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1996 Nursing Home Component Questionnaires

The MEPS-NHC data collection instrument (used in the nursing home) comprises 12 computer-assisted personal interview (CAPI) questionnaires. Data were collected from community sources (via telephone) using a CAPI questionnaire. A minor amount of data was collected from nursing home sources with paper questionnaires.

For general NHC questionnaire information, go to the summary of data collection activities (PDF, 10 KB), the detailed discussion of the NHC data collection instrument, and the list of the acronyms and terms used in the NHC questionnaires.

The NHC questionnaires are available as PDF files (excluding the paper instrument used to obtain names and addresses of potential community respondents).

Note: The MEPS-NHC was conducted in 1996 only; there are no plans to conduct it again. Go to the National Center for Health Statistics (NCHS) for information on the NCHS National Nursing Home Survey (NNHS), a continuing series of national sample surveys of nursing homes, their residents, and their staff that have been conducted in 1973–74, 1977, 1985, 1995, 1997, and 1999.

Person Characteristics Questionnaires (from nursing home sources)
Facility Background and Health Insurance Questionnaires (PDF, 74 KB)
Health Status Questionnaire (PDF, 886 KB)
Facility Residence History Questionnaire (PDF, 179KB)
Prescribed Medicines Questionnaire (PDF, 70 KB)
Expenditures Questionnaire (PDF, 184 KB)
Use of Services Questionnaire (PDF, 470 KB)
Person-Level Navigation Specifications (PDF, 56 KB)

Person Characteristics Questionnaires (from community sources)
Community Questionnaire (PDF, 335 KB)

Facility Characteristics Questionnaires (from sampled facility sources)
Facility-Level Questionnaire Round 1 (PDF, 390 KB)
Sampled Facility Questionnaire Round 2 (PDF, 334 KB)
Sampled Facility Questionnaire Round 3 (PDF, 264 KB)

Facility Characteristics Questionnaires (from new facility sources)
New Facility Questionnaire Round 2 (PDF, 227 KB)
New Facility and Continuing New Facility Questionnaire, Round 3 (PDF, 289 KB)

For more detailed information on the MEPS-NHC data collection instrument, go to Methodology Report #3: Design and Methods of the 1996 Medical Expenditure Panel Survey Nursing Home Component.

To obtain a free diskette of the MEPS-NHC questionnaire for Round 1, contact the AHRQ Publications Clearinghouse and specify AHCPR Pub. No. 97-DP03.

Because of confidentiality concerns, data collected from the 1996 MEPS-NHC questionnaire are only available at the AHRQ Data Center.


 
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