Skip to main content

Part of the book series: Health Informatics ((HI))

Overview

In the United States, the collection of accurate, representative morbidity data is important to public policy and public health practice. Three major surveys administered by the National Center for Health Statistics (NCHS) of the Centers for Disease Control and Prevention (CDC) illustrate some of the procedures in use and the challenges associated with this task. The National Health Interview Survey, the State and Local Area Integrated Telephone Survey, and the National Health Care Survey all serve as valuable sources of information about the state of public health in the United States, but at the same time they are beset with challenges in securing accurate and representative data. The NCHS Research Data Center and data centers operated by other agencies are important resources for public health researchers. In providing data that are crucial for studies, the NCHS must always maintain a concern for the confidentiality, privacy, and security of information it obtains. The continuing application of technology and of the science of informatics holds promise of improving the speed, validity, and reliability of data collection, but it also poses challenges to existing survey methods. In adapting to the use of such technological developments as the Internet and cellular telephones and in continuing to apply technological applications to data collection, the NCHS has the opportunity to address current and new data needs. At the same time, the task of coping with technological change comes with the danger of data error, offering a challenge in continuing to improve morbidity data collection and dissemination.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 129.00
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 169.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Similar content being viewed by others

References

  1. Webster’s Encyclopedic Unabridged Dictionary of the English Language. New York: Gramercy Books; 1996.

    Google Scholar 

  2. MacMahon B, Pugh T. Epidemiology: Principles and Methods. Boston: Little, Brown and Company; 1970.

    Google Scholar 

  3. Fox J, Hall C, Elveback L. Epidemiology: Man and Disease. London: The MacMillan Company; 1970.

    Google Scholar 

  4. US Department of Health and Human Services. National Center for Health Statistics Programs and Activities: Monitoring the Nation’s Health. Hyattsville, MD: US Department of Health and Human Services; 1999.

    Google Scholar 

  5. Gentleman JF. Health information analysis: potentials and impediments. In Health Information for Canada, Report of the National Task Force on Health Information Statistics. Ottawa, Canada; 1991; Statistics Canada.

    Google Scholar 

  6. Zayatz L. Data masking for disclosure limitation. In Proceedings of the National Conference on Health Statistics. Washington, DC: National Center for Health Statistics; 1999. Proceedings available on CD-ROM from National Center for Health Statistics, Aug 2–4, 1999.

    Google Scholar 

  7. Kerngihan BW, Plauger PJ. The Elements of Programming Style. Second Edition. New York: McGraw Hill; 1978.

    Google Scholar 

  8. Battaglia M, Malec D, Spencer B, Hoaglin D, Sedransk J. Adjusting for noncoverage of nontelephone households in the National Immunization Survey. In Proceedings of the Section on Survey Research Methods. Alexandria, VA: American Statistical Association; 1995:678–683. Aug 13–17, 1995, Orlando, Florida.

    Google Scholar 

  9. Frankel M, Srinath KP, Battaglia M, Hoaglin DC. Reducing nontelephone bias in RDD surveys. In Proceedings of the Section on Survey Research Methods. Alexandria, VA: American Statistical Association; May 13–16, 1999, St. Petersburg Beach, FL, pp. 934–939.

    Google Scholar 

  10. Bernstein AB, Hing E, Burt C, Hall MJ. Trend data on medical encounters: tracking a moving target. Health Aff (Millwood) 2001;20:58–72.

    Article  CAS  Google Scholar 

  11. McLemore T, Bacon WE. Establishment surveys of the National Center for Health Statistics. In Proceedings of the International Conference on Establishment Surveys. Buffalo, NY; June 27–30, 1993; American Statistical Association, Alexandria, VA.

    Google Scholar 

  12. Feinglass J, Brown JL, LoSasso A, et al. Rates of lower-extremity amputation and arterial reconstruction in the United States, 1979 to 1996. Am J Public Health 1999;89:1222–1227.

    Article  PubMed Central  PubMed  CAS  Google Scholar 

  13. Pappas G, Hadden W, Kozak LJ, Fisher G. Potentially avoidable hospitalizations: inequalities in rates between US socioeconomic groups. Am J Public Health 1997;87:811–816.

    Article  PubMed Central  PubMed  CAS  Google Scholar 

  14. Kozak LJ, McCarthy E, Moien M. Patterns of hospital use by patients with diagnoses related to HIV infection. Public Health Rep 1993;108:571–581.

    PubMed Central  PubMed  CAS  Google Scholar 

  15. National Center for Health Statistics. Decreasing hospital use for HIV. Health E-Stats. Available at: http://www.cdc.gov/nchs/products/pubs/pubd/hestats/hivchart.htm. Accessed March 29, 2002.

    Google Scholar 

  16. National Center for Health Statistics. Longer hospital stays for childbirth. Health E-Stats. Available at: http://www.cdc.gov/nchs/products/pubs/pubd/hestats/birthchart.htm. Accessed March 29, 2002.

    Google Scholar 

  17. Salive M, Guralnik J, Brock D. Preventive services for breast and cervical cancer in U.S. office-based practices. Prev Med 1996;25:561–568.

    Article  PubMed  CAS  Google Scholar 

  18. Thorndike A, Rigotti N, Stafford R, Singer D. National patterns in the treatment of smokers by physicians. JAMA 1998;279:604–608.

    Article  PubMed  CAS  Google Scholar 

  19. Aparasu R, Fliginger S. Inappropriate medication prescribing for the elderly by office-based physicians. Ann Pharmacother 1997;31:823–829.

    PubMed  CAS  Google Scholar 

  20. Burt C, Arispe I. Emergency department visits for medical misadventure. Poster session at the Academy for Health Services Research and Health Policy Annual Meeting, Los Angeles, CA, June 25–27, 2000.

    Google Scholar 

  21. Franks P, Clancy C. Referrals of adult patients from primary care: demographic disparities and their relationship to HMO insurance. J Earn Pract 1997;45:47–53.

    CAS  Google Scholar 

  22. Burt C, Overpeck M. Emergency visits for sports-related injuries. Ann Emerg Med 2001;37:301–308.

    Article  PubMed  CAS  Google Scholar 

  23. Castle NG, Shea DG. Mental health services and the mortality of nursing home residents. J Aging Health 1997;9:498–513.

    Article  PubMed  CAS  Google Scholar 

  24. Beck-Sague C, Banergee S, Jarvis WR. Infectious diseases and mortality among US nursing home residents. Am J Public Health 1993;83:1739–1742.

    Article  PubMed Central  PubMed  CAS  Google Scholar 

  25. Bishop CE. Where are the missing elders? The decline in nursing home use, 1985 and 1995. Health Aff (Millwood) 1999;18:146–155.

    Article  CAS  Google Scholar 

  26. Health, United States, 2001 with Urban and Rural Health Chartbook. Hyattsville, MD: US Department of Health and Human Services; 2001, 289.

    Google Scholar 

  27. Mannino D, Homa D, Pertowski C, et al. Surveillance for asthma—United States, 1960–1995. Mor Mortal Wkly Rep CDC Surveill Summ 1998;47:1–27.

    CAS  Google Scholar 

  28. Impact of arthritis and other rheumatic conditions on the health-care system—United States, 1997. MMWR Morb Mortal Wkly Rep 1999;48:349–353.

    Google Scholar 

  29. World Health Organization. International Statistical Classification of Diseases and Related Health Problems, 10th Revision, Volume 2. Geneva: World Health Organization; 1993.

    Google Scholar 

  30. Demlo L. Campbell P. Improving hospital discharge data: lessons from the National Hospital Discharge Survey. Med Care 1981;19:1030–1040.

    Article  PubMed  CAS  Google Scholar 

  31. Hsia D, Krushat WM, Fagan A, Tebbutt J, Kusserow R. Accuracy of diagnostic coding for Medicare patients under the prospective-payment system. New Engl J Med 1988;318:352–355.

    Article  PubMed  CAS  Google Scholar 

  32. McCarthy E, Iezzoni L, Davis R, et al Does clinical evidence support ICD-9-CM diagnosis coding of complications? Med Care 2000;38:868–876.

    Article  PubMed  CAS  Google Scholar 

  33. Madans J. The measurement of health status in the United States. In Proceedings of the Symposium on Health and Mortality, November 1997, Brussels, Belgium, 19–22. Available at: http://www.un.org/esa/population/pubsarchive/healthmort/c.pdf.

  34. Collins JG. Prevalence of selected chronic conditions: United States, 1990–1992. Vital Health Stat 10 1997;(194):1–89.

    Google Scholar 

  35. Collins JG. Prevalence of selected chronic conditions: United States, 1993–1995. National Center for Health Statistics. Vital Health Stat 10 2001;Forthcoming.

    Google Scholar 

  36. Adams PF, Hendershot GE, Marano MA. Current estimates from the National Health Interview Survey, 1996. National Center for Health Statistics. Vital Health Stat 10 (200) 1999(212 pg).

    Google Scholar 

  37. Benson V, Marano MS. Current estimates from the National Health Interview Survey, 1995. National Center for Health Statistics. Vital Health Stat 10 (199) 1998.

    Google Scholar 

  38. Hing E, Bloom B. Long-term care for the functionally dependent elderly. National Center for Health Statistics. Vital Health Stat 13 (104) 1990.

    Google Scholar 

  39. Schenker N, Gentleman JF, Rose D, Hing E, Shimizu I. Combining Estimates from Complementary Surveys: A Case Study Using Prevalence Estimates from National Health Surveys of Households and Nursing Homes. To appear in Public Health Reports, 2002, Vol. 117.

    Google Scholar 

  40. National Cancer Institute of Canada. Canadian Cancer Statistics 1995. Toronto, Canada: National Cancer Institute of Canada; 1995.

    Google Scholar 

  41. US Department of Health and Human Services. National Center for Health Statistics Staff Manual on Confidentiality. Hyattsville, MD: US Department of Health and Human Services; 1997.

    Google Scholar 

  42. Dorn-Havlik S, Mulrow J, White G. Final Report. NCHS Activity 2: CAPI Benchmarking. Washington, D.C.: Ernst & Young, LLP; 2000.

    Google Scholar 

  43. Couper MP, Baker RP, Bethlehem J, et al. Computer Assisted Survey Information Collection. New York: Wiley; 1998.

    Google Scholar 

  44. Taylor H. Does Internet research work? Comparing online survey results with telephone survey. International Journal of Market Research 2000;42:51–63

    Google Scholar 

  45. Webster’s New Universal Unabridged Dictionary, Second Edition. New York: Simon and Schuster; 1983.

    Google Scholar 

  46. Dillman DA. Mail and other self-administered surveys in the 21st century: the beginning of a new era. Available at: http://survey.sesrc.wsu.edu/dillman/. Accessed March 29, 2002.

    Google Scholar 

  47. Dillman DA. Mail and Telephone Surveys: The Total Design Method. New York: Wiley; 1978.

    Google Scholar 

  48. Dillman DA, Bowker DK. The Web questionnaire challenge to survey methodologists. Available at: http://survey.sesrc.wsu.edu/dillman/. Accessed March 29, 2002.

    Google Scholar 

  49. Turner CF, Ku L, Sonenstein FL, Pleck JH. Impact of ACASI on reporting of male-male sexual contacts: Preliminary results from the 1995 National Survey of Adolescent Males. In: Warnecke R, ed. Proceedings of the Conference on Health Survey Research Methods. Breckenridge, Colorado; 1995. Proceedings available at: http://www.cdc.gov/nchs/data/proceed.pdf. Accessed March 29, 2002.

    Google Scholar 

  50. Mulrow J, White G. Final Report. NCHS Activity I: Gain a Clear Understanding of Division of Health Care Statistics Current Process, Needs, and Requirements. Washington, DC: Ernst & Young, LLP; 1999.

    Google Scholar 

  51. Abdelhak M, Grostick S, Hanken M, Jacobs E. Health Information: Management of a Strategic Resource. Philadelphia: WB Saunders Company; 1996.

    Google Scholar 

  52. National Committee on Vital and Health Statistics. Report to the Secretary of the U.S. Department of Health and Human Services on Uniform Data Standards for Patient Medical Record Information. Washington, DC: National Committee on Vital and Health Statistics; 2000.

    Google Scholar 

Download references

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2003 Springer-Verlag New York, Inc.

About this chapter

Cite this chapter

Demlo, L.K., Gentleman, J.F. (2003). Morbidity Data. In: O’Carroll, P.W., Ripp, L.H., Yasnoff, W.A., Ward, M.E., Martin, E.L. (eds) Public Health Informatics and Information Systems. Health Informatics. Springer, New York, NY. https://doi.org/10.1007/0-387-22745-8_15

Download citation

  • DOI: https://doi.org/10.1007/0-387-22745-8_15

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4419-3018-7

  • Online ISBN: 978-0-387-22745-0

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics