DOI: 10.3886/icpsr06732.v1
title: National Medical Expenditure Survey, 1987: Institutional Population Component, Health Care Provider Utilization Data from the Institutional Use and Expenditure Questionnaire for Residents of Nursing and Personal Care Homes and Facilities for Persons with Mental Retardation [Research File 28R]
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. The Institutional Population Component (IPC) is a survey of
 nursing and personal care homes and facilities for the mentally
 retarded and residents admitted to those facilities. Information was
 collected on facilities and their residents at several points during
 1987. Use and expenditure estimates for institutionalized persons can
 be combined with those from the Household component for composite
 estimates covering most of the civilian population. Information on
 facilities and residents was collected from facility administrators
 and caregivers, with additional information collected from next of kin
 or other knowledgeable respondents. These data were supplemented by
 Medicare claims information for covered sample persons. Research File
 28R provides information collected in the Institutional Use and
 Expenditure Questionnaire (IUEQ) regarding health care providers,
 including Medicaid providers. The IUEQ was administered during each
 round of the IPC to eligible facilities in which sample persons had
 one or more stays. Part 1, Summary Data, includes demographic
 characteristics such as age, race, sex, date of admission to sampled
 facility, and vital status. Part 2, IUEQ Administration and Medical
 Provider Probes Data, supplies information on what types of medical
 providers were seen, frequency of any private duty nursing or
 attendant care services received, and whether the provider of that
 service was an employee or contractor of the facility, as well as
 frequency of emergency room and outpatient department visits. Part 3,
 Medical Provider Utilization Data, includes information about the type
 of provider, the number of times the provider was seen in total and
 the number of times in the facility, the number of times the sample
 person was seen by a provider paid by the facility, and whether that
provider was an employee or a contractor of the facility.
description: The NMES Institutional Population Component sample was
 based on a 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.
description: Datasets: 
DS0: Study-Level Files
DS1: Summary Data
DS2: IUEQ Administration and Medical Provider Probes Data
DS3: Medical Provider Utilization Data
DS4: Technical and Programming Information and Data Dictionaries
DS5: SAS Data Definition Statements for All Parts
description: 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.
description: (1) NMES research files are intended for users who are
 familiar with NMES public use files 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 files. These data
 should be analyzed and interpreted with care. Data from Sections E and F
 of the IUEQ,
 containing information on health insurance coverage and charges
 and sources of payment, were included in NMES Public Use Tape 17
 (ICPSR 6158) and Research File 22R (ICPSR 6467). The data
 files can be linked to each other and to all other public use datasets from
 the 1987 Institutional Population Component by using the person identifier
(SPERIDX) and the facility identifier (OFIDX).