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The nation's health care system has changed dramatically and the country is debating further significant changes. Comprehensive information is needed to guide policymakers in understanding and evaluating the current problems and in formulating federal health care policy.

This book contains an evaluation of the plan developed by the National Center for Health Statistics for restructuring its existing provider surveys. It identifies current and future data needed by researchers and policymakers to assess the effect of changes in financing, organization, and delivery of health care on access, quality, costs, and outcomes of care and determines the extent to which the design and content of the proposed survey can meet these data needs.

The book goes beyond a simple review and recommends a design framework to develop a coordinated and integrated data system to gather information about people and their illness over time and to link this information to costs and health care outcomes.

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Suggested Citation

Institute of Medicine and National Research Council. 1992. Toward a National Health Care Survey: A Data System for the 21st Century. Washington, DC: The National Academies Press. https://doi.org/10.17226/1941.

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Publication Info

204 pages |  6 x 9 |  Paperback
ISBN: 978-0-309-04692-3
DOI: https://doi.org/10.17226/1941
Chapters skim
Front Matter i-xii
Executive Summary 1-14
Introduction 15-18
Data Needs for a Changing Health Care Delivery System 19-40
Review of the NCHS Plan for the National Health Care Survey 41-61
Design for a National Health Care Data System 62-82
Coordination and Resource Considerations 83-92
Appendix A: NCHS Plan for a National Health Care Survey 93-110
Appendix B: Survey of Users of National Health Care Statistics 111-124
Appendix C: Federal Health Data Sources 125-150
Appendix D: Statutory Authorities 151-166
Appendix E: Acronyms 167-168
Appendix F: Biographical Sketches 169-174
Sources and References 175-190

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