385:, source of coverage and premium payment, as well as some questions about the plan holder's satisfaction with the plan. Although this file can be merged with both person-level files (on DUPERSID) and the Jobs files (on JOBSIDX), this file contains one record per person, per plan, per interview and therefore does not easily condense into one-to-one merges. As an analytic shortcut, data users might simply limit this data set to each unique person-plan's first interview record of the year; the first interview number (RN) available for each distinct establishment identifier and policyholder identifier combination (ESTBIDX + PHLDRIDX).
412:(NDC) identifier, the drug name, and the Multum Lexicon category. Prescribed medical events may be more difficult to analyze, since the strength of the drug and quantity purchased may vary, despite two separate prescription-events being the same chemical substance. Prescribed medical events may also be more difficult to analyze, since, unlike other recorded medical events, a pharmacy encounter does not guarantee that the medication has been administered (i.e. that the patient stuck to his or her drug regiment). This file should be thought of as containing one record per
454:-specific information including the date of and reason for the visit, the types of services received, and any procedures(s) undertaken during the visit. Since many E.R. visits continue into Inpatient Hospital admissions, the spending incurred during any E.R. visit resulting in an Inpatient Hospital Admission gets transferred to the Hospital Inpatient Stays event file (identifiable using the ERHEVIDX variable) and the medical expenditure cannot be divided out between pre- and post-admission.
403:
joined with the person-level files in a many-to-one match (on DUPERSID), where an individual with zero medical events during the calendar year would generate zero matches, but an individual with two doctor visits and a dental visit would generate three matches across all of the event files. The event-level files can also be joined with the condition files (on CONDIDX) to determine what medical expenditure can be associated with particular conditions. The eight files include:
333:
interview rounds over the two-year panel, data from interview rounds 1, 2, and 3 are included for individuals in their first of two years, and data from interview rounds 3, 4, and 5 are included for individuals in their second of two years. These single-year consolidated datafiles can be thought of as the first half of one two-year panel survey stacked on top of the second half of another two-year panel survey.
132:
350:
offers of employer-sponsored insurance, sick day availability, etc.). This file can be merged with the full-year *person-level file (on DUPERSID), with one match per unique job an individual held during the calendar year. It can also be merged with the Person Round Plan file, matching (on JOBSIDX) wherever a private health insurance plan was obtained through a place of employment.
66:
25:
261:(AHRQ) in three components: the core Household Component, the Insurance/Employer Component, and the Medical Provider Component. Only the Household Component is available for download on the Internet. These components provide comprehensive national estimates of health care use and payment by individuals, families, and any other demographic group of interested
500:'s two year panel. These individuals are then followed with five in-person interviews (rounds) over the course of two years during which a complete demographic profile is collected, all medical encounters are documented, and patient-reported subjective questions regarding topics like satisfaction with care are obtained.
340:
The
Medical Conditions files (released annually in November) – The medical condition-level file, which can be linked to both the person-level files and the event-level files. Unlike the medical event-level files, which describe a solitary encounter with the U.S. healthcare system, records within the
272:
MEPS was modeled after the
National Medical Expenditure Survey (NMES) and the National Medical Care Utilization and Expenditure Survey (NMCUES), which were conducted in 1977 (NMES-1), 1980 (NMCUES), and 1987 (NMES-2). Each of these surveys was tasked with providing data on a representative sample of
495:
Noninstitutionalized civilian
Americans (both citizens and non-citizens) are sampled at the household, allowing for analyses of medical behavior at the family-level as well as the individual-level. Each year, households containing a total of approximately 15,000 individuals are sub-sampled from the
353:
The Person Round Plan (PRPL) files (released annually in
October) – This health insurance plan by interview date file contains information about each private insurance plan covering each individual surveyed, with one record per interview date (three annually). Private health insurance plans include
345:
code, Clinical
Classification Code, and describe only one ailment (illness or injury). In order to view all medical events during the calendar year associated with a particular condition, a many-to-one join can be executed between this file and zero, one, or more of the event-level files' records
461:
The Office-based Visits files (released annually in
September) – This file captures each office-based encounter of all sampled individuals. This file contains all necessary descriptive information about visits to Primary Care Physicians, specialist physicians, and non-physician medical providers
457:
The
Outpatient Visits files (released annually in September) – This file contains information about each visit to an outpatient hospital setting, including type of test or treatment being provided, whether or not a physician was seen (and if so what specialty), and what condition or diagnosis the
388:
The
Longitudinal Weight files (released annually in December) – This person-level file mirrors the main Consolidated files in terms of contents, except that it contains survey responses for all five rounds and therefore contains half as many observations. The two-year, five-interview survey data
349:
The Jobs files (released annually in May) – The jobs-level data file contains information about each job that each MEPS-HC survey respondent held over the course of the calendar year, including wages, hours, industry, and occupation, as well as various healthcare-related survey questions (such as
402:
codes to describe and categorize the type of medical encounter experienced by the surveyed individual. The event-level files also contain the breakdown of spending by payor associated with the event and a date (or start and end dates) that the event took place. Each of these event files can be
465:
The Home Health Visits files (released annually in August) – This file contains one record for each time that a certified home health medical practitioner visits a sampled individual. In addition to the standard event file variables, this file contains information about the home health medical
407:
The
Prescribed Medicines files (released annually in October) – This file contains one household-reported prescribed medicine purchase during the calendar year. Prescription purchases are then verified by the prescribing pharmacy. In addition to the expenditure information, this file contains
332:
The Full-Year
Consolidated Data files (released annually in November) – The main person-level file of the Household Component data set, which includes all demographic and medical characteristics, as well as patient-reported responses to the main survey questions. Since the survey involves five
319:
The current publicly available Medical Expenditure Panel Survey – Household Component data set consists of six files which describe the demographics and characteristics of the survey population and eight event-level files which capture all interactions with the U.S. medical system.
336:
The Full-Year Population Characteristics files (released annually in May) – A skeleton version of the person-level consolidated file, which gets released six months before the Consolidated file of the same year but does not include any income or medical expenditure
426:
The Other Medical Expenses files (released annually in August) – This file contains one record for each medical expense that does not fit into any of the other event type categories. The events and expenditures captured in this file are overwhelmingly recorded as
310:
The MEPSnet Query Tools interactive table builder allows non-statisticians to select a data year and medical variable(s) of interest, and produce descriptive statistics and crosstabulations of Household Component and Insurance Component data from the AHRQ website.
302:. AHRQ continually produces chartbooks, statistical briefs, and fact sheets using MEPS data which shed light on these various facets of how the American healthcare system functions, what patients experience, how they behave, and who pays for the cost of care.
462:(such as Nurse Practitioners and Physical Therapists) that occurred outside of a hospital setting. In addition to the general event visit information, this file includes certain details about any preventive services, tests, and vaccinations received.
442:
The Hospital Inpatient Stays files (released annually in October) – This file contains hospitalization-specific information including the date of and reason for the stay, the types of services received, and any procedure(s) undertaken during the
250:(MEPS) is a family of surveys intended to provide nationally representative estimates of health expenditure, utilization, payment sources, health status, and health insurance coverage among the noninstitutionalized, nonmilitary population of the
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466:
provider's credentials and skills, the length of the visit, and the type(s) of care received. This file includes medical visits by hospice providers, which are generally paid for home-based care through the Medicare Hospice benefit.
346:(on CONDIDX). The medical condition records in this file can also be merged with a many-to-one join to the person-level files (on DUPERSID), where each person may have zero, one, or multiple matching condition records.
423:
visit during the calendar year. It includes dental-specific information such as the type of provider seen, if the visit was due to an accident, reason for the dental event, and any medication was prescribed.
503:
MEPS employs a complex survey sample design in order to oversample certain population groups of interest; this survey design must be accounted for (using either the Taylor Series Linearization method or the
277:
panel. MEPS is generally considered the direct descendant of these surveys, and prestigious peer-reviewed journals commonly publish articles that examine trends calculated between MEPS and its predecessors.
273:
Americans' interaction with the medical care system. Although the NMES and NMCUES were sampled independently from the U.S. population, each new MEPS sample is drawn from the outgoing
286:
The Medical Expenditure Panel Survey can be used for a wide range of topics related to the U.S. healthcare system, including Access to Care, Children's Health, Chronic Conditions,
398:
The eight event-level files generally contain one record per event, and contain various information pertaining to the specific type of event. Each record contains one or more
389:
aggregated into this file is designed to be representative of two years' worth of medical behavior of the U.S. noninstitutionalized population over the period specified.
38:
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The Medical Expenditure Panel Survey is commonly the subject of analysis in articles on health policy and health services in research journals such as
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254:. This series of government-produced data sets can be used to examine how individuals interact with the medical care system in the United States.
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1138:""Medical Expenditure Panel Survey" AND (JAMA OR "Health Affairs" OR NEJM OR "Health Services Research") – Google Scholar"
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The Dental Visits files (released annually in August) – The file contains one record for each
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Olfson, M.; Marcus, S. C.; Druss, B.; Elinson, L.; Tanielian, T.; Pincus, H. A. (2002).
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The Emergency Room Visits files (released annually in September) – This file contains
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1187:"Medical Expenditure Panel Survey Computing Standard Errors for MEPS Estimates"
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Druss, B. G.; Marcus, S. C.; Olfson, M.; Tanielian, T.; Pincus, H. A. (2003).
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439:(such as Orthopedic items, Prostheses, Hearing Devices) also included.
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615:"Trends in Care by Nonphysician Clinicians in the United States"
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656:"National Trends in the Outpatient Treatment of Depression"
944:"Medical Expenditure Panel Survey Public Use File Details"
771:"Medical Expenditure Panel Survey Public Use File Details"
746:"Medical Expenditure Panel Survey Public Use File Details"
1043:"MEPS HC-110G: 2007 Office-Based Medical Provider Visits"
550:"Summary of the Medical Expenditure Panel Survey (MEPS)"
508:
method) to appropriately calculate the standard errors.
83:
721:"Medical Expenditure Panel Survey Download Data Files"
845:"MEPS HC-111: 2007 Person Round Plan Public Use File"
94:, and by adding encyclopedic content written from a
870:"MEPS HC-114: MEPS Panel 11 Longitudinal Data File"
1018:"MEPS HC-110F: 2007 Outpatient Department Visits"
408:characteristics of the medication, such as the
969:"MEPS HC-110D: 2007 Hospital Inpatient Stays"
8:
341:Medical Conditions files contain a distinct
53:Learn how and when to remove these messages
993:"MEPS HC-110E: 2007 Emergency Room Visits"
259:Agency for Healthcare Research and Quality
895:"MEPS HC-110A: 2007 Prescribed Medicines"
696:"Medical Expenditure Panel Survey Topics"
671:
630:
234:Learn how and when to remove this message
216:Learn how and when to remove this message
114:Learn how and when to remove this message
1068:"MEPS HC-110H: 2007 Home Health Visits"
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294:, Prescription Drugs, Individuals with
1122:: CS1 maint: archived copy as title (
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796:"MEPS HC-112: 2007 Medical Conditions"
598:: CS1 maint: archived copy as title (
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152:Please improve this article by adding
75:contains content that is written like
7:
483:, Health Services Research, and the
324:Household Component Full-Year Files
920:"MEPS HC-110B: 2007 Dental Visits"
165:"Medical Expenditure Panel Survey"
14:
1230:Demographics of the United States
1213:Medical Expenditure Panel Survey
328:The six full-year files include:
34:This article has multiple issues.
498:National Health Interview Survey
275:National Health Interview Survey
248:Medical Expenditure Panel Survey
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1240:Healthcare in the United States
619:New England Journal of Medicine
485:New England Journal of Medicine
394:Household Component Event Files
42:or discuss these issues on the
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820:"HC-108: MEPS 2007 Jobs File"
506:Balanced repeated replication
154:secondary or tertiary sources
257:MEPS is administered by the
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437:Durable Medical Equipment
673:10.1001/jama.287.2.203
290:, Health Disparities,
141:relies excessively on
1235:Quantitative research
458:visit was related to.
96:neutral point of view
632:10.1056/NEJMsa020993
88:promotional content
1142:scholar.google.com
531:. 30 November 2006
410:National Drug Code
376:prescription drugs
306:Data accessibility
90:and inappropriate
383:insurance premium
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491:Methodology
1224:Categories
1197:2010-05-22
1172:2017-07-07
1109:2010-05-22
1078:2017-07-07
1053:2017-07-07
1028:2017-07-07
1003:2017-07-07
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535:2017-07-07
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