Medical economics survey-methods study: Cost-effectiveness of alternative survey strategies

Richard Yaffe, Sam Shapiro, Robert R. Fuchsberg, Charles A Rohde, Helen C. Corpeño

Research output: Contribution to journalArticle

Abstract

The Medical Economics Survey-Methods Study was conducted under contract for the National Center for Health Statistics during 1975-76. The objective was to determine the cost-effectiveness of a variety of strategies under consideration for application in a national survey in 1977. Detailed data on health care utilization and expsnditures were collected periodically from a panel of 691 Maryland households over a seven-month period. Issues tested through a random experimental design included the relative effectiveness of monthly versus bimonthly interviews and in-person versus telephone contact. Completeness and accuracy of information were determined through an extensive record check involving all providers and third party payers identified in the household survey. The results indicate that there are substantial deficiencies in the household reporting and that the household data for all types of medical services would benefit from the availability of record data in order to improve their accuracy. The frequency of contact (monthly versus bimonthly) had little effect on the accuracy of reporting. Given the higher rate of attrition observed for the monthly procedures and their considerably greater cost, the bimonthly interval appears to offer advantages. In-person contact resulted in significantly better reporting compared with telephone contact in the Baltimore area, but no difference was found in more rural Washington County. Thus, the 10 per cent cost increase for in-person contact may well be justified by the improved accuracy of the data obtained for certain types of populations.

Original languageEnglish (US)
Pages (from-to)641-659
Number of pages19
JournalMedical Care
Volume16
Issue number8
StatePublished - 1978

Fingerprint

Medical Economics
Cost-Benefit Analysis
contact
costs
Telephone
economics
Research Design
Patient Acceptance of Health Care
telephone
human being
National Center for Health Statistics (U.S.)
Health Insurance Reimbursement
Costs and Cost Analysis
Baltimore
health statistics
Contracts
medical services
household survey
Interviews
utilization

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Nursing(all)
  • Health(social science)
  • Health Professions(all)

Cite this

Yaffe, R., Shapiro, S., Fuchsberg, R. R., Rohde, C. A., & Corpeño, H. C. (1978). Medical economics survey-methods study: Cost-effectiveness of alternative survey strategies. Medical Care, 16(8), 641-659.

Medical economics survey-methods study : Cost-effectiveness of alternative survey strategies. / Yaffe, Richard; Shapiro, Sam; Fuchsberg, Robert R.; Rohde, Charles A; Corpeño, Helen C.

In: Medical Care, Vol. 16, No. 8, 1978, p. 641-659.

Research output: Contribution to journalArticle

Yaffe, R, Shapiro, S, Fuchsberg, RR, Rohde, CA & Corpeño, HC 1978, 'Medical economics survey-methods study: Cost-effectiveness of alternative survey strategies', Medical Care, vol. 16, no. 8, pp. 641-659.
Yaffe, Richard ; Shapiro, Sam ; Fuchsberg, Robert R. ; Rohde, Charles A ; Corpeño, Helen C. / Medical economics survey-methods study : Cost-effectiveness of alternative survey strategies. In: Medical Care. 1978 ; Vol. 16, No. 8. pp. 641-659.
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