..................................... -7 [AC09A]
DK ...................................... -8 [AC09A]
[Code One]
----------------------------------------------------
DISPLAY 'someone who works at' IF THIS USC PROVIDER IS FLAGGED AS 'PERSON-IN-FACILITY- PROVIDER'. OTHERWISE, USE A NULL DISPLAY.

DISPLAY 'hospital emergency room' IF AC06 WAS CODED '2' (HOSPITAL EMERGENCY ROOM) DURING ANY LOOP FOR THIS USC PROVIDER. DISPLAY 'hospital clinic or outpatient department' IF AC07 WAS CODED '1' (OWNED AND OPERATED BY HOSPITAL) OR '-8' (DON'T KNOW) DURING ANY LOOP FOR THIS USC PROVIDER.
----------------------------------------------------

[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF MEDICAL CARE PROVIDER......]
What is the main reason (PERSON) usually (go/goes) to (PROVIDER), that is, [someone who works at] a [hospital emergency room/hospital clinic or outpatient department], for health care?

PREFERS/LIKES THIS AS A SOURCE OF CARE .. 1 [AC09]
DON'T KNOW WHERE ELSE TO GO ............. 2 [AC09]
CAN'T AFFORD TO GO ELSEWHERE ............ 3 [AC09]
MY DOCTOR HAS AN OFFICE AT THE OUTPATIENT DEPARTMENT/CLINIC ........ ............ 4 [AC09]
ONLY CARE AVAILABLE WHEN (PERSON) HAS TIME TO GO ............................ 5 [AC09]
CONVENIENCE ............................. 6 [AC09]
BEST PLACE TO GET CARE FOR MY HEALTH CONDITION ............................. 7 [AC09]
OTHER REASON ............................ 91
REF ..................................... -7 [AC09A]
DK ...................................... -8 [AC09A]
[Code One]
----------------------------------------------------
DISPLAY 'someone who works at' IF THIS USC PROVIDER IS FLAGGED AS 'PERSON-IN-FACILITY- PROVIDER'. OTHERWISE, USE A NULL DISPLAY.

DISPLAY 'hospital emergency room' IF AC06 WAS CODED '2' (HOSPITAL EMERGENCY ROOM) DURING ANY LOOP FOR THIS USC PROVIDER. DISPLAY 'hospital clinic or outpatient department' IF AC07 WAS CODED '1' (OWNED AND OPERATED BY HOSPITAL) OR '-8' (DON'T KNOW) DURING ANY LOOP FOR THIS USC PROVIDER.
----------------------------------------------------