DOI: 10.3886/icpsr06868.v1
title: National Medical Expenditure Survey, 1987: Data from the Household Survey, Health Insurance Plans Survey, Survey of American Indians and Alaska Natives, and Institutional Population Component [Research File 40R]
title: Version 1

description: The National Medical Expenditure Survey (NMES) series
 provides information on health expenditures by or on behalf of
 families and individuals, the financing of these expenditures, and
 each person's use of services. Research File 40R includes data from
 several components of the NMES. These data were previously scheduled
 for release as NMES Research Files 27R, 33R, 38R, and 39R and have 
 now been consolidated into a single collection, File 40R. Eight data 
 files are contained in this collection. Parts 1-3 provide residence history 
 and hospital inpatient stay data from the Institutional Population 
 Component (IPC) (previously scheduled for release as NMES Research File
 27R). Parts 4-5 cover all health insurance plans offered by potential
 employment-related sources (i.e., held plans and optional plans) from 
 the Health Insurance Plans Survey (HIPS) (previously scheduled for release as
 NMES Research File 33R). Part 4 also includes update information on 
 health insurance premium amounts for all policyholders of insurance
 from employment-related sources (previously scheduled for release as
 NMES Public Use Tape 15U, these data replace the premium variables
 originally released on NMES Public Use Tape 15, NATIONAL MEDICAL EXPENDITURE
 SURVEY, 1987: POLICYHOLDERS OF PRIVATE INSURANCE: PREMIUMS, PAYMENT SOURCES,
 AND TYPES AND SOURCE OF COVERAGE [PUBLIC USE TAPE 15] [ICPSR 9901]). Parts 6-7
 consist of summarized benefits data and actuarial values from the HIPS
 for linked policyholders and dependents (previously
 scheduled for release as NMES Research File 38R). Part 8 contains death
 certificate data for persons in the NMES Household Survey (HS), the
 IPC, and the NMES Survey of American Indians and Alaska 
 Natives Component (SAIAN) (previously scheduled for release as NMES Research
File 39R).
description: IPC: Two-stage probability design with facilities selected in
 the first stage and persons within facilities in the second stage.
 Three strata were used for the facility sample: nursing and personal 
 care homes with three or more beds, intermediate care facilities for
 the mentally retarded with 3-15 beds, and all remaining facilities
 for the mentally retarded with more than 15 beds. A total of 810
 nursing and personal care homes and 691 facilities for the mentally
 retarded were sampled. HS: Stratified
 multistage area probability design with a total sample of roughly
 35,000 individuals in 14,000 households who completed all rounds of
 data collection. Oversampling of population subgroups of special
 policy interest included poor and low-income families, the elderly,
 the functionally impaired, and Black and Hispanic minorities.
 SAIAN: Multistage area probability design, using an Indian Health
 Service frame of counties with eligible individuals. An initial
 interview was completed in 13,700 dwelling units in those counties,
 yielding 1,950 households with at least one (self-defined) eligible
person responding for the full year.
description: Datasets: 
DS0: Study-Level Files
DS1: IPC Residence History and Hospital Inpatient Stay Data -- Summary Data
DS2: IPC Residence History and Hospital Inpatient Stay Data -- Residence History File
DS3: IPC Residence History and Hospital Inpatient Stay Data -- Hospital Inpatient Stay File
DS4: All Health Insurance Plans Offered by Employment-Related Sources in the HIPS -- Summary File
DS5: All Health Insurance Plans Offered by Employment-Related Sources in the HIPS -- Plan File
DS6: Summarized Benefits Data from the HIPS for Linked Policyholders and Dependents -- Employment-Related Sources of Insurance
DS7: Summarized Benefits Data from the HIPS for Linked Policyholders and Dependents -- Insurance Obtained Directly from Carriers or Associations
DS8: Linked Death Certificate Data for Persons in the HS, IPC, and SAIAN
description: IPC: All persons (other than staff) who spent one or more
 nights in 1987 as residents of a nursing or personal care home or
 a facility for the mentally retarded. HS: Noninstitutionalized civilian
 population of the United States. SAIAN: Civilian, noninstitutionalized American
 Indians and Alaska Natives, living on or near federal reservations, who
 were eligible to receive care provided and supported by the Indian
Health Service.
description: (1) NMES research files are intended for users who are
 familiar with NMES public use tapes and have experience analyzing complex
 survey data. This data collection has not been subjected to the same level of
 editing and quality control as the NMES public use tapes. The data in 
 these files should be analyzed and interpreted with care. (2) Data in Parts 
 1-3 can be linked to each other and to all other public use datasets from
 the 1987 IPC by using the person identifier (SPERIDX) and the facility
 identifier (OFIDX). Data in Parts 4 through 7 can be linked to other HS
files by using the person identifier (PIDX).