Appendix: Creating an Awareness Index & Survey Questionnaire
|
|
- Myra Harris
- 7 years ago
- Views:
Transcription
1 Benz JK, Espinosa O, Welsh V, Fontes A. Awareness of racial and ethnic health disparities has improved only modestly over a decade. Health Aff (Millwood). 2011;30(10). Appendix: Creating an Awareness Index & Survey Questionnaire The Awareness Index Although individual questions from the survey reliably measure specific aspects of the respondents awareness of health care and health status disparities, a single measure (index) that summarizes this awareness is useful both in identifying the determinants of such perceptions and in reporting study results to a broad audience. The goal of creating such an index is to reliably report a valid measure of awareness in a simple, easy-to-understand manner. One method, which has been used previously to report results of the 1999 KFF study, is to calculate the average number of respondents who report awareness of disparities on a select group of health related concepts (health insurance, infant mortality, and life expectancy). Once the mean awareness level of each of the individual concepts is calculated, those means are averaged to calculate a grand mean of the awareness of health disparities among sample respondents. Although this method produces a single number that reflects awareness, it does not create a measure that validly reflects the proportion of the sample population who is aware of health disparities; rather, it is a measure of the number of times awareness of each of the individual health related concepts was indicated. Exhibit A1 presents this calculation method in detail.
2 Exhibit A1: Calculation of the Grand Average Metric African Americans Worse Off than Whites in Terms of Getting Health Insurance African Americans Worse Off than Whites in Terms of Infant Mortality African Americans Worse Off than Whites in Terms of Life Expectancy Hispanics/Latinos Worse Off than Whites in Terms of Getting Health Insurance Aware / Sample (yes/n)= (yes/n)= (yes/n)= (yes/n)= Item Mean 63% 39% 46% 62% Total Aware / Total Sample (yes + yes + yes + yes) / (N + N + N + N) Grand Mean 52.5% This grand mean reflects the total number of survey items for which awareness was indicated. It is a metric of items, not of people and therefore cannot be used to indicate the proportion of the sample population who is aware of health disparities. In order to report the percentage of the population who is (or is not) aware of health disparities using multiple items, a metric must be defined for each individual in the sample population. While there are many ways to define such a metric, the most straightforward, yet statistically valid, is to create an index using statistical factor analysis. This method evaluates the correlation between items and calculates a loading structure to reduce the items, in this case, to one, with a minimal loss of information. Such an index measuring awareness of health disparities from the survey questionnaire was developed for this study. First, the appropriate survey items were identified. Items needed to be comparative in nature (comparing one racial and ethnic group to another), and to show some level of statistical cohesion. Because calculating a general measure of perceptions and misperceptions was of interest, the measure included eight survey items related to African American and White comparisons, eight items related to Hispanic/Latino and White comparisons, and eight items related to Asian American/Pacific Islander and White comparisons for a total of 24 items. Although the 2010 survey collected data on the awareness of disparities between Asian Americans/Pacific Islanders and Whites, the 1999 survey did not. These items are therefore excluded in the calculation of the disparity measure when making comparisons between 1999 and Exhibit A2 presents the survey items used in the awareness measure.
3 Exhibit A2: Survey Items Used in the Measure of Awareness Question Text Each question was asked for African Americans, Hispanics/Latinos, and Asian Americans/Pacific Islanders. Do you think the average (racial and ethnic minority group) is better off, just as well off, or worse off than the average White person in terms of getting needed health care? Do you think the average (racial and ethnic minority group) is better off, just as well off, or worse off than the average White person in terms of infant mortality? Do you think the average (racial and ethnic minority group) is better off, just as well off, or worse off than the average White person in terms of life expectancy? When going to a doctor or health clinic for health care services, do you think most (racial and ethnic minority groups) receive a higher quality of care, the same quality of care, or a lower quality of health care than most Whites? Do you think the average (racial and ethnic minority group) is better off, just as well off, or worse off as the average White person in terms of how healthy they are? Do you think the average (racial and ethnic minority group) is better off, just as well off, or worse off as the average White person in terms of getting routine medical care when they need it? Do you think the average (racial and ethnic minority group) is better off, just as well off, or worse off as the average White person in terms of getting specialized care when they need it? Do you think the average (racial and ethnic minority group) is better off, just as well off, or worse off as the average White person in terms of having health insurance? Factor analysis indicated that the 24 items were highly correlated and relatively equal in their contribution to an overall awareness metric. These qualities allow for further simplification of the calculation of the awareness measure by creating an additive index in which respondents are given a 1 for each item where they indicate awareness of a disparity. The item scores (1/0) are then summed to create an awareness score of between 0 (indicating no awareness of disparities in any of the health-related items) and 24 (indicating awareness of disparities in all of the healthrelated items). The distribution of the public sample on this variable is shown in Exhibit A3. Respondents were categorized as aware if they indicated awareness of at least 25 percent (6 of the 24 items) included in the index. Although 25% was chosen for this analysis (based on evaluation of the index distribution and face validity), analysts interested in evaluating total awareness (24 of 24 items) or total unawareness (0 of 24 items) may utilize different breakpoints. This allows reporting, in a simple yet statistically valid manner, of the proportion of the
4 population that is or is not generally aware of disparities in health care and health status based on racial and ethnic identity. Furthermore, this index can be separated into three separate indicators of awareness of disparities for a specific race or ethnicity. For example, the eight items related to African American and White disparities can be isolated and the proportion of the population that is aware of disparities for this specific population can be reported. Exhibit A3: Distribution of Public Sample on Awareness Index
5 The Survey Questionnaire This research will help the federal government s Office of Minority Health better understand peoples opinions about the differences in minority health care. I d like to begin by asking you some questions about your health care and health information. 1. At what type of facility do you usually receive your medical care? Is it a doctor s office, a clinic or health center, an HMO, a hospital emergency room, a hospital outpatient department or some other place? (SELECT ALL THAT APPLY) 1. DOCTOR S OFFICE 2. CLINIC OR HEALTH CENTER 3. HMO 4. HOSPITAL EMERGENCY ROOM 5. HOSPITAL OUTPATIENT DEPARTMENT 6. OTHER (SPECIFY: ) 2. How do you typically learn of general medical information? (SELECT ALL THAT APPLY) a. The Internet b. Newspaper c. Medical Journals d. By talking with my doctor e. Television (news/documentary) f. Radio g. Friends/family h. Other (please explain) i. (Don t know) j. (Refused) 1. YES 2. NO
6 3. In the last year, have you heard or read anything about racial and ethnic disparities in health and health care in America? 1. YES (Specify: ) GO TO Q3_SPECIFY 2. NO GO TO Q4 GO TO Q4 GO TO Q4 Q3_SPECIFY Please briefly describe what you have heard or provide examples. 4A. Have you ever heard of any of the following public health campaigns or read any of the following publications? The US Department of Health and Human Services Healthy People YES 2. NO 4B (Have you ever heard of any of the following public health campaigns or read any of the following publications?) The Agency for Healthcare Research and Quality s National Healthcare Disparities Report 1. YES 2. NO 4C (Have you ever heard of any of the following public health campaigns or read any of the following publications? ) The Institute of Medicine s 2003 report, Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care 1. YES 2. NO
7 4D (Have you ever heard of any of the following public health campaigns or read any of the following publications?) The Office of Minority Health s National Partnership for Action 1. YES 2. NO 4E (Have you ever heard of any of the following public health campaigns or read any of the following publications?) The PBS Documentary: Unnatural Causes: Is Inequality Making Us Sick? 1. YES 2. NO 5. Thinking about people like yourself, is: a. being able to afford the cost of health insurance and necessary medical care; b. having enough doctors and other health providers near where they live; c. having difficulty getting care because of your race or ethnic background a major problem, a minor problem or not a problem? 1. MAJOR PROBLEM 2. MINOR PROBLEM 3. NOT A PROBLEM AT ALL
8 For the next few questions, I would like you to think about African Americans in our country today. Q6A-C. Do you think the average African American is better off, just as well off, or worse off than the average white person in terms of: a. getting needed health care; b. infant mortality that is, a baby s chance of surviving after birth; c. life expectancy that is, how long someone can expect to live? 1. BETTER OFF 2. JUST AS WELL OFF 3. WORSE OFF 7. Do you think the average African American is more likely, just as likely, or less likely to be diagnosed with: a. Acquired Immune Deficiency Syndrome (AIDS) or the HIV virus b. Cancer (including cancer of the stomach, prostate, or bladder) c. Hypertension that is, high blood pressure d. Diabetes as the average white person? 1. MORE LIKELY 2. JUST AS LIKELY 3. LESS LIKELY 8. When going to a doctor or health clinic for health care services, do you think most African Americans receive a higher quality of health care, the same quality of health care, or a lower quality of health care as most whites? 1. HIGHER QUALITY 2. SAME QUALITY 3. LOWER QUALITY
9 9. How big of a problem do you think: a. being able to afford the cost of health insurance and necessary medical care; b. having enough doctors and other health providers near where they live; c. having difficulty getting care because of their race or ethnic background; is for the average African American? Is this a major problem, a minor problem or not a problem at all for the average African American? 1. MAJOR PROBLEM 2. MINOR PROBLEM 3. NOT A PROBLEM AT ALL 10. Do you think the average African American is better off, just as well off, or worse off as the average white person in terms of: a. how healthy they are; b. getting routine medical care when they need it; c. getting specialized treatments or surgery when they need it; d. having health insurance? 1. BETTER OFF 2. JUST AS WELL OFF 3. WORSE OFF
10 Now, thinking about Hispanics or Latinos in our country today. 11. Do you think the average Hispanic/Latino is better off, just as well off, or worse off as the average white person in terms of: a. getting needed health care; b. infant mortality that is, a baby s chance of surviving after birth; c. life expectancy that is, how long someone can expect to live? 1. BETTER OFF 2. JUST AS WELL OFF 3. WORSE OFF 12. Do you think the average Hispanic/Latino is more likely, just as likely, or less likely to be diagnosed with: a. Acquired Immune Deficiency Syndrome (AIDS) or the HIV virus b. Cancer (including cancer of the stomach and liver) c. Hypertension that is, high blood pressure d. Diabetes as the average white person? 1. MORE LIKELY 2. JUST AS LIKELY 3. LESS LIKELY 13. When going to the doctor or health clinic for health care services, do you think most Hispanics/Latinos receive a higher quality of health care, the same quality of health care as whites, or a lower quality of health care as most whites? 1. HIGHER QUALITY 2. SAME QUALITY 3. LOWER QUALITY
11 Q14A How big a problem do you think being able to afford the cost of health insurance and necessary medical care is for the average Hispanic/Latino? Q14B Is this a major problem, a minor problem or not a problem at all for the average Hispanic/Latino? 1. MAJOR PROBLEM 2. MINOR PROBLEM 3. NOT A PROBLEM AT ALL (How big a problem do you think) having enough doctors and other health providers near where they live is for the average Hispanic/Latino? (Is this a major problem, a minor problem or not a problem at all for the average Hispanic/Latino?) 1. MAJOR PROBLEM 2. MINOR PROBLEM 3. NOT A PROBLEM AT ALL Q14C (How big a problem do you think) having difficulty getting care because of their race or ethnic background is for the average Hispanic/Latino? (Is this a major problem, a minor problem or not a problem at all for the average Hispanic/Latino?) 1. MAJOR PROBLEM 2. MINOR PROBLEM 3. NOT A PROBLEM AT ALL
12 15. Do you think the average Hispanic/Latino is better off, just as well off, or worse off as the average white person in terms of: a. how healthy they are; b. getting routine medical care when they need it; c. getting specialized treatments or surgery when they need it; d. having health insurance? 1. BETTER OFF 2. JUST AS WELL OFF 3. WORSE OFF
13 Now, thinking about Asian Americans/ Pacific Islanders in our country today, 16. Do you think the average Asian American/Pacific Islander is better off, just as well off, or worse off as the average white person in terms of: a. getting needed health care; b. infant mortality that is, a baby s chance of surviving after birth; c. life expectancy that is, how long someone can expect to live? 1. BETTER OFF 2. JUST AS WELL OFF 3. WORSE OFF 17. Do you think the average Asian American/Pacific Islander is more likely, just as likely, or less likely to be diagnosed with: a. Acquired Immune Deficiency Syndrome (AIDS) or the HIV virus; b. Cancer (including cancer of the stomach and liver); c. Hypertension that is, high blood pressure; d. Diabetes? as the average white person? 1. MORE LIKELY 2. JUST AS LIKELY 3. LESS LIKELY 18. When going to the doctor or health clinic for health care services, do you think most Asian American/ Pacific Islanders receive a higher quality of health care, the same quality of health care, or a lower quality of health care as most whites? 1. HIGHER QUALITY 2. SAME QUALITY 3. LOWER QUALITY
14 19. How big a problem do you think: a. being able to afford the cost of health insurance and necessary medical care; b. having enough doctors and other health providers near where they live; c. having difficulty getting care because of their race or ethnic background is for the average Asian American/ Pacific Islander; is for the average Asian American/ Pacific Islander? Is this a major problem, a minor problem or not a problem at all for the average Asian American/ Pacific Islander? 1. MAJOR PROBLEM 2. MINOR PROBLEM 3. NOT A PROBLEM AT ALL 20. Do you think the average Asian American/ Pacific Islander is better off, just as well off, or worse off as the average white person in terms of: a. how healthy they are; b. getting routine medical care when they need it; c. getting specialized treatments or surgery when they need it; d. having health insurance? 1. BETTER OFF 2. JUST AS WELL OFF 3. WORSE OFF
15 I have one last set of questions to help us better understand the people who participate in our survey. 21. RESPONDENT S GENDER 1. MALE 2. FEMALE (77) DON'T KNOW 22. Are you currently married, living as married, widowed, divorced, separated, or have you never been married? 1. MARRIED 2. LIVING AS MARRIED 3. WIDOWED 4. DIVORCED 5. SEPARATED 6. NEVER MARRIED 23. What is your age? RECORD NUMBER 24. What is the last year or grade of school you completed? 1. GRADE 8 OR LOWER 2. HIGH SCHOOL INCOMPLETE 3. HIGH SCHOOL DIPLOMA OR EQUIVALENT 4. BUSINESS, TECHNICAL OR VOCATIONAL SCHOOL AFTER HIGH SCHOOL 5. SOME COLLEGE, NO DEGREE 6. TWO-YEAR OR ASSOCIATE S COLLEGE DEGREE 7. FOUR-YEAR COLLEGE DEGREE 8. GRADUATE OR PROFESSIONAL SCHOOL AFTER COLLEGE
16 25. In general, how would you describe your own health? Would you say it is excellent, very good, good, fair or poor? 1. EXCELLENT 2. VERY GOOD 3. GOOD 4. FAIR 5. POOR 26. Are you yourself of Hispanic, Latino or Spanish origin? 1. YES 2. NO 8. (DON T KNOW) 9. (REFUSED) RACE What is your race? 1. White 2. Black or African American 3. Asian American/ Pacific Islander 4. Other RACE_SPC (SPECIFY ) HHADULTS Including yourself, how many adults 18 years of age or older live in this household? ENTER 77 FOR DON'T KNOW AND 99 FOR REFUSED NUMBER OF PEOPLE:
Final Questionnaire. Survey on Disparities in Quality of Health Care: Spring 2001
Final Questionnaire Survey on Disparities in Quality of Health Care: Spring 2001 Prepared by Princeton Survey Research Associates for the Commonwealth Fund 9.19.01 N= 8,290 Adults over 18 Aprox 1,000 Hispanic
More information401(k) PARTICIPANTS AWARENESS AND UNDERSTANDING OF FEES
401(k) PARTICIPANTS AWARENESS AND UNDERSTANDING OF FEES February 2011 401(k) PARTICIPANTS AWARENESS AND UNDERSTANDING OF FEES February 2011 Copyright 2011 AARP Research & Strategic Analysis 601 E Street,
More informationHealth Care Access to Vulnerable Populations
Health Care Access to Vulnerable Populations Closing the Gap: Reducing Racial and Ethnic Disparities in Florida Rosebud L. Foster, ED.D. Access to Health Care The timely use of personal health services
More informationAppendix 1. CAHPS Health Plan Survey 4.0H Adult Questionnaire (Commercial)
Appendix CAHPS Health Plan Survey.0H Adult Questionnaire (Commercial) - HEDIS 0, Volume Appendix CAHPS.0H Adult Questionnaire (Commercial) - CAHPS.0H Adult Questionnaire (Commercial) SURVEY INSTRUCTIONS
More informationDemographic and Background Characteristics
Demographic and Background Characteristics This subsection summarizes background characteristics of respondents. Knowledge Networks has previously compiled a great deal of information on the demographic
More informationInSPIRE Performance Measures Spring 2015
Performance Measure All Grantees 0.01 Number and percentage distribution of eligible participants enrolled in the program, by participant category 0.02 Number and percentage distribution of non-participant
More informationCREDIT CARD / DEBT STRESS STUDY. * = less than 1% - = question not asked/zero respondents Q6. DO YOU (AND YOUR SPOUSE/PARTNER) HAVE ANY CREDIT CARDS?
AP-AOL/ABT SRBI March 24 April 3 2008 Health Poll ; 778 adults with credit cards; 931 adults with debt Margin of error: +-3.1 for all adults; +-3.5 for adults with credit cards; +-3.2 for adults with debt
More informationEstimated Population Responding on Item 25,196,036 2,288,572 3,030,297 5,415,134 4,945,979 5,256,419 4,116,133 Medicare 39.3 (0.2)
Table 3-15. Percent Distribution of Veterans by Type of Health Insurance and Age 35 Years 35-44 Years 2001 National Survey of Veterans (NSV) - March, 2003 - Page 140 45-54 Years 55-64 Years 65-74 Years
More informationPatient Responsibility in Health Care: An AARP Bulletin Survey
Patient Responsibility in Health Care: An AARP Bulletin Survey May 2011 Patient Responsibility in Health Care: An AARP Bulletin Survey Data Collected by SSRS Report Prepared by Teresa A. Keenan, Ph.D.
More informationSummary of 2011 AARP Survey of Virginians 18+: State Health Insurance Exchange Prepared by Jennifer H. Sauer State Research, AARP.
Summary of 2011 AARP Survey of Virginians 18+: State Health Insurance Exchange Prepared by Jennifer H. Sauer State Research, AARP State health insurance exchanges are a provision of the new health law
More informationCultural Competency: HBV Prevention and Control in the Asian American Communities
Cultural Competency: HBV Prevention and Control in the Asian American Communities Samuel So, MD 苏 启 深 教 授 Asian health activist Asian Liver Center Lui Hac Minh Professor of Surgery Stanford University
More informationTotal Males Females 34.4 36.7 (0.4) 12.7 17.5 (1.6) Didn't believe entitled or eligible 13.0 (0.3) Did not know how to apply for benefits 3.4 (0.
2001 National Survey of Veterans (NSV) - March, 2003 - Page 413 Table 7-10. Percent Distribution of Veterans by Reasons Veterans Don't Have VA Life Insurance and Gender Males Females Not Applicable 3,400,423
More informationThe AP-Viacom Survey of Youth on Education March, 2011
The AP-Viacom Survey of Youth on Education March, 2011 By Stanford University Conducted by GfK Roper Public Affairs & Corporate Communications A telephone survey of the American young adult population
More informationThe Health Insurance Marketplace in Iowa: The consumer perspective
The Health Insurance in Iowa: The consumer perspective Final report to the Iowa Dept. of Public Health Peter Damiano* Suzanne Bentler* Daniel Shane* University of Iowa Public Policy Center* and College
More information[Class Survey for Statistics/Sociology/CSSS 221]
[Class Survey for Statistics/Sociology/CSSS 221] You are invited to answer a brief survey of 21 questions for an undergraduate statistics course. I will not ask for or record your name, and your responses
More informationAnnual Report of Life Insurance Examinations Calendar Year 2010
Annual Report of Life Insurance Examinations Calendar Year 2010 OVERVIEW This report was prepared according to the provisions of section 626.2415, Florida Statutes, and is published annually using data
More informationBy: Latarsha Chisholm, MSW, Ph.D. Department of Health Management & Informatics University of Central Florida
By: Latarsha Chisholm, MSW, Ph.D. Department of Health Management & Informatics University of Central Florida Health Disparities Health disparities refers to population-specific differences in the presence
More information2015 Arkansas Driver s Survey 42 questions July 7, 2015
2015 Arkansas Driver s Survey 42 questions July 7, 2015 Hello, my name is from the University of Arkansas at Little Rock. We are doing a short survey asking Arkansans about their driving practices. We
More informationConnecticut Diabetes Statistics
Connecticut Diabetes Statistics What is Diabetes? State Public Health Actions (1305, SHAPE) Grant March 2015 Page 1 of 16 Diabetes is a disease in which blood glucose levels are above normal. Blood glucose
More informationSurvey of Clinical Trial Awareness and Attitudes
Survey of Clinical Trial Awareness and Attitudes Purpose of the Study Over $2 billion per year is spent on recruiting patients for clinical trials, yet slow patient enrollment is the primary cause of delay
More informationUNSOM Health Policy Report
Registered Nurse Workforce in Findings from the 2013 National Workforce Survey of Registered Nurses May 2014 Tabor Griswold, PhD, Laima Etchegoyhen, MPH, and John Packham, PhD Overview Registered Nurse
More informationMichigan Department of Community Health
Michigan Department of Community Health January 2007 INTRODUCTION The Michigan Department of Community Health (MDCH) asked Public Sector Consultants Inc. (PSC) to conduct a survey of licensed dental hygienists
More informationHow To Answer A Test For A Welfare Check (For Seniors)
Start Making the Most of Your Money! Answer 23 simple questions and you will get a personal report with tips on money management and budgeting, staying healthy, and protecting your financial information.
More informationCAHPS Hospice Survey
CAHPS Hospice Survey Telephone Script (English) Overview This telephone interview script is provided to assist interviewers while attempting to reach the caregiver of the sampled decedent. The script explains
More informationHealth Insurance Survey
Toplines The Kaiser Family Foundation Health Insurance Survey October 2004 Methodology The Kaiser Family Foundation Health Insurance Survey was designed and analyzed by researchers at the Kaiser Family
More information2010 SURVEY OF 18+ REGISTERED VOTERS IN WASHINGTON ABOUT STATE SERVICES AND THE STATE BUDGET SURVEY-IN-BRIEF
2010 SURVEY OF 18+ REGISTERED VOTERS IN WASHINGTON ABOUT STATE SERVICES AND THE STATE BUDGET AARP s Washington State Office commissioned this survey to explore the views of its 18+ registered voters about
More informationHow To Write A File In A Wordpress Program
PAW V2.1.0 Client Import Specification Description: The Client Import Specification is a guide for importing Intake data into PAW from external data sources. For each element, it lists the expected data
More informationSAMPLE EVALUATION INSTRUMENTS
1 SAMPLE EVALUATION INSTRUMENTS This section contains samples of evaluation instruments that can be generated for each evaluation option. Note that the type of the instrument generated depends on the evaluation
More informationAppendix 1. CAHPS Health Plan Survey 5.0H Adult Questionnaire (Commercial)
Appendix 1 CAHPS Health Plan Survey 5.0H Adult Questionnaire (Commercial) 1-2 Appendix 1 CAHPS 5.0H Adult Questionnaire (Commercial) 1-3 CAHPS 5.0H Adult Questionnaire (Commercial) SURVEY INSTRUCTIONS
More informationCAHPS Clinician & Group Surveys
CAHPS Clinician & Group Surveys Version: -Month Survey.0 Population: Child Language: English Response Scale: points tes References to this provider rather than this doctor: This survey uses this provider
More informationMedicare Advantage National Senior Survey 600 Senior Registered Voters in the Medicare Advantage Program February 24-28, 2015
Medicare Advantage National Senior Survey 600 Senior Registered Voters in the Medicare Advantage Program February 24-28, 2015 1. In what year were you born? 1. Before 1950 (CONTINUE TO QUESTION 2) 100
More informationwere weighted to correct for variance in the likelihood of selection for a given case and to balance the sample to
The following data come from two surveys. The first dataset comes from a representative survey of 656 human resources professionals (employers) from the Philadelphia, Los Angeles, Detroit and El Paso-Las
More informationCERTIFIED NURSING ASSISTANT PROGRAM
P.O. Box 2000 709 S. Old Missouri Rd. Springdale, AR 72765-2000 (479) 751-8824 Ext 116 (479) 750-7272 (FAX) www.nwti.edu CERTIFIED NURSING ASSISTANT PROGRAM APPLICATION PROCESS CNA Application ($10.00
More informationTopline Results New Mexico Hispanic ACA and Health Survey
Topline Results New Mexico Hispanic ACA and Health Survey Implemented by: August, 2015 MAIN QUESTIONNAIRE 1) How much would you say you know about the Affordable Care Act, sometimes called Obamacare, that
More informationARE FLORIDA'S CHILDREN BORN HEALTHY AND DO THEY HAVE HEALTH INSURANCE?
infant mortality rate per 1,000 live births ARE FLORIDA'S CHILDREN BORN HEALTHY AND DO THEY HAVE HEALTH INSURANCE? Too Many of Florida's Babies Die at Birth, Particularly African American Infants In the
More informationEffect of Anxiety or Depression on Cancer Screening among Hispanic Immigrants
Racial and Ethnic Disparities: Keeping Current Seminar Series Mental Health, Acculturation and Cancer Screening among Hispanics Wednesday, June 2nd from 12:00 1:00 pm Trustees Conference Room (Bulfinch
More informationRacial and Ethnic Disparities in Women s Health Coverage and Access To Care Findings from the 2001 Kaiser Women s Health Survey
March 2004 Racial and Ethnic Disparities in Women s Health Coverage and Access To Care Findings from the 2001 Kaiser Women s Health Survey Attention to racial and ethnic differences in health status and
More informationPATIENT INFORMATION INTAKE F O R M BESSMER CHIROPRACTIC P. C.
PATIENT INFORMATION INTAKE F O R M BESSMER CHIROPRACTIC P. C. Date today: _ PERSONAL INFORMATION Full Name: SS#: Address: City: State: Home Phone: Cell Phone: W o r k Phone: Email: Birthdate: Age: Sex:
More informationDANVILLE-PITTSYLVANIA COMMUNITY SERVICES 245 HAIRSTON STREET DANVILLE, VIRGINIA 24540 434-799-0456
APPLICATION FOR EMPLOYMENT DANVILLE-PITTSYLVANIA COMMUNITY SERVICES 245 HAIRSTON STREET DANVILLE, VIRGINIA 24540 434-799-0456 INSTRUCTIONS: PLEASE READ CAREFULLY BEFORE COMPLETING THIS APPLICATION 1. The
More informationNeighborhood Checkup
Promise Neighborhoods Research Consortium (PNRC) Neighborhood Checkup Survey of Current Supports for Successful Youth Development First, we are going to ask you a few questions about your. For this survey,
More informationHOME STRETCH WORKSHOP REGISTRATION
HOME STRETCH WORKSHOP REGISTRATION Organization: Workshop location: Workshop (s): Instructions: Please fill out as completely as possible. If you need additional space, please feel free to use the back
More informationTop 5 Leading Causes of Death
Top 5 Leading Causes of Death May 2014 1100 Graham Road Circle Stow, Ohio 44224 (330) 926-5764 Introduction The top 5 causes of death is an important indicator in determining where to focus prevention
More informationREGISTRATION FORM. How would you like to receive health information? Electronic Paper In Person. Daytime Phone Preferred.
Signature Preferred Pharmacy Referral Info Emergency Contact Guarantor Information Patient Information Name (Last, First, MI) REGISTRATION FORM Today's Date Street Address City State Zip Gender M F SSN
More informationDATA COACHING WORKSHOP DAY 1 PRESENTED BY SARITA SIQUEIROS THORNBURG, JILL PATNODE & KRISSY SOLTMAN
DATA COACHING WORKSHOP DAY 1 PRESENTED BY SARITA SIQUEIROS THORNBURG, JILL PATNODE & KRISSY SOLTMAN January 28, 2014 Success for Each Child and Eliminate the Opportunity Gap Welcome and Introductions Overview
More informationMT. SAN JACINTO COLLEGE ASSOCIATE DEGREE IN NURSING LVN-RN APPLICATION www.msjc.edu/alliedhealth
www.msjc.edu/alliedhealth Filing Period: September 1 st September 15 th It is the student s responsibility to request and ensure that all documents are in the Nursing & Allied Health Office by the application
More informationPersonal Data Form (PDF)
Personal Data Form (PDF) Check Employee Type: New Employee* Current Employee Submitting Data Changes PLEASE TYPE OR PRINT LEGIBLY V-ID NUMBER PREFIX EMPLOYEE LEGAL NAME (LAST NAME, FOLLOWED BY A COMMA;
More informationCAHPS Survey for ACOs Participating in Medicare Initiatives 2014 Medicare Provider Satisfaction Survey
CAHPS Survey for ACOs Participating in Medicare Initiatives 2014 Medicare Provider Satisfaction Survey Survey Instructions This survey asks about you and the health care you received in the last six months.
More informationThe Math TLC Master s in Mathematics for Secondary Teachers Program
Math TLC Master s Application Form Page 1 The Math TLC Master s in Mathematics for Secondary Teachers Program Electronic Application Form Instructions Save your completed application a filename of the
More informationH-CAHPS Quality Plus-Hospital Patient Experience Survey Massachusetts General Hospital
H-CAHPS Quality Plus-Hospital Patient Experience Survey Massachusetts General Hospital Introduction Hi, my name is [InterviewerFirstName] [InterviewerLastName], and I'm calling on behalf of Massachusetts
More informationCOLLEGE ENROLLMENT AND WORK ACTIVITY OF 2014 HIGH SCHOOL GRADUATES
For release 10:00 a.m. (EDT) Thursday, April 16, 2015 USDL-15-0608 Technical information: (202) 691-6378 cpsinfo@bls.gov www.bls.gov/cps Media contact: (202) 691-5902 PressOffice@bls.gov COLLEGE ENROLLMENT
More information2013 ICH CAHPS Patient Experience Survey Results
COMPANY LOGO 2013 ICH CAHPS Patient Experience Survey Results Research & Marketing Strategies 15 E. Genesee Street, Suite 210 Baldwinsville, NY 13027 Tel: 315.635.9802 Aggregate Survey Results Table of
More informationSelected Socio-Economic Data. Baker County, Florida
Selected Socio-Economic Data African American and White, Not Hispanic www.fairvote2020.org www.fairdata2000.com 5-Feb-12 C03002. HISPANIC OR LATINO ORIGIN BY RACE - Universe: TOTAL POPULATION Population
More informationDetermines if the data you collect is practical for analysis. Reviews the appropriateness of your data collection methods.
Performing a Community Assessment 37 STEP 5: DETERMINE HOW TO UNDERSTAND THE INFORMATION (ANALYZE DATA) Now that you have collected data, what does it mean? Making sense of this information is arguably
More informationCarroll College Matched Education Savings Account Application
PERSONAL INFORMATION Name: Social Sec. No. (last four digits): Gender: Female Male Date of Birth: / / Ethnicity: African American Caucasian Latino or Hispanic Asian, Pacific Islander Native American Other
More informationT.E.A.C.H. Early Childhood ALABAMA Bachelor Degree Scholarship Application for Child Care Center/Preschool Teachers
GENERAL INFORMATION: Social Security Number: - - Date: Name: Address: Apt #: City: State: Zip: County: Phone: Home: ( ) Cell: ( ) Work: ( ) Email Address: Date of Birth (mm/dd/yyyy): / / Gender: Female
More informationMinneapolis Resident Survey April 2011
Appendix III: Complete Set of Frequencies The following pages contain a complete set of survey frequencies. The number of respondents for each question is 1,172 unless noted otherwise. Question B How long
More informationEmergency Room Services Satisfaction Survey
Emergency Room Services Satisfaction Survey Date: «NameF» «NameL» «AddressLine1» «AddressLine2» «City», «StateCode» «Zip» Dear Member: TML MultiState Intergovernmental Employee Benefits Pool (IEBP) appreciates
More informationPopulation Percent C.I. All Hennepin County adults aged 18 and older 11.9% ± 1.1
Overview ` Why Is This Indicator Important? Physical inactivity can lead to obesity and type 2 diabetes. Physical activity can help control weight, reduce the risk of heart disease and some cancers, strengthen
More information(928) 854-4307 MEDICAL HISTORY. Weight: _ Shoe size: _
2302 N. Stockton Hill Rd Ste. G 1731 Mesquite Ave Ste 4 1200 Mohave Rd MEDICAL HISTORY Weight: Shoe size: ~~~~~~~~~~~~~~~~~~~~~~~~~~PLEASECIRCLE: RIGHT or LE~ Is your problem due to an accident? YES or
More informationHIV& AIDS BASIC FACTS. HIV & Drug Use. You are better off knowing if you have HIV. HIV & Sex. What are HIV & AIDS? HIV & Blood Products
What are HIV &? serious stage of HIV infection, called. stands for Acquired getting and can stay healthy for a long time. your age your sex your race or ethnic origin who you have sex with to a fetus or
More informationLane Community College Public Perception Survey Instrument
Lane Community College Public Perception Survey Instrument HELLO Hello. This is calling from. Lane Community College has asked us to conduct a survey about the classes and services offered by LCC. I want
More informationAmericans Current Views on Smoking 2013: An AARP Bulletin Survey
Americans Current Views on Smoking 2013: An AARP Bulletin Survey November 2013 Americans Current Views on Smoking 2013: An AARP Bulletin Survey Report Prepared by Al Hollenbeck, Ph.D. Copyright 2013 AARP
More informationT.E.A.C.H. Early Childhood MISSISSIPPI Associate Degree Scholarship Application for Child Care Center Teachers
GENERAL INFORMATION: Social Security Number: - - Date: Name: Address: Apt #: City: State: Zip: County: Phone: Home: ( ) Cell: ( ) Work: ( ) Email Address: Date of Birth (mm/dd/yyyy): / / Gender: Female
More informationTransportation Construction Apprenticeship Readiness Training T.C.A.R.T. Cell Phone Date of Birth (mm/dd/yyyy) Gender: Male
PROGRAM APPLICATION Host CBO: Applicant # Last Name Address Home Phone SS# Email First Name City/State/Zip Cell Phone Date of Birth (mm/dd/yyyy) Middle Initial I have the legal right to work in the US.
More informationAPPLICATION FOR EMPLOYMENT AN AFFIRMATIVE ACTION EQUAL OPPORTUNITY EMPLOYER
HUMAN RESOURCES USE ONLY DATE: TIME: APPLICATION FOR EMPLOYMENT AN AFFIRMATIVE ACTION EQUAL OPPORTUNITY EMPLOYER Instructions: Please print the requested Information In the spaces provided below. Date
More informationCAHPS PQRS SURVEY 0938-1222
CAHPS PQRS SURVEY According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control
More informationPopulations of Color in Minnesota
Populations of Color in Minnesota Health Status Report Update Summary Spring 2009 Center for Health Statistics Minnesota Department of Health TABLE OF CONTENTS BACKGROUND... 1 PART I: BIRTH-RELATED HEALTH
More informationA PUBLICATION OF THE NATIONAL COUNCIL FOR ADOPTION ADOPTION USA: SUMMARY AND HIGHLIGHTS OF A CHARTBOOK ON THE NATIONAL SURVEY OF ADOPTIVE PARENTS
Adoption Advocate NICOLE FICERE CALLAHAN, EDITOR CHUCK JOHNSON, EDITOR ELISA ROSMAN, PH.D., EDITOR NO. 22 MARCH 2010 A PUBLICATION OF THE NATIONAL COUNCIL FOR ADOPTION ADOPTION USA: SUMMARY AND HIGHLIGHTS
More informationCertified Peer Counselor Training Application
Certified Peer Counselor Training Application Instructions Please type or print clearly. All sections of the form must be completed for the application to be accepted. These instructions explain how to
More informationCommunity Information Book Update October 2005. Social and Demographic Characteristics
Community Information Book Update October 2005 Public Health Department Social and Demographic Characteristics The latest figures from Census 2000 show that 36,334 people lived in San Antonio, an increase
More informationAddressing Racial/Ethnic Disparities in Hypertensive Health Center Patients
Addressing Racial/Ethnic Disparities in Hypertensive Health Center Patients Academy Health June 11, 2011 Quyen Ngo Metzger, MD, MPH Data Branch Chief, Office of Quality and Data U.S. Department of Health
More informationIn 2013, 75.9 million workers age 16 and older in the. Characteristics of Minimum Wage Workers, 2013. Highlights CONTENTS
U.S. BUREAU OF LABOR STATISTICS M A R C H 2 0 1 4 R E P O R T 1 0 4 8 Characteristics of Minimum Wage Workers, 2013 below the figure of 13.4 percent in 1979, when data were first collected on a regular
More informationMAINE K-12 & SCHOOL CHOICE SURVEY What Do Voters Say About K-12 Education?
MAINE K-12 & SCHOOL CHOICE SURVEY What Do Voters Say About K-12 Education? Interview Dates: January 30 to February 6, 2013 Sample Frame: Registered Voters Sample Sizes: MAINE = 604 Split Sample Sizes:
More informationDiscrepancies in Self-Report Diabetes Survey yquestions using NHANES, NHIS, and CHIS data
Discrepancies in Self-Report Diabetes Survey yquestions using NHANES, NHIS, and CHIS data Sarah Lessem National lcenter for Health Statistics ti ti CDC Behavioral Scientist DC-AAPOR WSS Summer Conference
More informationCAHPS Clinician & Group Survey
CAHPS Clinician & Group Survey Version: Adult Primary Care Questionnaire.0 Language: English Response Scale: points te regarding the -to- response scale: This questionnaire employs a fourpoint response
More informationAdministrative Council July 28, 2010 Presented by Nancy McNerney Institutional Effectiveness Planning and Research
Administrative Council July 28, 2010 Presented by Nancy McNerney Institutional Effectiveness Planning and Research Developmental Students Today I will talk about 1. Who are they? 2. What are some facts
More informationTreatment of diabetes In order to survive, people with type 1 diabetes must have insulin delivered by a pump or injections.
National Diabetes Statistics What is diabetes? Diabetes mellitus is a group of diseases characterized by high levels of blood glucose resulting from defects in insulin production, insulin action, or both.
More informationVolunteer Application
Human Resource Division 450 East South St. Orlando, FL 32801 Information Line: 407-836-5661 Volunteer Application Instructions: Please print or type. Complete all items. If a question is not applicable,
More informationSAMPLE QUESTIONNAIRE
Stanford Patient Education Research Center Stanford University School of Medicine SAMPLE QUESTIONNAIRE CHRONIC DISEASE August 2007 You may use all or parts of the questionnaire at no charge without permission
More informationIndividualized Education Plans
Individualized Education Plans Updated: Children with special needs living in high-poverty neighborhoods are less likely to receive special services through an Individualized Education Plan (IEP). Importance
More informationThe Impact of Health Insurance Coverage on Health Disparities in the United States
Human Development Report Office OCCASIONAL PAPER The Impact of Health Insurance Coverage on Health Disparities in the United States Rowland, Diane and Catherine Hoffman. 2005. 2005/34 Inequality and health
More informationUSER GUIDE AND DIRECTIVES ON DATA COLLECTION AND REPORTING FOR DHCD STATE RENTAL ASSISTANCE
USER GUIDE AND DIRECTIVES ON DATA COLLECTION AND REPORTING FOR DHCD STATE RENTAL ASSISTANCE Page 1 of 8 I. Purpose In response to Chapter 334 of the Acts of 2006 ( the Act ), the Department of Housing
More informationLouisiana Report 2013
Louisiana Report 2013 Prepared by Louisiana State University s Public Policy Research Lab For the Department of Health and Hospitals State of Louisiana December 2015 Introduction The Behavioral Risk Factor
More informationAnnual Report On Insurance Agent Licensing Examinations
Annual Report On Insurance Agent Licensing Examinations For the year ended December 31,, 2012 New York State Department of Financial Services Benjamin M. Lawsky, Superintendent INTRODUCTION The Report
More informationThe Benefits of Community Service Employment (PY2006)
The Benefits of Community Service Employment (PY2006) Prepared for Senior Service America, Inc. By The Charter Oak Group, LLC April 2008 The Benefits of Community Service The customer satisfaction data
More informationNew York State s Racial, Ethnic, and Underserved Populations. Demographic Indicators
New York State s Racial, Ethnic, and Underserved Populations While much progress has been made to improve the health of racial and ethnic populations, and increase access to care, many still experience
More informationRural Health Information Technology Cooperative. Clinician Survey on Quality Improvement, Best Practice Guidelines, and Information Technology
Rural Health Information Technology Cooperative Clinician Survey on Quality Improvement, Best Practice Guidelines, and Information Technology Conducted for: The Rural Healthcare Quality Network Conducted
More informationA SNAPSHOT OF ALPENA COUNTY
A SNAPSHOT OF ALPENA COUNTY agbioresearch.msu.edu msue.msu.edu About the Data This County Profile is to be used with the 2015-2016 Issue Identification process for State University Extension. Unless otherwise
More informationQUESTIONS? AGE 65 AND OLDER? NEED PRESCRIPTION HELP? APPLY ANYTIME * APPLICATION ENCLOSED * PACE AND PACENET CALL CARDHOLDER SERVICES 1-800-225-7223
QUESTIONS? CALL CARDHOLDER SERVICES 1-800-225-7223 Hearing Impaired Callers Using TTY/TDD should call: 1-800-222-9004 24 HOUR FAX NUMBER 1-888-656-0372 EMAIL ADDRESS papace@magellanhealth.com Tom Wolf
More informationStop the HIT Coalition National Small Business Owner Survey Interview Schedule
Stop the HIT Coalition National Small Business Owner Survey Interview Schedule Project: 15492 N=251 Small Business Owners; Margin of Error: +6.2% A. Do you own or operate a business? 100% Yes B. And is
More informationSecurity Freeze Legislation: Awareness and Incidence of Placement Among Consumers 18+ in Seven States By Jennifer H. Sauer and Neal Walters
Security Freeze Legislation: Awareness and Incidence of Placement Among Consumers 18+ in Seven States By Jennifer H. Sauer and Neal Walters Louisiana Annotated Questionnaire November 2007 Purpose and Methodology
More informationNorth-West College awards over $250,000 in scholarships through its Success Education Program!
Scholarship Information North-West College awards over $250,000 in scholarships through its Success Education Program! DETAILS ON EACH OF OUR SCHOLARSHIP AWARDS Scholarship applicants must meet all admissions
More informationApplication for Transportation Service
Application for Transportation Service (Please complete one form per rider) Person completing this form is: Rider Family Member Other Type of Membership: Individual Family (2 or more in Household) Family
More informationAPPENDIX C Process Monitoring and Evaluation Tools
APPENDIX C Process Monitoring and Evaluation Tools FACILITATOR FIDELITY/PROCESS FORMS When to Use: At the end of each training session Administered By: Facilitator Completed By: Facilitator Instructions:
More informationTHE FIELD POLL. By Mark DiCamillo, Director, The Field Poll
THE FIELD POLL THE INDEPENDENT AND NON-PARTISAN SURVEY OF PUBLIC OPINION ESTABLISHED IN 1947 AS THE CALIFORNIA POLL BY MERVIN FIELD Field Research Corporation 601 California Street, Suite 210 San Francisco,
More informationStatistics fact sheet
Statistics fact sheet Fact sheet last updated January 2015 EXTERNAL VERSION Macmillan Cancer Support Page 1 of 10 Macmillan and statistics Statistics are important to Macmillan because they help us represent
More informationREVISED E-Health Patient Screening Survey
REVISED E-Health Patient Screening Survey The Patient screening survey will be administered online after the patient has electronically signed the patient consent form. 1 E-Health Patient Screening Survey
More informationState Health Assessment Health Priority Status Report Update. June 29, 2015 Presented by UIC SPH and IDPH
State Health Assessment Health Priority Status Report Update June 29, 2015 Presented by UIC SPH and IDPH 1 Health Priority Presentation Objectives 1. Explain context of how this discussion fits into our
More informationSurvey of Registered Nurses 2008
California Board of Registered Nursing Survey of Registered Nurses 2008 Conducted for the Board of Registered Nursing by School of Nursing, University of California, San Francisco and Center for the Health
More informationDemographic Profile of Wichita Unemployment Insurance Beneficiaries Q2 2014
Demographic Profile of Wichita Unemployment Insurance Beneficiaries Q2 2014 The Bureau of Labor Statistics defines an unemployed person as one 16 years and older having no employment and having made specific
More information