CTS Household Survey and the HSC 2007 Health Tracking Household Survey

	Design and Methods
	Data Files
	Household Survey
	Followback Survey
	Physician Survey
	Site Visits
	Employer Survey
	Status of CTS
	Section Map

To track changes in health care access, utilization, coverage, costs, and other experiences with the health care system HSC periodically conducts a nationally representative household survey. The most recent round of the survey, conducted in 2007, includes information on 9,400 families and roughly 17,800 individuals, and is nationally representative of the civilian, non-institutionalized population. The response rate was 43%. Prior rounds of the survey conducted between 1996 and 2003 included approximately 25,000-33,000 families and 47,000-60,000 individuals, and comprised representative samples of the nation as well as 60 randomly selected communities. The survey is conducted by telephone. Prior rounds of the survey also included a small sample of households without telephones. Household Survey topics include type of health insurance coverage, utilization of medical services (e.g., number of physician visits and number of emergency room visits), usual source of care, perceived quality of care, health status, employer health insurance offerings, and problems paying medical bills. The 2007 survey also included topics on consumer-directed health care, health information-seeking, patient activation, care coordination and assessments of care quality for chronic conditions.

The five household surveys were conducted in 1996-97, 1998-99, 2000-01, 2003, and 2007.

Examples of Survey Questions

• Was there any time during the past 12 months when you put off or postponed getting medical care you thought you needed?
• Is there a place that you usually go to when you are sick or need advice about your health?
• During the past 12 months, did you have any problems paying medical bills?
• During the past 12 months, did you look for or get information about a personal health concern on the internet?
• Did you use information from comparative reports on cost and quality to choose a specialist?

• Making national population estimates of insurance coverage, access to and perceived quality of care, service use, and other measures in the survey.
• Conducting behavioral analyses and health policy simulations that are generalizable to the U.S. population.
• Conducting analyses of the effect of state policy and other characteristics by merging state- level data from other sources using state identifiers on the file.
• Conducting market-level analysis including data from other sources using county identifiers on the file for the areas in which the survey was conducted.
• Analyzing change for the years 1996-97, 1998-99, 2000-01, 2003, and 2007. It is important to note that using the 2007 data permits national-level estimates only.

Data Files for Public Use. Public use and restricted use data files are available for researchers to do their own analysis of this survey. For more information, read about Using the HSC Data Files.

Finding Additional Information. Additional information about this survey can be found in various HSC Technical Publications. The user's guides for this survey provide summary information about the CTS in general and this survey in particular. The user's guides also include information about how to use the data file, as well as appendices with copies of the survey instruments. The codebooks list the variables on the data files and their frequencies. The methodology reports have detailed information documenting how the survey was conducted.

HSCdataOnline. You can obtain Household Survey results online by visiting HSCdataOnline. This Web-based interactive system enables you to request tables for a variety of survey topics, and you can choose to see the results for specific survey years, age groups (such as the elderly) and other factors (such as race/ethnicity).

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