The nation's health care system has changed dramatically and the country is debating further significant changes. Comprehensive information is needed to guide policymakers in understanding and evaluating the current problems and in formulating federal health care policy. This book contains an evaluation of the plan developed by the National Center for Health Statistics for restructuring its existing provider surveys. It identifies current and future data needed by researchers and policymakers to assess the effect of changes in financing, organization, and delivery of health care on access, quality, costs, and outcomes of care and determines the extent to which the design and content of the proposed survey can meet these data needs. The book goes beyond a simple review and recommends a design framework to develop a coordinated and integrated data system to gather information about people and their illness over time and to link this information to costs and health care outcomes.

Describes ambulatory medical care visits to nonfederally employed, office-basd physicians in the United States during 1995 and 1996. Statistics are presented on selectedphysician, patient, and visit characteristics.

This report describes ambulatory care visits to hospital outpatient departments in the United States form 1992 through 1999.

Describes ambulatory care visits made to physician offices within the United States. Statistics are presented on selected physician, patient, and visit characteristics.