DOI: 10.3886/icpsr06632.v1
title: National Medical Expenditure Survey, 1987: Institutional Population Component, Personal History Questionnaire for Residents of Nursing and Personal Care Homes and End-of-Year Questionnaire for Residents of Nursing and Personal Care Homes and Facilities for Persons With Mental Retardation [Research File 19r]
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 19R provides information collected from two IPC questionnaires, the Personal History Questionnaire (PHQ) and the End-of-Year Questionnaire (EYQ). The PHQ was administered once as part of the surveys of next-of-kin. These data are primarily concerned with the characteristics of the sample person just prior to admission. The EYQ was administered once in either the surveys of next-of-kin or the surveys of institutions and focuses on health status. Research File 19R also includes items from the Baseline Questionnaire and the Baseline Questionnaire Supplement. Data from these questionnaires were released on NMES Public Use Tapes 8, 17, and 22R (ICPSR 9677, 6158, and 6467). Part 1 of this collection, Summary Data, includes demographic characteristics such as age, race, sex, date of admission to sampled facility, and vital status. Part 2, 1987 Personal History Questionnaire (PHQ) Data, supplies information on condition prior to admission to facility, chronic disease history, whether respondent needed help with activities of daily living (ADLs) and/or instrumental activities of daily living (IADLs), usage of assistive technology, and behavioral history. Part 3, End-of-Year Questionnaire (EYQ) Data, includes characteristics of the sample person, limitations and help with ADLs and IADLs, health and behavioral history, and condition codes reported by either the respondent or the facility medical records.
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: Personal History Questionnaire (PHQ) Data DS3: End-of-Year Questionnaire (EYQ) Data
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: NMES research files are intended for users who are familiar with NMES public use tapes and have experience analyzing complex survey data. This data file 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.These data files can be linked to each other and all other public use datasets from the 1987 IPC by using the person identifier (SPERIDX) and the facility identifier (OFIDX).