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National Hospital Ambulatory Medical Care Survey, 1992-2021, Restricted
Add to My BasketDescription
The National Hospital Ambulatory Medical Care Survey (NHAMCS) has been fielded annually since 1992 to collect data on the utilization and provision of ambulatory care services in hospital emergency and outpatient departments. Data collection from hospital-based ambulatory surgery centers began in 2009. And between 2010 and 2012 NHAMCS gathered data on visits to freestanding ambulatory surgery centers. In 2018, the survey began focusing on just the ambulatory visits made to emergency departments. Each emergency department is randomly assigned to a 4-week reporting period. During this period, data for a systematic random sample of visits are recorded by Census interviewers using a computerized Patient Record Form. Data are obtained on patient characteristics such as age, sex, race, and ethnicity, and visit characteristics such as patient’s reason for visit, provider’s diagnosis, services ordered or provided, and treatments, including medication therapy. In addition, data about the facility are collected as part of a survey induction interview.
Detailed Methodology
For the survey, findings are based on a national sample of visits to emergency departments (EDs) in noninstitutional general and short-stay hospitals, exclusive of Federal, military, and Veterans Administration hospitals, located in the 50 States and the District of Columbia. The sampling frame for the 2021 NHAMCS was constructed from IQVIA’s database. A three-stage probability sampling design is used. The first stage consists of a sample of geographically defined areas also known as Primary Sampling Units (PSU). In the second stage, is of hospitals within those PSU and all emergency service areas within the emergency department are selected. Emergency service areas (ESAs) are not sampled at this stage. In the third stage ESAs are sampled.