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. 1981 Spring;2(4):41–60.

Table A. Comparison of Selected Characteristics of the NCHS Hospital Discharge Survey, the NCHS Health Interview Survey, the American Hospital Association (AHA) National Hospital Panel Survey and the Health Care Financing Administration (HCFA) Medicare Statistical System (Hospital Portion).

Data System

Characteristic NCHS National Hospital Discharge Survey NCHS National Health Interview Survey AHA National Hospital Panel Survey HCFA Medicare Statistical System (Hospital Portion)
Universe Short-stay1 non-Federal general and special U.S. hospitals excluding hospital units of other institutions Civilian, noninstitutionalized U.S. population Short-term,1 non-Federal, general and special U.S. hospitals excluding hospital units of other institutions and hospitals not registered with the AHA Medicare beneficiaries discharged from short-stay1 hospitals participating in Medicare. (Military and Veterans Administration hospitals do not participate in Medicare).

Sample Stratified probability sample of hospitals and a random or systematic sample of discharges within each hospital Multistage probabilty sample of households Probabilty sample of hospitals stratified on number of beds and census region 100 percent data for some information; for a 20 percent probability sample, diagnosis and surgical procedure are coded

Lowest level of aggregation Individual discharge Individual discharge Hospital Individual discharge

Response Rate 423 of 491 (86 percent) of eligible selected hospitals in 1977 96.2 percent in 1978 Averages about 70 percent each month Not applicable, administrative records

Methods of Gathering Data Information on each sample discharge is abstracted from medical record face sheet either by hospital staff and/or Census Bureau representatives Household interviews conducted continuously through year Hospitals in sample complete a survey form each month Data derived from administrative records (Medicare admission notices and Medicare hospital bills)

Principal Data Items Collected Patient characteristics: age, race, sex, marital status, and beginning in 1977, zip code of residence and expected source of payment
Hospital Stay Information: Date of admission and discharge, discharge status. A maximum of 5 diagnoses and 3 surgeries are coded
Demographic data, acute and chronic conditions, limitation of activity, disability days, health care use (physicians, dentists, hospitals). In addition, data on special topics (such as health insurance coverage) may be collected for a year
Hospital Stay Information: Dates of Hospitalization(s), name and address of hospital, reason (condition) for entering hospital, operations
Hospital characteristics: size, finances, number of employees
Hospital use: number of admissions, patient days and outpatient visits
Hospital Stay Information: Dates of admission and discharge, discharge status, hospital charges and reimbursement, date of surgery. Principal diagnosis and surgical procedure coded for 20-percent sample

Patient (beneficiary) and hospital characteristics from other files are linked to hospital stay on basis of beneficiary and hospital ID numbers in hospital bill
1

Average length of stay of less than 30 days.